Endotracheal Tube yokhala ndi Cuff
Mafotokozedwe Akatundu
Tracheal chubu Endotracheal chubu Tracheostomy chubu ntchito limodzi m'mapapo aerating (malumikizidwe ndi sanali synchronization) pa chifuwa kapena odwala yokoka, mapangidwe apadera a chubu otsika-anzanu ndi bronchial khafu angathandize kuchepetsa esion wa mucoca, woyendetsa baluni ndi bronchial cuff. kukhala ndi mtundu womwewo, womwe ungathandize, kuweruza malo a chubu, catheter yoyamwa phlegm: Pali ma catheter atatu, omaliza maphunziro awiri amathandizira kuweruza komwe kuli koyenera kuyamwa phlegm, kumanzere kumayamwa phlegm mkati.Pakamwa, masinthidwe olumikizira cholumikizira: Imalumikiza mpweya wabwino wokhala ndi lumen iwiri, bronchial kukhala, chifukwa cholumikizira chozungulira, malo olowera mpweya amatha kusinthasintha, mawonekedwe: Fr26, Fr31, Fr33, Fr35, Fr37, Fr39, Fr41, catheter ndi Tracheal Tube. Endotracheal chubu Tracheostomy Tube.
Ayi. | ID (mm) | OD (± 0.2mm) | Utali (± 5.0mm) | Cuff Mpumulo wapakati (± 15%, mm) |
1 | 6.0 | 9.0 | 290 | 25.0 |
2 | 6.5 | 9.8 | 300 | 25.0 |
3 | 7.0 | 10.4 | 310 | 26.0 |
4 | 7.5 | 11.2 | 320 | 26.0 |
5 | 8.0 | 11.8 | 330 | 28.0 |
6 | 8.5 | 12.6 | 340 | 28.0 |
7 | 9.0 | 13.1 | 350 | 28.0 |
Mbali
1. Pakamwa & m'mphuno intubation
2. 100% latex yaulere
3. Atraumatic yofewa yozungulira nsonga yozungulira
4. High volume low low pressure cuff imapereka chisindikizo chothandiza komanso chochepa kwa odwala airways
5. Diso la Murphy lofewa kwambiri silimasokoneza
6. Chotsani makulidwe osindikizira a chubu
7. cholumikizira chapadziko lonse lapansi
8. Wailesi ya opaque yaperekedwa
9. Kulongedza zithuza(zonyamula nthochi) kapena thumba lovunda malinga ndi pempho
10. Wosabala ndi mpweya wa EO, kugwiritsa ntchito kamodzi
Mayendedwe
Endotracheal chubu yokhala ndi khafu imapangidwa kuchokera ku PVC mu kalasi yachipatala,
imakhala ndi chubu, khafu, mzere wa inflation, vavu, baluni yoyendetsa ndege, ndi cholumikizira.
1.Asanayambe intubation, tsitsani khafu kwathunthu.
2.Pambuyo pa intubation, ikani khafu pogwiritsa ntchito mpweya wochepa
chofunika kuti apereke chisindikizo chogwira mtima.
3.Immediately cuff inflation, auscultate all mapapu minda.Ngati mpweya
kumveka kumachepa m'mapapo amodzi kapena kulibe pagawo limodzi kapena onse awiri,
sinthani chubu ngati mukufunikira.
4.Endotracheal chubu kuyika kuyenera kutsimikiziridwa poyang'ana
malo a nsonga ya chubu ndi radiograph pachifuwa.