Ukujula kokuqapha izinzwa kuhlale kukhathaza odokotela ababulala izinzwa;ukujula kakhulu noma ukujula kakhulu kungabangela ukulimala ngokomzimba noma ngokomzwelo esigulini.Ukugcina ukujula okufanele kwe-anesthesia kubalulekile ukuqinisekisa ukuphepha kwesiguli nokuhlinzeka ngezimo ezinhle zokuhlinza.
Ukuze kuzuzwe ukujula okufanele kokuqapha kwe-anesthesia, izimo ezintathu zidinga ukuqinisekiswa.
1. udokotela obulala izinzwa onolwazi.
2, i-anesthesia deep monitor.
3. inzwa ye-EEG elahlwayo esetshenziswa ngokuhambisana nemonitha yokubulala izinzwa.
Inzwa ye-EEG idlala indima ebalulekile ekutsheleni udokotela obulala izinzwa ukuthi yiliphi izinga le-anesthesia yesiguli isignali ye-EEG efinyelele kuyo ukuze kugwenywe izingozi zokudakwa ngokweqile.
Ukujula kwenzwa yokubulala izinzwa kwasetshenziselwa ukuqapha kwangaphakathi phakathi kokuhlinzwa okunzima okwenziwa esibhedlela sokunakekelwa kwemfundo ephakeme e-Shenzhen.Isiguli esifundweni secala sasibhekene nenqubo ye-multidisciplinary eyayidinga ukubambisana okugcwele komnyango we-anesthesiology, ukuhlinzwa komgogodla, ukuhlinzwa okuhlangene, umnyango wokutheleleka, nomnyango wezokwelapha zokuphefumula.Ngokwenqubo kadokotela ohlinzayo, kwakudingeka izinqubo ezine zokuhlinzwa.Phakathi nengxoxo yomhlangano, udokotela obulala izinzwa waphakamisa umbuzo: ukuthi kwakungenzeka yini ukulalisa isiguli ngokuphephile, okwakuyimfuneko ewujuqu yawo wonke umsebenzi.
Njengoba umhlathi wesiguli useduze ne-sternum, kunzima ukufinyelela i-cannula ye-anesthetic, ejulisa ingozi yokuhlinzwa.Sonke siyakwazi ukubaluleka kwe-anesthesia ekuhlinzeni, futhi ayikho indlela yokwenza ukuhlinzwa uma i-cannula yokubulala izinzwa ingenakwenzeka.
Esithombeni singabona indima ebalulekile yenzwa yokujula yezinzwa ze-Medlinket kulokhu kuhlinzwa okunzima nokudingayo.Ukujula kwenzwa yokubulala izinzwa, okusekelwe encazelweni yesignali ye-EEG, kuwukubonakaliswa okunembile kwe-cortical EEG, okubonisa ukujabula noma isimo sokuvinjelwa se-cerebral cortex.
Leli gumbi lokuhlinza ithuluzi lomlingo - ukujula kwenzwa ye-anesthesia, kuze kube manje lisindise iziguli ezingenakubalwa, ngakho manje ngisho nomhlengikazi wegumbi lokuhlinza uyazi ukuthi igama elithi "i-anesthesia ejulile" emnyangweni we-anesthesiology akufanele lisetshenziswe ngokungakhethi.
“Ukuhlinzwa okujulile kokubulala izinzwa kufana nenkundla yempi, futhi kuyinkundla yempi yasemayini, ongazi noma bayinyathela yini imayini namuhla.
Inzwa ye-EEG Engahlaseli ye-Medlinket
Izinkomba zokuqapha ze-BIS:
Inani le-BIS elingu-100, isimo sokuvuka.
Inani le-BIS 0, isimo sokungabikho ngokuphelele komsebenzi we-electroencephalographic (ukuvinjelwa kwe-cortical).
Ngokuvamile kucatshangelwa.
Amanani e-BIS angu-85-100 njengesimo esivamile.
65-85 njengesimo esizinzile.
40-65 njengesimo sokulala.
<40 ingase yethule ukucindezelwa kokuqhuma.
I-Medlinket ikhiqiza izinzwa ze-EEG ezingahlaseli (i-EEG dual frequency index) ezingahambelani kuphela namadivayisi okuqapha e-BIS TM, kodwa futhi nama-monitor amapharamitha amaningi anamamojula e-BIS avela kumikhiqizo evamile njenge-Mindray ne-Philips yokuqapha okungahlaseli kwesiguli. Izimpawu ze-EEG.
Kukhona nemikhiqizo ehambisana namanye amamojula obuchwepheshe bokujula kokubulala izinzwa, njengemojula ye-EIS ye-Universal Medical Entropy Index, imojuli ye-CSI yenkomba yesifunda se-EEG, kanye nemikhiqizo yobuchwepheshe bokujula kwe-anesthesia ye-Masimo.
Inzwa ye-EEG Engahlaseli ye-Medlinket
Izinzuzo zomkhiqizo zimi kanje:
1.Ayikho i-sandpaper esula ukuze ikhiphe, inciphise umsebenzi futhi igweme ukusula ukuze kubangele ukuthi ukumelana kungadluli;.
I-2.Usayizi omncane we-electrode akuphazamisi ukunamathela kobuchopho be-oxygen probe;ukusetshenziswa okulahlwayo kwesiguli esisodwa ukuvimbela ukutheleleka okuphambene.
3.Ukusetshenziswa kwe-adhesive conductive engenisiwe, i-impedance ephansi, ukunamathela okuhle, idivayisi yesitika engangeni manzi.
4.Ngokuhlolwa kwe-biocompatibility, akukho cytotoxicity, ukucasuka kwesikhumba kanye nokusabela okweqile, kungasetshenziswa ngokuphepha nangokuphepha.
5.Isilinganiso esizwelayo, inani elinembile, ikhono eliqinile lokulwa nokugxambukela, lisiza odokotela ababulala izinzwa ukuthi baqaphe eduze iziguli eziqulekile futhi banikeze ukulawula okuhambisanayo nezinyathelo zokwelapha ngesikhathi ngokuvumelana nesimo sokuqapha.
I-6.Iphumelele isitifiketi sikazwelonke sokubhaliswa kwemishini yezokwelapha, futhi iqashelwa odokotela ababulala izinzwa abaqeqeshiwe ekhaya nakwamanye amazwe ngokuvunayo, imiswe ngempumelelo ezikhungweni zezokwelapha ezigunyaziwe zangaphandle, izibhedlela eziningana ezaziwayo zemfundo ephakeme yasekhaya, ukusiza ukulalisa izinzwa kanye nokunakekelwa okujulile kwe-ICU. ukuqapha izinkomba zokujula kwezinzwa.
Imikhiqizo nolwazi oluhlobene nezinzwa ze-EEG ezingalahlwa yi-Midas Company:
Isitatimende: Konke okuqukethwe okungenhla kukhombisa uphawu lokuhweba olubhalisiwe, igama, imodeli, njll., ubunikazi bomnikazi wangempela noma umkhiqizi wangempela, lesi sihloko sisetshenziswa kuphela ukukhombisa ukuhambisana kwe-United States ngisho nemikhiqizo, akukho okunye!Yonke imininingwane engenhla ingeyereferensi kuphela, ungasebenzisi njengezikhungo zezokwelapha noma umhlahlandlela womsebenzi wamayunithi ahlobene, ngaphandle kwalokho, udala noma yimiphi imiphumela futhi inkampani ayinakho ukwenza.
Isikhathi sokuthumela: Jul-21-2021