Tracheal intubation: lapho kufika isikhathi sokuba a yesibili ...

izimo eziphuthumayo umzimba lapho CPR okufanele zithathwe ngokushesha ngangokunokwenzeka, kudinga izenzo ecacile nabezokwelapha. Yokusiza umuntu ukuba aphefumule Izindlela ekhethiwe ngqo kuyo leyo ndawo kuye imininingwane yalolu ukunqotshwa, kobukhulu isimo lesiguli kanye kungenzeka ukuthatha izinyathelo ezidingekayo ngaphandle kokulibala.

Enye indlela sinjalo olunzulu ukunakekelwa intubation. Izimpawu I-tracheal intubation:

ü nakwenzeka wamaphaphu ukupholisa ngezindlela kwenye indawo; Ukumelana phezu ingxenye yezinye kwezitho nezicubu (isib, kunzima pholisa emaphashini labesifazane abakhulelwe toxemia, abantu abakhuluphele le sternum);

khona ü multiple izilonda imiphetho;

ü ngokufaka kuqhoqhoqho kanye bronchi vomitus, khona isikhwehlela viscous izinto eziningi ezinkulu, emlonyeni igazi ukugcwaliswa;

U ukungakwazi yokusiza umuntu ukuba aphefumule inhliziyo ngaphakathi sebefile (imizuzu eyisithupha);

U isidingo evulekile inhliziyo massage;

ü okwengeziwe zokuthutha isiguli esibhedlela yokusiza umuntu ukuba aphefumule.

Futhi e yokusiza umuntu ukuba aphefumule it has eziningi Izimo lapho tracheal intubation ayikwazi ukusetshenziswa ngenxa usongo ekuphileni futhi impilo isiguli. Engatholanga ukunakekeleka okufanele nge balimala eqolo esifundeni wesibeletho, khona intamo amanxeba ajulile, izimila, ukuvuvukala, elinganiselwe ukuhamba temporomandibular ngokuhlanganyela.

Tracheal intubation, inqubo inqubo okumele ilandelwe ngokuqinile futhi kwenziwe kuphela izisebenzi zezokwelapha ngoba ukufakwa ayilungile tube endotracheal kungasilimaza kakhulu.

Iinsetjenziswa zokukhwela intubation kuyinto tube, okuyinto iklanyelwe ukunikeza ukupholisa ngokubenza baphinde umgudu patency. Lokhu tube ikhonza ngoba ukukhululwa kwe-umgudu isikhwehlela, vomitus. Lusebenza endotracheal tube futhi izinzwa - ke bafeza izinzwa igesi.

Odokotela ukuqhuba intubation kanje: isisulu inikezwa amanga isikhundla, ikhanda lakhe esitshekile emuva ngangokunokwenzeka. Ngokuvamile, emahlombe ubeka umcamelo, uma akusiyo - Songa izingubo ngesimo roller ukuze kancane siphakamise sternum. Ukuze ukulawula ukwethulwa tube endotracheal usebenzisa laryngoscope. Ngokuvamile ukwethulwa tube endotracheal Kunenkolelo premedication - yokuphuza imithi ukunikeza kobuhlungu intubation futhi imisipha relaxant, okuyinto uphumule imisipha ngoba Ukungena tube kuqhoqhoqho. Uma isiguli usesimweni ezishisayo noma esimweni sokufa yomtholampilo, le intubation tracheal wenziwa ngaphandle ekuhambisaneni nale mibandela. Ngokuvamile tracheal intubation nabanesithuthwane ukwenze - kulesi simo, emlonyeni yandisa ngamandla futhi afeze izenzo ezidingekayo.

Laryngoscope blade icindezelwa ngokumelene epiglottis, kanjalo ukukhulula ukufinyelela ekuqhubekeleni phambili. empandeni ulimi bephushelwa kanye nomnyango amalaka ekuboniseni ifakwe tube endotracheal. Ubukhulu tube kuyahlukahluka, basuke akhethiwe kusengaphambili ngekuya yobudala isiguli.

Uma inqubo yenziwe kahle, khona-ke umoya lipheshulwa liyiswa ngapha nangapha ku tube ungezwa umsindo emaphashini, ukunyakaza ebonakalayo kwesifuba, emoyeni iphindela. Zokuhlanzwa umgudu tube mncane ngokusebenzisa okuqukethwe endotracheal tube isusiwe.

Tracheal intubation - onokwethenjelwa kakhulu yokusiza umuntu ukuba aphefumule. Uma isikhathi akusho intubate isiguli, isimo sakhe uwohloka nge njalo ngeminithi edlulayo. Ngesikhathi esifanayo lapho intubation akudingekile ukushesha - inqubo akufanele kusenze umgudu ukulimala ekubalekeni ngenxa kufakwe ishubhu. Imizamo intubate kufanele isicelo isikhathi esingaphezu kwemizuzu emithathu - uma kungenjalo kufanele azame ukupholisa yokufakelwa.