Tracheal intubation: ka tae mai te wa mo te tuarua ...

Emergency tikanga te tinana, ina kia CPR kia tangohia rite wawe tonu, titau mārama mahi o ngā kaimahi hauora. Methods whakaora whiriwhiri pū i runga i te wahi i runga i te pau o te hinga rānei, te pakeke o te huru o te manawanui me te taea ki te tango i mehua tika e whakaroa.

Ko tētahi taua tikanga ko te kaha intubation tiaki. Tuhinga mō te tracheal intubation:

ü eita o ventilation pūkahukahu i ara kē; ātete i runga i te wahi o te tahi atu whēkau me te kopa (hei tauira, ko reira uaua ki te hau i te pūkahukahu o wahine hapu ki toxemia, iwi mōmoma i roto i te whaturei);

aroaro ü o pāpaka maha tapa;

ü tomo te pukorokoro me bronchi vomitus, te aroaro o hūpē Kaore i roto i ngā rahinga nui, te mangai toto whakakī;

U te ngoikore o te whakaora ngakau i roto i te mate haumanu (ono meneti);

u te hiahia mo te tuwhera mirimiri ngakau;

ü atu transportation o te manawanui ki te hōhipera mō te whakaora.

i roto i te whakaora hoki te mea he maha o contraindications ka kore e taea te tono tracheal intubation no o te riri ki te ora, me te hauora o te manawanui. Kihai intubated ki injuries filosilivá i roto i te rohe waha, te aroaro o patunga hohonu kaki, pukupuku, puku, iti tahi nekeneke temporomandibular.

Tracheal intubation, me aru tino tukanga technique, me te anake ka kawea i roto i na kaimahi hauora te mea e taea e tāutanga hē o te ngongo endotracheal meinga kino.

Taputapu mō te intubation ko te ngongo, hangaia nei ki te whakarato i ventilation mā te whakaora i airway patency. tavini hoki tenei ngongo mo te tuku o te hūpē airway, vomitus. tano te reira i endotracheal ngongo me anesthesiology - kawea reira i te rehunga hau.

whakahaere Doctors intubation e whai ake: kua hoatu te pārurenga ki takoto tūranga, tītaha hoki tona matenga nui taea. Ko te tikanga, nga pokohiwi e te urunga, ki te he te reira e kore - korukoru kakahu i roto i te puka o te takai ki paku ara te whaturei. I roto i te tikanga ki te whakahaere i te kupu whakataki o te ngongo endotracheal mā te whakamahi i te laryngoscope. Ko te tikanga puritia te whakataki o te ngongo endotracheal te premedication - whakahaere taero ki te whakarato i ongonoa intubation me uaua relaxant, e wātea uaua mo kătahi o te ngongo ki te pukorokoro. Ki te ko te manawanui i roto i te huru waiariki ranei i roto i te āhua o te mate haumanu, whakamana te intubation tracheal te kahore tautuku ki enei tikanga. E mea pinepine hunga haurangi intubation tracheal whai ki te mahi i - i roto i tenei take, i te mangai faarahi murua, ka kawe i nga mahi e tika ana.

aki mata Laryngoscope te ki te ngao horomi, reira ka wetekina te uru ki te haereraa atu. panaia pakiaka o te arero kei te me te tomokanga ki te paeoro whakaatu whakaurua ngongo endotracheal. Ko te āhuatanga o te ngongo rerekē, kua tīpakohia ratou i roto i mua i runga i te tau o te manawanui rānei.

Ki te mahia te tikanga kei te tika, ka te whakatangihia te rangi ki te ngongo e taea rongo ngangau i roto i te pūkahukahu, kaupapa kitea o te pouaka, haere hoki te rangi. Hoki purenga airway ngongo angiangi i roto i te tirotiro nekehia endotracheal ngongo.

intubation Tracheal - he tino kawenga whakaora. Ki te kore e wa intubate te manawanui, kei te taumaha tona āhuatanga ki ia meneti paahitanga. I te wa ano, ka kore he intubation tika ki te hohoro - e kore e te tikanga meinga airway whara hohoro tika whakaurunga o te ngongo. kia tono whakamātau ki te intubate mo kore atu i te toru meneti - te kore e tamata ventilation tāwhaiwhai.