Iinkqubo zokujongwa koxinzelelo lwegazi
Obu buchule bulinganisa uxinzelelo lwemithambo ngokuthe ngqo ngokufaka inaliti yecannula kumthambo ofanelekileyo.I-catheter kufuneka iqhagamshelwe kwisistim engenazintsholongwane, ezaliswe lulwelo eqhagamshelwe kwimonitha yesigulane esebenza ngombane.
Ukuze ulinganise uxinzelelo lwegazi ngokuchanekileyo usebenzisa i-catheter ye-arterial, iingcali zicebisa indlela echanekileyo ye-5-step encedisa (1) ukukhetha indawo yokufaka, (2) ukukhetha uhlobo lwe-catheter ye-arterial, (3) ukubeka i-catheter ye-arterial, (4) inqanaba kunye ne-zero sensors, kunye (5) nokujonga umgangatho we-BP waveform.
Ngethuba lokusebenza, kuyimfuneko ukukhusela umoya ukuba ungangeni kwaye ubangele i-embolism;Ukukhethwa ngokucokisekileyo kweenqanawa ezifanelekileyo kunye ne-puncture sheath/i-radial artery sheath nayo iyafuneka.Ubuhlengikazi obusebenzayo emva kokusebenza ukukhusela ukuvela kweengxaki kubaluleke kakhulu, ezi ngxaki ziquka: (1) i-hematoma, (2) Usulelo lwendawo yokubhoboza, (3) Usulelo lwenkqubo (4) i-arterial thrombosis, (5) i-Distal ischemia, (6) I-necrosis yesikhumba sendawo, (7) Ukukhulula ngokubambisana kwe-Arterial kubangele ukulahleka kwegazi, njl.
Zeziphi iindlela ezinokusetyenziswa ukomeleza ukhathalelo
1.Emva kwe-catheterization eyimpumelelo, gcina ulusu kwindawo yokugqobhoza yomile, icocekile kwaye ingenagazi.Faka esikhundleni amaxesha e-1 yonke imihla, kukho ukopha nangaliphi na ixesha ukutshintshwa kwe-disinfection nangaliphi na ixesha.
2.Yomeleza ukubeka iliso kweklinikhi kwaye ubeke iliso lobushushu bomzimba ngamaxesha ama-4 ngosuku.Ukuba isigulana sinomkhuhlane ophezulu, ukubanda, kufuneka kukhangelwe kwangethuba umthombo wosulelo.Ukuba kuyimfuneko, inkcubeko yetyhubhu okanye inkcubeko yegazi ithathwa ukunceda ukuxilongwa, kwaye i-antibiotics kufuneka isetyenziswe ngokufanelekileyo.
3.I-catheter akufanele ibekwe ixesha elide, kwaye i-catheter kufuneka isuswe ngokukhawuleza xa kukho iimpawu zosulelo.Kwiimeko eziqhelekileyo, inzwa yoxinzelelo lwegazi kufuneka igcinwe ngaphezu kweeyure ezingama-72 kunye neveki enye ide kakhulu.Ukuba kuyimfuneko ukuqhubeka.indawo yokulinganisa uxinzelelo kufuneka itshintshwe.
4.Thatha indawo ye-heparin diluent edibanisa imibhobho yonke imihla.Ukuthintela i-intraductal thrombosis.
5. Qwalasela ukuba ingaba umbala kunye nobushushu bolusu olukude lwendawo yokuhlatywa komthambo ayiqhelekanga.Ukuba i-extravasation ye-liquid ifunyenwe, indawo yokubhoboza kufuneka ikhutshwe ngokukhawuleza, kwaye i-50% ye-magnesium sulfate kufuneka ifakwe emanzini kwindawo ebomvu kunye ne-dumbile, kwaye unyango lwe-infrared lunokukhutshwa.
