Cov Tswv Yim Muag Khoom Rau Intraosseous Needles Loj Portfolio

Ntsuas cov nqi khoom muag tawm tsam kev npaj kho mob

https://www.sciencedirect.com/topics/nursing-thiab-health-professions/intraosseous-needle

Cov neeg saib xyuas cov khoom siv hauv tsev kho mob ntsib teeb meem txhua xyoo thaum cov khoom lag luam koob intraosseous: Yuav ua li cas sib npaug lub luag haujlwm nyiaj txiag nrog qhov tsis lees paub qhov chaw kho mob tsim nyog thoob plaws cov neeg mob sib txawv. Tsis zoo li niaj hnub IV catheters, intraosseous pab kiag li lawm pab tshwm sim, unpredictable xav tau kev pab uas ncua sij hawm ua rau tuag taus. Tsis tau nqa cov khoom muag ntau dhau ntawm qhov tsis tshua siv ntau qhov ntau thiab tsawg-tshwj xeeb tshaj yog 4.5 cm bariatric koob- lim cov peev nyiaj thiab muaj peev xwm cia. Tsim cov ntaub ntawv-tsav cov tswv yim kev yuav khoom nyob rau hauvintraosseous koob lojYog li ntawd, optimization yog qhov tseem ceeb.

Pib los ntawm kev txheeb xyuas cov neeg mob sib xyaw ua ke. Cov tsev kho mob menyuam yaus ib txwm ua qhov tseem ceeb rau1.5 cm intraosseous koob, muaj peev xwm faib 60-70% ntawm lawv cov khoom muag IO rau qhov loj me no. Hloov pauv, Lub Tsev Kho Mob Qib I thiab cov tsev kho mob hauv zej zog ua haujlwm rau cov neeg coob coob xav tau kev faib khoom sib npaug. Tshawb xyuas cov ntaub ntawv siv keeb kwm: Puas yog code blues hu rau cov neeg mob ntau dua 40 kg? Qhov feem pua ​​​​ntawm cov neeg laus resuscitations cuam tshuam nrog cov neeg rog rog nyob qhov twg qhov chaw tsis pom kev? Ntau qhov chaw nrhiav pom tias lawv siv cov koob 4.5 cm siab dua li qhov xav tau ntau tshaj 2.5 cm hauv cov neeg laus uas tsis yog rog. Kho cov qib par raws li, lees paub tias txawm tias tsis tshua xav tau ua kom pom tseeb cov koob ntev ntev muab lawv lub peev xwm cawm tau txoj sia.

Koom nrog cov neeg muaj feem cuam kho mob ntxov. Cov kws kho mob xwm txheej ceev, anesthesiologists, thiab cov kws saib xyuas neeg mob hauv davhlau muaj qhov muaj txiaj ntsig zoo rau pem hauv ntej kev nkag siab txogintraosseous koob lojnyiam. Ua ib qho kev sib koom ua ke los tshuaj xyuas cov airways tsis ntev los no los yog kev nkag tsis tau rau hauv peripheral. Sib tham seb cov kws kho mob puas zoo siab siv 2.5 cm koob rau cov neeg laus rog thaum tibial tuberosities tseem palpable -los yog lawv tsis tu ncua thov kev xaiv ntev dua. Cov kev sib tham no feem ntau nthuav tawm qhov kev tsis ncaj ncees uas nyiam ib qho loj dua lwm tus txawm hais tias cov lus pom zoo. Muab cov lus tawm tswv yim no tso rau hauv cov kev txiav txim siab hauv cov qauv, kom ntseeg tau tias cov neeg muag khoom xaiv tau muab tag nrho peb qhov ntau thiab tsawg nrog cov ntaub ntawv pov thawj lees paub.

