He mea koʻikoʻi nā mīkini a me nā mea hana hanu anesthesia i ka mālama ʻana i ka palekana a me ka hōʻoluʻolu i ka wā o ke kaʻina hana.Eia nō naʻe, ke kau nei lākou i nā pilikia o ka hoʻoili ʻia ʻana o ka maʻi inā ʻaʻole mālama ʻia a disinfected pono.Ma kēia alakaʻi, e hāʻawi mākou i ka ʻike e pili ana i nā ʻano kaapuni hanu anesthesia, ko lākou mau hiʻohiʻona, a pehea e koho ai i ke kaapuni kūpono no nā ʻokiʻoki like ʻole.E hāʻawi pū mākou i nā kikoʻī e pili ana i nā kaʻina hana disinfection a me nā huahana a i ʻole nā mīkini i hiki ke hoʻohana ʻia no ka disinfection.Eia kekahi, e kamaʻilio mākou i nā hopohopo maʻamau a me nā nīnau e pili ana i ka hoʻohana ʻana i nā mīkini anesthesia no nā maʻi maʻi COVID-19 a hāʻawi i nā ʻōlelo aʻoaʻo e hōʻemi i ka hopena o ka hoʻouna ʻana.
Nā ʻano o nā mīkini hoʻoheheʻe hanu hanu anesthesia
ʻElua ʻano nui o nā kaapuni hanu anesthesia: wehe a pani ʻia.ʻO nā kaapuni hāmama, ʻike ʻia hoʻi ʻo nā kaapuni non-rebreathing, e ʻae i nā kinoea exhaled e pakele i ke kaiapuni.Hoʻohana maʻamau ia no nā kaʻina hana pōkole a i ʻole i nā maʻi me nā māmā olakino.ʻO nā kaapuni paʻa, ma kekahi ʻaoʻao, hopu i nā kinoea exhaled a hoʻihoʻi hou iā lākou i ka mea maʻi.Ua kūpono lākou no nā kaʻina hana lōʻihi a i ʻole i nā poʻe maʻi me ka hana o ka māmā compromised.
I loko o kēia mau ʻano ʻelua, aia kekahi mau ʻano subtypes o nā kaapuni, me:
1. Mapleson A/B/C/D: He mau kaapuni hamama keia e okoa ana i ko lakou manao a me ka holo kinoea.Hoʻohana mau ʻia lākou no ka hanu hanu manawaleʻa.
2. Kaapuni Bain: He kaapuni semi-open keia e hiki ai ke hookui i ka ea makani.
3. Pūnaehana pōʻai: ʻO kēia kahi kaapuni paʻa i loaʻa kahi CO2 absorber a me kahi ʻeke hanu.Hoʻohana maʻamau ia no ka hoʻokele ʻana i ka anesthesia.
ʻO ke koho ʻana i ke kaapuni kūpono e pili ana i nā kumu he nui, e like me ke kūlana o ka mea maʻi, ke ʻano o ke ʻoki ʻana, a me ka makemake o ka mea anesthesiologist.
Nā Kaʻina Hana Disinfection
He mea koʻikoʻi ka disinfection kūpono o nā mīkini anesthesia a me nā mea hana e pale ai i ka laha ʻana o nā maʻi.Pono e hahai ʻia kēia mau ʻanuʻu:
1. E hoʻomaʻemaʻe i nā ʻili me ke kopa a me ka wai e wehe i ka lepo a me nā ʻōpala i ʻike ʻia.
2. Hoʻopau i nā ʻili me kahi disinfectant i ʻae ʻia e EPA.
3. E ʻae i nā ʻili e maloʻo.
He mea nui e hoʻomaopopo e hiki i kekahi mau disinfectants ke hōʻino i kekahi mau mea a i ʻole nā ʻāpana o nā mīkini disinfection hanu hanu anesthesia.No laila, ʻōlelo ʻia e nīnau i nā ʻōlelo a ka mea hana no nā kaʻina hana disinfection a me nā huahana.
Pilikia COVID-19
Ka hoohana ana onā mīkini hoʻomaʻemaʻe hanu hanu anesthesiano ka poʻe maʻi COVID-19 e hāpai i nā hopohopo e pili ana i ka hiki ke hoʻoili ʻia o ka maʻi ma o nā aerosol i hana ʻia i ka wā intubation a me nā kaʻina extubation.No ka hōʻemi ʻana i kēia pilikia, pono e lawe ʻia nā hana penei:
1. E hoʻohana i nā lako pale pilikino (PPE) kūpono, me nā mea hanu N95, nā mīkina lima, nā ʻaʻahu, a me nā pale maka.
2. E hoʻohana i nā kaapuni i pani ʻia ke hiki.
3. E hoʻohana i nā kānana ʻāpana ʻāpana kiʻekiʻe (HEPA) no ka hopu ʻana i nā aerosol.
4. Hāʻawi i ka manawa kūpono no ka hoʻololi ea ma waena o nā maʻi.
Ka hopena
Pono ka mālama pono ʻana, ka disinfection, a me ka hoʻohana ʻana i nā mīkini anesthesia a me nā mea pono no ka palekana o ka maʻi a me ka mālama ʻana i ka maʻi ma nā wahi hoʻokolohua.Pono nā Anesthesiologists e kamaʻāina i nā ʻano kaapuni hanu a koho i ka mea kūpono no kēlā me kēia maʻi a me ke ʻoki.Pono lākou e hahai i nā kaʻina hana disinfection kūpono a e hana i nā hana e hōʻemi i ka hopena o ka lawe ʻana i ka wā o nā kaʻina maʻi COVID-19.