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Nui nā pōmaikaʻi o ka ʻōnaehana hoʻopaʻa ʻia

He kaʻina maʻamau ka hoʻomaʻemaʻe ʻana i nā mea huna o ke ea a he mea koʻikoʻi ia i ka pale ʻana i nā maʻi hanu, atelectasis, a me ka mālama ʻana i ke ea.ʻO ka poʻe maʻi ma ka hoʻoheheʻe mechanical a me nā poʻe maʻi i hoʻokomo ʻia i ka pilikia o ka hoʻonui ʻia ʻana o nā mea huna e like me ka sedated, supine, a loaʻa nā mea hoʻohui mechanical e pale ai i ka wehe ʻana o nā mea huna.Hiki ke kōkua i ka hoʻomoʻa ʻana i ka mālama ʻana a me ka hoʻokumu ʻana i ka hoʻololi kinoea, ka oxygenation kūpono, a me ka ea alveolar.(Virteeka Sinha, 2022)

He hana maʻamau ka hoʻomaʻamaʻa ʻana o Endotracheal e nā ʻōnaehana hāmama a pani ʻia i ka mālama ʻana i nā poʻe maʻi i hoʻoheheʻe ʻia me ka mīkini.Loaʻa nā pono like ʻole o ka hoʻohana ʻana i kahi ʻōnaehana catheter closed-suction (CSCS) ma luna o ka ʻōnaehana hāmama.(Neeraj Kumar, 2020)

E like me ka makahiki 1987, ua ʻōlelo ʻo GC Carlon he pono kūpono o nā ʻōnaehana pani pani ʻia ke pale ʻana i ka hoʻolaha ʻana o nā mea huna i hoʻohaumia ʻia, i hoʻopuehu ʻia i ka wā e hemo ai ka mea maʻi mai ka ventilator a hoʻomau ke kahe o ke kinoea inspiratory.I ka makahiki 2018, ua loiloi ʻo Emma Letchford ma o ka ʻimi ʻikepili uila o nā ʻatikala i paʻi ʻia ma waena o Ianuali 2009 a me Malaki 2016, ua manaʻo ʻo ia e hiki i nā ʻōnaehana pani pani ke pale aku i ka maʻi pneumonia pili i ka ventilator.ʻO ka hoʻoheheʻe ʻana o Subglottic e hōʻemi i ka maʻi pneumonia pili i ka ventilator.

He maʻalahi ka hoʻohana ʻana i nā ʻōnaehana pani-suction, ʻoi aku ka liʻiliʻi o ka manawa, a ʻoi aku ka maikaʻi o ka ʻae ʻia e nā maʻi.(Neeraj Kumar, 2020) Eia kekahi, nui nā pono ʻē aʻe o ka ʻōnaehana suction pani i nā ʻano ʻē aʻe o ka mālama ʻana.Ua hoʻohālikelike ʻo Ali Mohammad pour (2015) i nā loli i ka ʻeha, ka oxygenation, a me ka ea ma hope o ka hoʻoheheʻe ʻana i ka endotracheal me nā ʻōnaehana hāmama a pani ʻia i nā maʻi post coronary artery bypass grafting (CABG) a ua hōʻike ʻia ʻoi aku ka mālama ʻana o ka oxygen a me ka ea me ka ʻōnaehana pani pani.

 

Nā kuhikuhi

[1] Sinha V, Semien G, Fitzgerald BM.ʻO ka ʻoki ʻana i ke ala ea.2022 Mei 1. Ma: StatPearls [Internet].Waiwai Waiwai (FL): StatPearls Publishing;2022 Jan–.PMID: 28846240.

[2] Kumar N, Singh K, Kumar A, Kumar A. ʻAʻole maʻamau ke kumu o ka hypoxia ma muli o ka wehe ʻole ʻia ʻana o ka ʻōnaehana catheter suction i pani ʻia i ka wā COVID-19 ventilation.J Clin Monit Comput.2021 Dek;35(6):1529-1530.doi: 10.1007/s10877-021-00695-z.Epub 2021 Apr 4. PMID: 33813640;PMCID: PMC8019526.

[3] Letchford E, Bench S. Ventilator e pili ana i ka maʻi pneumonia a me ka suction: he loiloi o ka palapala.Br J Nurs.2018 Jan 11;27(1):13-18.doi: 10.12968/bjon.2018.27.1.13.PMID: 29323990.

[4] Mohammadpour A, Amini S, Shakeri MT, Mirzaei S. Hoʻohālikelike i ka hopena o ka hāmama a me ka pani ʻana o ka endotracheal suctioning i ka ʻeha a me ka oxygenation i nā maʻi post CABG ma lalo o ka mechanical ventilation.Iran J Nurs Midwifery Res.2015 Malaki-ʻApelila;20(2):195-9.PMID: 25878695;PMCID: PMC4387642.

[5]Carlon GC, Fox SJ, Ackerman NJ.ʻO ka loiloi o kahi ʻōnaehana hoʻoheheʻe i pani ʻia.Crit Care Med.1987 Mei;15(5):522-5.doi: 10.1097/00003246-198705000-00015.PMID: 3552445.


Ka manawa hoʻouna: Sep-09-2022