Perioperative Nursing Coordination And Infection Control Management Rau Chiba Koob

Los ntawm Preoperative Item Preparation to Postoperative Needle Tract Complication Management

https://radiopaedia.org/articles/chiba-needle

Txawm tias covSiv rab koobyog ib tug minimally invasive zoo koob, nws cov neeg saib xyuas kev sib koom tes thiab kev tiv thaiv kab mob ncaj qha cuam tshuam rau biopsy positivity tus nqi thiab tus neeg mob kev nyab xeeb.

Kev Npaj Ua Ntej

• Cov khoom pov thawj:Npaj cov koob Chiba (cov lus qhia tshwj xeeb), 10 mL / 20 mL syringes (qhov tsis zoo siab qhov chaw), microscope slides / fixatives (cytology), tshuaj tua kab mob, tshuaj loog hauv zos, sterile drapes, ultrasound coupling gel (yog US- qhia), lossis CT positioning grid raws li tus txheej txheem. Txheeb xyuas cov khoom hnub tas sij hawm, ntim kev ncaj ncees, thiab cov peev txheej ntawm daim ntawv thov ntawm daim ntawv pov thawj rau npe.
• Kev npaj tus neeg mob:Txheeb xyuas cov haujlwm coagulation (INR<1.5, PLT >50 × 10⁹/L), kev yoo mov (PTBD/mob siab puncture feem ntau yuav tsum tau 4-6 teev yoo mov), ua pa- tuav kev cob qhia (yuav tsum tau ua rau lub ntsws / lub siab puncture), thiab tau txais kev tso cai kos npe.
• Intraoperative Coordination
• Pab tus neeg teb xov tooj nrog draping, hla lub koob, thiab txuas lub koob txhaj tshuaj kom tswj tau qhov tsis zoo siab (nco ntsoov kom tsis txhob muaj zog heev kom tsis txhob hemolysis);
• Hauv Teb Chaws Asmeskas kev taw qhia, tuav qhov kev sojntsuam kom pom qhov mob thiab nco txog txoj haujlwm ntawm rab koob; hauv CT kev taw qhia, pab khij qhov chaw nkag thiab qhia tus neeg mob kom tuav tsis tau pa;
• Kev tuav pov hwm:Tam sim ntawd smear FNA cov qauv thaum tshem tawm (txawm tias, txheej nyias) thiab kho hauv 95% ethanol; yog npaj ib lub cell block, txhaj rau hauv cell preservation kua, centrifuge, thiab embed.

Postoperative Observation thiab Complication Management

• Kev soj ntsuam dav dav:Siv lub siab rau qhov chaw rau hemostasis, npog nrog hnav khaub ncaws. Tom qab lub ntsws puncture, cia tus neeg mob pw hauv txaj rau 2-4 teev thiab tshuaj xyuas lub hauv siab X-ray; tom qab daim siab / raum puncture, saib xyuas cov ntshav siab, cov tsos mob plab, thiab cov zis xim.
• Kev tswj ntawm Common Complications:
• Mob Pneumothorax(lub ntsws compression<30%, asymptomatic): Oxygen observation, mostly resolves spontaneously; large volume or symptomatic: closed chest drainage.
• Koob Tract Oozing:Hauv zos siab rau 5-10 feeb, sandbag yog tsim nyog; Los ntshav tsis tu ncua nrog cov ntshav siab hloov pauv yuav tsum tau ultrasound / CT kom txiav txim siab los ntshav.
• Biliary Peritonitis/Biliary Bleeding (tom qab PTC):Saib xyuas qhov mob plab, cov tsos mob ntawm peritoneal irritation, thiab cov kua dej ntws tawm; Tam sim ntawd kho lub raj xa dej los yog cuam tshuam.
• Kev Kho Mob Pov Tseg thiab Sharps Safety:​ Tam sim ntawd muab rab koob Chiba siv rau hauv qhov sib tsoo -cov khoom siv tiv thaiv lub thawv tom qab siv. Tsis txhob rov qab rab koob nrog ob txhais tes. Muab pov tseg raws li cov kab mob pov tseg.

Kev sib koom tes hauv kev saib xyuas neeg mob tuaj yeem txo qis qhov tsis tsim nyog (cov qauv tsis zoo, kev tiv thaiv tsis zoo) ntawm Chiba koob txheej txheem, ua haujlwm tseem ceeb rau kev ua haujlwm zoo ntawm pab pawg cuam tshuam.