Izindaba

I-Fluid Warmer

I-Intravenous Therapy, Fluid Delivery Systems for Resuscitation, kanye namaCell Salvage Devices

U-Vanessa G. Henke, u-Warren S. Sandberg, ku-MGH Textbook of Anesthetic Equipment, 2011

Uhlolojikelele lwe-Fluid Warming Systems

Injongo eyinhloko yezifudumezi zoketshezi ze-IV ukufudumala uketshezi olufakwe eduze nezinga lokushisa lomzimba noma ngaphezulu kancane ukuze kuvinjelwe i-hypothermia ngenxa yokuthelwa uketshezi olubandayo. Izingozi ezihlobene nokusetshenziswa kwezifudumezi zamanzi zihlanganisa i-air embolism, i-hemolysis ebangelwa ukushisa nokulimala komkhumbi, ukuvuza kwamanje endleleni yoketshezi, ukutheleleka, nokungenwa ngokucindezela.42

I-fluid warmer nayo iboniswa ngokuphelele ekufakweni okusheshayo kwemikhiqizo yegazi elibandayo, ngenxa yezingozi zokuboshwa kwenhliziyo kanye ne-arrhythmia (ikakhulukazi lapho i-node ye-sinoatrial ipholile ibe ngaphansi kuka-30 ° C). Ukuboshwa kwenhliziyo kuye kwaboniswa lapho abantu abadala bethola igazi noma i-plasma ngamanani angaphezu kuka-100 mL/min imizuzu engu-30. I-40 Umkhawulo wokwenza ukuboshwa kwenhliziyo uphansi kakhulu uma ukumpontshelwa kulethwa phakathi nendawo kanye nenani lezingane.

Izifudumezi ezinoketshezi zingahlukaniswa kabanzi zibe izisetshenziswa eziklanyelwe ukufudumala uketshezi ezimweni ezivamile kanye namadivayisi ayinkimbinkimbi kakhulu adizayinelwe ukuvuselela ivolumu enkulu. Nakuba zonke izifudumezi-manzi ziqukethe i-heater, isilawuli se-thermostatic, futhi, ezimweni eziningi, ukufundwa kwezinga lokushisa, izifudumezi zokuvuselela uketshezi zilungiselelwa ukugeleza okuphezulu, futhi zimise ukugeleza esigulini lapho kutholwa umoya obalulekile kushubhu. Izifudumezi ezilula eziwuketshezi ziletha uketshezi olufudumele ngezilinganiso ezifika ku-150 mL/min (futhi ngezinye izikhathi ngamanani aphezulu, ngamasethi akhethekile alahlwayo kanye nokufakwa okucindezelwe), ngokungafani nezifudumezi zoketshezi ezivuselelayo ezisebenza ngempumelelo uketshezi olufudumele ngamazinga okugeleza afinyelela ku-750 kuya ku-1000 mL/min (owodwa ukufudumala uketshezi lokuvuselela ngisho nokuqeda isidingo somshini wokucindezela).

Ukushisisa uketshezi lwe-IV kungenziwa ngokushintshanisa ukushisa okomile, izishintshi zokushisa eziphikisanayo, ukucwiliswa koketshezi, noma (ngokungasebenzi kahle) ngokubeka ingxenye yomjikelezo woketshezi eduze kwe-heater ehlukile (njengedivayisi yomoya ophoqelelwe noma umatilasi wamanzi ashisayo).