Puas yuav tsum tau sedation rau intubation?

2024 Tus sau: Michael Samuels | [email protected]. Kawg hloov kho: 2023-12-16 01:44

Kev nyuaj siab thiab analgesia rau intubation kev

Laryngoscopy thiab intubation kev tsis xis nyob; nyob rau hauv cov neeg mob nco qab, ib tug luv luv-acting IV tshuaj nrog tshuaj sedative los yog ua ke tshuaj sedative thiab analgesic zog yog yuav tsum tau . Etomidate 0.3 mg/kg, uas tsis yog -hypnotic hypnotic, tej zaum yuav yog cov tshuaj nyiam.

Ib yam nkaus, tib neeg nug, koj puas ib txwm sedated thaum intubated?

Yuav ua li cas Intubation Feem ntau Ua tiav. Ua ntej mus intubation kev , tus neeg mob feem ntau yog sedated los yog tsis nco qab vim muaj mob los yog raug mob, uas tso cai rau lub qhov ncauj thiab txoj hlab cua kom so. Tus neeg mob feem ntau yog tiaj tus ntawm lawv nraub qaum thiab tus neeg ntxig lub raj yog sawv ntawm lub taub hau ntawm lub txaj, saib tus neeg mob ko taw.

Tom qab, lo lus nug yog, dab tsi koj xav tau rau intubation? Cov cuab yeej suav nrog cov hauv qab no:

• Laryngoscope (saib daim duab hauv qab no): Paub meej tias lub teeb ci ua haujlwm ua ntej intubation.
• Laryngoscope kov, No.
• Endotracheal (ET) raj.
• Stylet.
• Syringe, 10 mL (kom inflate ET tube balloon)
• Suction catheter (piv txwv li, Yankauer)
• Carbon dioxide detector (piv txwv li, Easycap)
• Qhov ncauj thiab qhov ntswg ua pa.

Kuj Paub, cov tshuaj twg yog muab ua ntej intubation?

Cov neeg ua kom sedative nquag siv thaum ua ntu ntu nrawm intubation suav nrog etomide , ketamine , thiab propofol . Feem ntau siv cov tshuaj tiv thaiv kab mob neuromuscular yog succinylcholine thiab rocuronium. Qee tus neeg sawv cev induction thiab tuag tes tuag taw tej zaum yuav muaj txiaj ntsig ntau dua li lwm tus hauv qee qhov chaw kho mob.

Dab tsi yog qhov txawv ntawm qhov ceev ceev intubation thiab tsis tu ncua intubation?

Ib qho tseem ceeb qhov sib txawv ntawm RSI thiab niaj hnub tracheal intubation kev yog hais tias tus kws kho mob tsis feem ntau manually pab lub qhov cua ntawm lub ntsws tom qab qhov pib ntawm kev siv tshuaj loog thiab ua tsis taus pa, kom txog thaum lub trachea tau ua. intubated thiab lub cuff tau tawg.