xov xwm

Ntau qhov txiaj ntsig ntawm qhov kaw kaw kaw

Kev tshem tawm ntawm txoj hlab pa tawm yog ib qho txheej txheem ib txwm muaj thiab tseem ceeb heev rau kev tiv thaiv kab mob ua pa, atelectasis, thiab khaws cia ntawm txoj hlab pa patency.Cov neeg mob ntawm cov neeg kho tshuab qhov cua thiab cov neeg mob intubated yuav muaj kev pheej hmoo ntawm kev zais zis ntau ntxiv vim lawv tau sedated, supine, thiab muaj cov khoom siv kho mob uas tiv thaiv kev tshem tawm ntawm qhov zais cia.Suctioning tuaj yeem pab tswj thiab tsim kom muaj kev sib pauv roj, tsim kom muaj cov pa oxygen txaus, thiab qhov cua alveolar.(Virteeka Sinha, 2022)

Endotracheal suctioning los ntawm qhib lossis kaw-suction systems yog ib qho kev coj ua hauv kev saib xyuas cov neeg mob ven-tilated.Muaj ntau yam zoo ntawm kev siv kaw-suction catheter system (CSCS) tshaj qhov qhib-suction system.(Neeraj Kumar, 2020)

Raws li thaum ntxov xyoo 1987, GC Carlon tau npaj siab tias qhov muaj peev xwm zoo ntawm cov tshuab nqus tsev kaw yog tiv thaiv kev sib kis ntawm cov kab mob sib kis, uas tau tawg mus thaum tus neeg mob raug txiav tawm ntawm lub tshuab ua pa thiab cov pa pa tawm mus ntxiv.Hauv xyoo 2018, Emma Letchford tau tshuaj xyuas los ntawm kev tshawb fawb hauv hluav taws xob ntawm cov ntawv luam tawm thaum Lub Ib Hlis 2009 thiab Lub Peb Hlis 2016, xaus lus tias kaw-suction systems yuav zoo dua tiv thaiv lub tshuab ua pa lig-xws li mob ntsws.Subglottic secretion drainage txo qhov ua pa ntawm lub tshuab ua pa uas cuam tshuam nrog kev mob ntsws.

Cov tshuab kaw-suction yog ib qho yooj yim rau siv, siv sij hawm tsawg dua, thiab zoo dua los ntawm cov neeg mob.(Neeraj Kumar, 2020) Tsis tas li ntawd, muaj ntau lwm yam txiaj ntsig ntawm kev kaw lub tshuab nqus tsev hauv lwm yam kev kho mob.Ali Mohammad ncuav (2015) piv cov kev hloov hauv qhov mob, oxygenation, thiab qhov cua tom qab endotracheal suctioning nrog qhib thiab kaw suctioning systems nyob rau hauv post coronary artery bypass grafting (CABG) cov neeg mob thiab qhia tias cov neeg mob 'oxygenation thiab qhov cua yog zoo khaws cia nrog kaw suctioning system.

Cov ntaub ntawv

[1] Sinha V, Semien G, Fitzgerald BM.Surgical Airway Suctioning.2022 Tsib Hlis 1. Hauv: StatPearls [Internet].Treasure Island (FL): StatPearls Publishing;2022 Peb – .PIB: 28846240.

[2] Kumar N, Singh K, Kumar A, Kumar A. Qhov txawv txav ua rau hypoxia vim kev tshem tawm tsis tiav ntawm lub kaw lus nqus catheter kaw thaum lub sij hawm COVID-19 qhov cua.J Clin Monit Comput.2021 Dec; 35(6): 1529-1530.doi: 10.1007/s10877-021-00695-z.Epub 2021 Apr 4. PMID: 33813640;PIB: PMC8019526.

[3] Letchford E, Bench S. Lub tshuab ua pa uas cuam tshuam nrog kev mob ntsws thiab kev nqus: kev tshuaj xyuas cov ntaub ntawv.Br J Nurs.2018 Jan 11; 27(1):13-18.doi: 10.12968/bjon.2018.27.1.13.PIB: 29323990.

[4] Mohammadpour A, Amini S, Shakeri MT, Mirzaei S. Sib piv cov txiaj ntsig ntawm kev qhib thiab kaw endotracheal suctioning ntawm qhov mob thiab oxygenation hauv cov neeg mob tom qab CABG nyob rau hauv lub tshuab ua pa.Iran J Nurs Midwifery Res.2015 Mar-Apr; 20(2):195-9.PIB: 25878695;PIB: PMC4387642.

[5] Carlon GC, Fox SJ, Ackerman NJ.Kev ntsuam xyuas ntawm qhov kaw-tracheal suction system.Crit Care Med.1987 Peb; 15(5:522-5.doi: 10.1097/00003246-198705000-00015 ib.PIB: 3552445.