Ukuvumelana kochwepheshe ekuqaphelweni okuphuthumayo kokuphelelwa yisikhathi kwe-carbon dioxide

Ukuqapha kokuphela kwe-tidal carbon dioxide (ETCO2) kuyinkomba yokuqapha engahlaseli, elula, yesikhathi sangempela futhi eqhubekayo.Nge-miniaturization yemishini yokuqapha, ukuhlukahluka kwezindlela zesampula kanye nokunemba kwemiphumela yokuqapha, i-ETCO2 iye yasetshenziswa kabanzi emsebenzini womtholampilo womnyango wezimo eziphuthumayo.Isicelo salo somtholampilo simi kanje: 

1.Nquma indawo ye-intubation

Ukuma komzila womoya wokwenziwa, ngemva kwe-endotracheal intubation, sebenzisa ukuqapha kwe-ETCO2 ukuze wahlulele indawo yokufaka.Ukuma kweshubhu le-nasogastric: ngemva kokufakwa kweshubhu le-nasogastric, sebenzisa imonitha ye-bypass ETCO2 ukuze usize ukuma kwepayipi ukuze wahlulele ukuthi liyangena yini ngephutha endleleni yomoya.Ukuqapha i-ETCO2 ngesikhathi sokudluliselwa kweziguli ezine-endotracheal intubation ukusiza ukwahlulela i-ectopic ye-airway yokufakelwa ingathola ngesikhathi ukukhululwa kwe-ectopic ye-endotracheal intubation futhi kunciphise ingozi yokudluliselwa.

2.Ukuhlolwa komsebenzi wokungenisa umoya

Ukuqapha isimo sokungena komoya okuphansi kanye nokuqapha kwesikhathi sangempela kwe-ETCO2 ngesikhathi sokuphefumula kwevolumu ephansi yamanzi kungathola ngesikhathi esifanele ukugcinwa kwe-carbon dioxide futhi kunciphise imvamisa yokuhlolwa kwegesi yegazi legazi.Ukuqapha iziguli ezinobungozi obukhulu nge-hypoventilation kanye ne-ETCO2 ezigulini ezine-sedation ejulile, i-analgesia noma i-anesthesia.Isahlulelo sokuvinjwa kwendlela yomoya: sebenzisa imonitha ye-ETCO2 ukuze wahlulele ukuvinjwa okuncane komgwaqo.Ukuthuthukisa izimo zokungena komoya kanye nokuqapha ngokuqhubekayo i-ETCO2 ingathola ngesikhathi esifanele i-hyperventilation noma ukungena komoya onganele futhi iqondise ukwenziwa kahle kwezimo zokungenisa umoya.

3. Ukuhlolwa komsebenzi wokujikeleza

Yahlulela ukubuyiswa kokujikeleza kwe-autonomic.Gada i-ETCO2 ngesikhathi sokuvuselelwa kwe-cardiopulmonary ukusiza ukwahlulela ukubuyiswa kokujikeleza kokuzimela.Yahlulela isibikezelo sokuvuselela futhi uqaphe i-ETCO2 ukuze usize ukwahlulela ukubikezelwa kokuvuselela.Yahlulela ukusebenza kabusha kwamandla futhi uhlole ngokuhlanganyela amandla okusebenza kabusha usebenzisa i-ETCO2.

4.Ukuxilongwa kokusiza

Ukuhlolwa kwe-pulmonary embolism, i-ETCO2 yayiqashwe ngesikhathi sokuhlolwa kwe-pulmonary embolism.I-Metabolic acidosis.Ukuqapha i-ETCO2 ezigulini ezine-acidosis ye-metabolic ngokuyingxenye esikhundleni sokuhlaziywa kwegesi yegazi.

5.Ukuhlolwa kwesimo

Gada i-ETCO2 ukuze usize ukuhlola isimo.Amanani e-ETCO2 angavamile abonisa ukugula okubucayi.

I-ETCO2, umtshina kulula ukusebenza futhi ungasetshenziswa njengereferensi ye-triage yezimo eziphuthumayo ukuze kuthuthukiswe ukuphepha nokunemba kokuhlolwa kwezimo eziphuthumayo.

I-Medlinket inohlu oluphelele lwemishini yokuqapha i-carbon dioxide ephelelwa umoya kanye nezinto ezisetshenziswayo ezisekelayo, okuhlanganisa izinzwa zokuphela kokuphelelwa umoya kwe-carbon dioxide mainstream kanye ne-side flow sensors, i-end expiratory carbon dioxide monitor, i-sampling tube, i-nasal oxygen tube, inkomishi yokuqoqa amanzi nezinye izesekeli, ezisetshenziswayo. ukuqapha i-ETCO2.Kukhona ukukhetha okuhlukahlukene nokubhaliswa okuphelele.Uma ufuna ukwazi okwengeziwe mayelana ne-Medlinket's end expiratory carbon dioxide sensor, sicela usithinte ~