Ntsuas cov khoom muaj peev xwm tshaj qhov nqi tsev. Cov chaw tsim khoom puas tuaj yeem muab cov khoom sib xws ntawm txhua qhovkoob intraosseoustsis muaj kev faib ncua qeeb? Puas yog lawv txhawb nqa cov qauv xa khoom kom txo tau cov peev txheej ua ntej? Ntsuas cov sij hawm txhuas rau txhua qhov loj ntawm nws tus kheej; Qee tus neeg muag khoom tuaj yeem tawm tsam los tsim 1.5 cm koob ntawm nplai vim yog kev tuav tshwj xeeb. Thov cov ntaub ntawv pov thawj ntawm batch-rau-batch sib xws, tshwj xeeb tshaj yog hais txog koob sharpness thiab hub ncaj ncees. Tus nqi qis - tus nqi twv yuav poob qhov kev thov rov hais dua yog tias muaj kev hloov pauv ntau zaus tshwm sim los ntawm cov lus qhia khoov lossis cov qauv sib cais thaum lub sijhawm sim nkag.

Xav txog tag nrho cov nqi ntawm cov tswv cuab (TCO). Thaum 4.5 cm koob feem ntau nqa cov nqi tsev ntau dua vim kev siv cov khoom siv ntau ntxiv, lawv cov kev cuam tshuam rau tag nrho cov nuj nqis tseem tshuav yog tias siv tsawg. Qhov tseem ceeb tshaj yog cov nqi tsis ncaj qha los ntawm qhov tsis ua tiav ntawm kev nkag. Ib qho kev sim ua tsis tiav ua rau ncua sij hawm resuscitation, noj cov khoom siv ntxiv, thiab ua rau muaj kev pheej hmoo ntxiv. Yog li ntawd, kev nqis peev hauv hwm -cov koob txhaj tshuaj zoo tshaj plaws-tsis hais qhov loj npaum li cas- uas txhim kho thawj zaug - sim ua kom tiav cov txiaj ntsig tau ntsuas ROI los ntawm kev txo cov pov tseg thiab txhim kho cov txiaj ntsig ntawm tus neeg mob. Qhov tseem ceeb ntawm cov nqi kawm ib yam nkaus; cov neeg muab khoom pub dawb pub dawb hauv - kev pabcuam kev kawm txog kev xaiv qhov loj me thiab cov txheej txheem ntxig muab tus nqi ntxiv.

Siv cov khoom lag luam ntse tswj. Siv barcode scanning tshuab nrhiav kev pab los ntawmintraosseous koob lojhauv lub sijhawm tiag tiag. Teem cov ntsiab lus tsis siv neeg reorder calibrated rau cov qauv noj es tsis zoo li qub yam tsawg kawg nkaus / siab tshaj theem. Tshawb nrhiav dual- cov tswv yim muab khoom lag luam rau qhov loj me xws li 2.5 cm koob thaum tuav ib tus neeg tsim nyog rau cov khoom tshwj xeeb 4.5 cm sib txawv los khaws cov ntawv cog lus. Periodically tshawb xyuas cov khoom lag luam tas sij hawm; Cov koob intraosseous feem ntau nyiam ntau- xyoo txee lub neej, tab sis kev sib hloov tsis raug ua rau zam tsis tau sau ntawv - tawm.

Thaum kawg, ua kom tiav kev yuav khoom nrog rau kev npaj npaj xwm txheej ceev. Kev lees paub lub cev nce ntxiv cia siab tias cov ntaub ntawv vascular nkag mus rau cov txheej txheem suav nrog cov kev xaiv intraosseous. Xyuas kom koj lub chaw muaj kev puas tsuaj cache suav nrog cov khoom siv txaus ntawm tag nrho peb qhov ntau thiab tsawg, lees paub tias qhov xwm txheej raug mob hnyav tuaj yeem cuam tshuam cov neeg mob cov pej xeem. Koom tes nrog cov koom haum tswj hwm xwm txheej hauv cheeb tsam los koom tes nrog kev sib koom ua ke, muaj peev xwm ua kom muaj txiaj ntsig ntawm pawg neeg yuav khoom (GPO) cov ntawv cog lus rau cov nqi txo nqi. Los ntawm kev coj ua qhov kev coj ua ntau yam rauintraosseous koob loj​ kev yuav khoom, cov koom haum saib xyuas kev noj qab haus huv ib txhij txhim kho kev saib xyuas nyiaj txiag thiab kev npaj kho mob -ib qho kev ua tau zoo dual txhais cov khoom siv niaj hnub zoo tshaj plaws.