Nhanganyaya:
Anesthetic maitiro anowanzoitwa mumunda wemishonga.Nekudaro, intraoperative kutapurirana kwebhakitiriya kunoisa njodzi yakakura kuhutano hwemurwere.Tsvagiridzo ichangoburwa inoratidza kuti kusvibiswa kwemaoko pakati pevashandi veanesthetic ndiyo yakakosha njodzi yekutapurirana kwebhakitiriya panguva yekuvhiyiwa.
Nzira:
Chidzidzo ichi chakanangana neDartmouth-Hitchcock Medical Center, nhanho III yekuyamwisa uye nhanho I nzvimbo yekushungurudza ine 400 mibhedha yevarwere uye 28 makamuri ekuvhiya.Makumi makumi mapfumbamwe nemaviri emakesi ekuvhiya, anokwana 164 kesi, akasarudzwa zvisina tsarukano kuti aongororwe.Vachishandisa protocol yakasimbiswa kare, vatsvakurudzi vakacherechedza nyaya dzekutapurira mabhakitiriya kune intravenous stopcock mudziyo uye nzvimbo yeanesthesia.Vakabva vafananidza zvipukanana izvi neizvo zvakaparadzaniswa nemaoko evanopa anesthesia kuti vaone kukanganisa kwekusvibiswa kwemaoko.Pamusoro pezvo, kushanda kweazvino intraoperative yekuchenesa maprotocol akaongororwa.
Mhinduro:
Ongororo iyi yakaratidza kuti pakati pezviitiko zana nemakumi matanhatu neina, 11.5% yakaratidza kutapurirana kwebhakitiriya kune intravenous stopcock mudziyo, ne47% yekutapurirana kunonzi kune vanopa hutano.Uyezve, kutapurirana kwebhakitiriya kunharaunda yeaneshesia kwakaonekwa mu89% yezviitiko, ne12% yekutapurirana kunokonzerwa nevarapi vehutano.Chidzidzo chacho chakaratidzawo kuti nhamba yemakamuri ekuvhiyiwa anotariswa neanoenda anesthesiologist, zera remurwere, uye kutamiswa kwemurwere kubva mukamuri yekuvhiya kuenda kunzvimbo yevanorwara zvakanyanya zvaive zvakazvimirira zvekufungidzira zvekutapurirana kwebhakitiriya, zvisingaenderane nevanopa.
Hurukuro uye Zvinokosha:
Zvakawanikwa muchidzidzo ichi zvinosimbisa kukosha kwekusvibiswa kwemaoko pakati pevashandi veanesthetic mukusvibiswa kwenzvimbo yekuvhiyiwa uye michina yekumisa tsinga.Zviitiko zvekutapurira mabhakitiriya zvinokonzerwa nevarapi vehutano zvakaverengera chikamu chikuru chekutapurirana kwemukati, zvichiunza njodzi dzinogona kuitika kuhutano hwemurwere.Naizvozvo, kuenderera mberi nekuferefeta kune mamwe masosi ekutapurirana kwebhakitiriya uye kusimbisa intraoperative yekuchenesa maitiro kunodiwa.
chekupedzisira, kusvibiswa kwemaoko pakati pevashandi veanesthetic chinhu chakakosha chenjodzi yekutapurirana kwebhakitiriya.Nekuita matanho akakodzera ekudzivirira akadai sekugeza maoko nguva dzose, kushandisa magirovhosi kwakaringana,Kusarudza yakakodzera anesthesia muchina disinfection midziyouye kushandiswa kwemishonga inouraya utachiona hunobudirira, njodzi yekutapurirwa kwebhakitiriya inogona kuderedzwa.Izvi zvakawanikwa zvakakosha pakuvandudza hutsanana uye hutsanana mwero mukamuri yekuvhiya, pakupedzisira kuwedzera kuchengetedzeka kwevarwere.
Mabviro echinyorwa:
Loftus RW, Muffly MK, Brown JR, Beach ML, Koff MD, Corwin HL, Surgenor SD, Kirkland KB, Yeager MP.Kusvibiswa kwemaoko kwevanopa anesthesia chinhu chakakosha chengozi yekutapurirana kwebhakitiriya kwemukati.Anesth Analg.2011 Jan;112(1):98-105.doi: 10.1213/ANE.0b013e3181e7ce18.Epub 2010 Aug 4. PMID: 20686007
