I -Electric Intraosseous Infusion System ihlinzeka ngemithi ephuthumayo kanye nokufinyelela okuketshezi lapho ukufinyelela kwe-peripheral IV kunzima ukukusungula. wayo kagesi ophathwa ngesandla Umshayeli usekela ukufinyelela okusheshayo kwe-IO, enezinaliti ze-15G ku-15, 25 no-45 mm ubude kuzicelo zabantu abadala kanye nezingane. Idizayinelwe ochwepheshe bezempilo abaqeqeshiwe, isekela ukunakekelwa kwezimo eziphuthumayo esibhedlela kanye nangaphambi kwesibhedlela. Izinaliti ze-IO ezilahlwayo zithengiswa ngokuhlukana.
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I-MECANMED
I -Electric Intraosseous Infusion System inikeza enye indlela yemithi ephuthumayo noketshezi. Isetshenziswa lapho ukufinyelela komjovo we-peripheral kungenakutholwa ngokushesha.
Umshayeli osebenza ngogesi ophathwa ngesandla usiza ngokufaka inaliti ukuze ufinyelele i-intraosseous (IO) . Uhlelo luza nezinaliti ze-15G ngobude obuthathu futhi lusekela kokubili izicelo zabantu abadala kanye nezingane, kuye ngokuthi isiguli anatomy kanye nendawo yokufaka.
Uhlelo lusekela ukufinyelela okuphuthumayo kwe-vascular ezimweni ezilandelayo lapho ukufinyelela kwe-IV kunzima ukuthola.
Isimo Esiphuthumayo |
Isicelo |
Ukuboshwa Kwenhliziyo |
Ukufinyelela kwemithi yokuvuselela lapho ukufinyelela kwe-IV kungatholakali ngokushesha. |
Ukushaqeka / Hypotension |
Enye indlela yokufaka lapho ukujikeleza kwe-peripheral kungalungile kwenza ukufinyelela kwe-venous kube nzima. |
Ukuphelelwa Amanzi Okubi / Ukushiswa |
Ukufinyelela ekulawuleni uketshezi oluphuthumayo lapho ukufinyelela kwe-peripheral IV kunzima. |
I-Trauma Enkulu |
Imithi ephuthumayo kanye nokulethwa koketshezi lapho ukufinyelela okusheshayo kwemithambo kuyadingeka. |
Uhlelo luvumela ochwepheshe bezempilo abaqeqeshiwe ukuthi bathole ukufinyelela kwe-IO cishe kumasekhondi angu-30–60 . Lokhu kunikeza umzila wemithi ephuthumayo noketshezi.
Isikhathi sangempela sokufinyelela sincike esimweni sesiguli, indawo yokufakwa kuyo, nolwazi lomsebenzisi.
Umshayeli osebenzisa i-trigger ushayela inaliti endaweni. Ifomethi yayo ephathwa ngesandla iyenza ifaneleke kubasebenzi abaqeqeshiwe eminyangweni yezimo eziphuthumayo esibhedlela kanye nokunakekelwa kwezimo eziphuthumayo zangaphambi kwesibhedlela.
Izinaliti ze-15G ziza ngo- 15 mm , 25 mm , nobude obungu-45 mm , zinikeza izinketho zokujula kwezicubu ezihlukene kanye nezindawo zokufaka. Ukukhethwa kwenaliti kufanele kusekelwe ekuhlolweni komtholampilo, hhayi iminyaka yodwa.
Ochwepheshe bezempilo abaqeqeshiwe bangasebenzisa ukubuka konke kokuhamba komsebenzi okulandelayo. Ukuze uthole inqubo ephelele, landela imiyalelo yamanje yokusetshenziswa kanye nezinqubo zomtholampilo ezisebenzayo.
Isinyathelo |
Ukuhamba komsebenzi |
1. Lungiselela Umshayeli |
Setha umshayeli kagesi kumodi yokusebenza. |
2. Khetha Inalithi |
Khetha ubude benaliti obufanele ngokuya nge-anatomy yesiguli, ukujula kwezicubu kanye nendawo ekhethiwe yokufaka. |
3. Sungula Ukufinyelela kwe-IO |
Sebenzisa umshayeli kagesi ukusiza ukufaka inaliti endaweni elungisiwe, bese ukhipha umshayeli. |
4. Qinisekisa Ukubekwa |
Susa isitayela, qinisekisa ukubekwa futhi ushaye ngokuya ngemiyalo yokusebenzisa kanye nephrothokholi yomtholampilo. |
5. Xhuma ukuze uthole Ukumnika |
Xhuma isethi evamile yesandiso noma i-stopcock yemithi nokulawulwa koketshezi. Phinda uhlole isayithi lokufinyelela ngesikhathi sokusetshenziswa. |
Ipharamitha |
Ukucaciswa |
Igeji yenaliti |
15G |
Ubude benaliti |
15 mm / 25 mm / 45 mm |
Amaqembu eziguli |
Omdala kanye nezingane |
Isikhathi esilinganiselwe sokufinyelela se-IO |
30–60 imizuzwana* |
Uhlelo lusebenzisa umshayeli kagesi ezihambisanayo nezinaliti ze-IO ezilahlwayo . Izinaliti zisetshenziswa kanye futhi zithengiswa ngokuhlukana , ezinobude obuthathu obutholakalayo ukuze bu-odwe.
Lolu hlelo luhloselwe ochwepheshe bezempilo abaqeqeshiwe —odokotela, abahlengikazi nabezimo eziphuthumayo—abathole ukuqeqeshwa ekusebenzeni kwalo.
Ukufinyelela okungaphakathi kwe-intraosseous kuhloselwe ukusetshenziswa kwezimo eziphuthumayo zesikhashana . Ukusetshenziswa isikhathi esingaphezu kwamahora angu-24 akunconywa.
Ukuphikisana kuhlanganisa ukutheleleka kwesikhumba endaweni yokufaka , i-tumor, i-osteogenesis imperfecta, i-osteoporosis, ukufakwa kwe-IO yangaphambilini noma umzamo ohlulekile ethanjeni elifanayo, izinqubo zangaphambili zamathambo eduze nendawo yokufaka, kanye nokuphuka endaweni ekhethiwe.
Yebo. Phinda uhlole isayithi ye-IO ngokushesha ngemva kokuthi ukufinyelela sekutholakele futhi uqhubeke nokuyiqapha ngesikhathi sokumnika ngokuya ngemiyalelo yedivayisi nezinqubo zomtholampilo ezisebenzayo.
Inaliti yensimbi ayihambelani ne-MRI futhi ingase ibangele ama-artifact e-scatter ezithombeni ze-CT. Yazisa ithimba lezithombe uma inaliti ye-IO isendaweni.
Cha. Inalithi ngayinye isetshenziswa kanye kuphela . Ukusetshenziswa kabusha kungase kubangele ukutheleleka kanye nokulimala esigulini.