6. Ukopha kwendawo kunye ne-hematoma : (1) xa i-puncture ingaphumeleli kwaye inaliti ikhutshwe, indawo yendawo ingagqunywa ngebhola ye-gauze kunye ne-tape yokubambelela ebanzi phantsi koxinzelelo. isitya, kwaye indawo yendawo kufuneka isuswe emva kwemizuzu engama-30 yokunxitywa koxinzelelo ukuba kuyimfuneko.(2) Emva kotyando.isigulane sacelwa ukuba sigcine izibilini zithe tye kwicala lokusebenza.kwaye ubeke ingqalelo ekubonweni kwendawo ukuba isigulane sinemisebenzi kwixesha elifutshane lokuthintela ukopha.I-Hematoma inokuba yi-50% ye-magnesium sulfate yoxinzelelo olumanzi okanye isixhobo se-spectral enaliti yendawo kunye netyhubhu yovavanyo kufuneka ilungiswe ngokuqinileyo, ngakumbi xa isigulane siphazamisekile, kufuneka sithintele ngokungqongqo ukukhupha kwabo. idityaniswe ukunqanda ukopha emva kokuqhawulwa.
7. I-ischemia yelungu elikude:
(1) Ukuhanjiswa kwe-collateral ye-artery intubated kufuneka kuqinisekiswe ngaphambi kokuhlinzwa, kwaye ukugqobhoza kufuneka kugwenywe ukuba umthambo unezilonda.
(2) Khetha iinaliti zokugqobhoza ezifanelekileyo, ngokuqhelekileyo i-14-20g catheter kubantu abadala kunye ne-22-24g catheter yabantwana.Musa ukutyeba kakhulu kwaye uwasebenzise ngokuphindaphindiweyo.
(3) Gcina ukusebenza kakuhle kwe-tee ukuqinisekisa ukuthontsiza kwe-saline ye-heparin eqhelekileyo;Ngokubanzi, ngalo lonke ixesha igazi le-arterial litsalwa ngetyhubhu yoxinzelelo, kufuneka ihlanjululwe kwangoko nge-heparin saline ukuthintela ukujiyisa.Kwinkqubo yokulinganisa uxinzelelo.ingqokelela iisampulu yegazi okanye uhlengahlengiso zero, kuyimfuneko ukuthintela ngokungqongqo intravascular air embolism.
(4) Xa ijika loxinzelelo kwi-monitor lingaqhelekanga, isizathu kufuneka sifumaneke.Ukuba kukho ihlwili legazi elivalekileyo kumbhobho, kufuneka lisuswe kwangethuba.Musa ukutyhala ihlwili legazi ukuze uthintele i-arteri embolism.
(5) Jonga ngokusondeleyo umbala kunye nobushushu bolusu olukude lwecala lokusebenza, kwaye ujonge ngamandla ukuhamba kwegazi kwesandla ngegazi le-oksijini ye-saturation yomnwe we-ipsilateral.Ukukhutshwa kufuneka kube ngexesha elifanelekileyo xa utshintsho olungaqhelekanga lweempawu ze-ischemia ezifana nesikhumba esilusu, ukwehla kobushushu, ukuba ndindisholo kunye neentlungu zifunyenwe.
(6) Ukuba amalungu azinzile, musa ukuwasongela ngeringi okanye uwasonge kakhulu.
(7) Ubude bexesha le-catheterization ye-arterial ihambelana kakuhle ne-thrombosis.Emva kokuba umsebenzi wokujikeleza kwesigulane uzinzile, i-catheter kufuneka isuswe ngexesha, ngokuqhelekileyo ingabi ngaphezu kweentsuku ezi-7.
I-transducer yoxinzelelo olulahlwayo
Intshayelelo:
Ukubonelela ngofundo olungaguquguqukiyo noluchanekileyo lwemilinganiselo yoxinzelelo lwegazi lwe-arterial kunye ne-venous
Iimbonakalo:
●Ukhetho lweKit (3cc okanye 30cc) zozibini izigulana zabantu abadala/abantwana.
●Nge-lumen enye, kabini kunye nantathu.
●Ifumaneka ngenkqubo yokusampula yegazi evaliweyo.
●Izihlanganisi ezi-6 kunye neentambo ezahlukeneyo zihambelana neemonitha ezininzi emhlabeni
●ISO, CE & FDA 510K.
Ixesha lokuposa: Aug-03-2022