Ukwelashwa Ngemithambo Yemithambo, Izinhlelo Zokulethwa Koketshezi Zokuvuselela, kanye Namadivayisi Okusindisa Amaseli
UVanessa G. Henke, uWarren S. Sandberg, encwadini ethi The MGH Textbook of Anesthetic Equipment, 2011
Ukubuka Konke Kwezinhlelo Zokufudumala Kwe-Fluid
Inhloso eyinhloko yama-IV fluid warmer ukufudumeza uketshezi olufakwe eduze nokushisa komzimba noma ngaphezulu kancane ukuvimbela ukwehla kokushisa komzimba ngenxa yokufakwa kwama-cold fluid. Izingozi ezihlobene nokusetshenziswa kwama-fluid warmer zifaka phakathi i-air embolism, i-hemolysis ebangelwa ukushisa kanye nokulimala kwemithambo yegazi, ukuvuza kwamanje endleleni yoketshezi, ukutheleleka, kanye nokungena okucindezelekile.42
Ukushisa koketshezi nakho kunconywa ngokuphelele ekufakweni okusheshayo kwemikhiqizo yegazi elibandayo, ngenxa yezingozi zokuma kwenhliziyo kanye nokuphazamiseka kwenhliziyo (ikakhulukazi lapho i-node ye-sinoatrial ipholisiwe ibe ngaphansi kuka-30° C). Ukuma kwenhliziyo kuye kwabonakala lapho abantu abadala bethola igazi noma i-plasma ngamanani angaphezu kuka-100 mL/min imizuzu engama-30.40 Umkhawulo wokubangela ukuma kwenhliziyo uphansi kakhulu uma ukumpontshelwa igazi kwenziwa phakathi nendawo nasezinganeni.
Ama-warmer e-fluid angahlukaniswa kabanzi ngamadivayisi aklanyelwe ukufudumeza uketshezi lwezimo ezivamile kanye namadivayisi ayinkimbinkimbi kakhulu aklanyelwe ukuvuselela ngomthamo omkhulu. Ngenkathi wonke ama-warmer e-fluid aqukethe i-heater, i-thermostatic control, futhi, ezimweni eziningi, ukufunda izinga lokushisa, ama-warmer e-resuscitation fluid alungiselelwe ukugeleza okuphezulu, futhi amise ukugeleza esigulini lapho kutholakala umoya omningi epayipini. Ama-warmer e-fluid alula aletha uketshezi olufudumele ngamazinga afinyelela ku-150 mL/min (futhi ngezinye izikhathi ngamazinga aphezulu, ngamasethi akhethekile alahlwayo kanye nokufakwa kwengcindezi), ngokungafani nama-warmer e-resuscitation fluid afudumeza ngempumelelo uketshezi ngamazinga okugeleza afinyelela ku-750 kuya ku-1000 mL/min (i-warmer eyodwa ye-resuscitation fluid iqeda ngisho nesidingo sokucindezela).
Ukufudumeza uketshezi lwe-IV kungenziwa ngokushintshanisa ukushisa okomile, ukushintshanisa ukushisa okuhambisana nokushisa, ukucwiliswa koketshezi, noma (ngokungasebenzi kahle) ngokubeka ingxenye yesekethe yoketshezi eduze kwesifudumezi esihlukile (njengedivayisi yomoya ophoqelelwe noma umatrasi wamanzi afudumele).
Isikhathi sokuthunyelwe: Jan-17-2025