Selelekela:
Lits'ebetso tsa anesthetic li atisa ho etsoa lefapheng la bongaka.Leha ho le joalo, phetisetso ea baktheria ea intraoperative e baka tšokelo e kholo bophelong ba mokuli.Patlisiso ea morao tjena e fana ka maikutlo a hore tšoaetso ea letsoho har'a basebetsi ba thethefatsang kutlo ke sesosa sa kotsi sa phetiso ea baktheria nakong ea opereishene.
Mekhoa:
Boithuto bo ne bo tsepamisitse maikutlo Setsing sa Bongaka sa Dartmouth-Hitchcock, setsi sa baoki sa boemo ba III le setsi sa khatello ea maikutlo se nang le libethe tsa 400 tsa bakuli le likamore tsa ts'ebetso tsa 28.Lipara tse mashome a robong a metso e 'meli tsa linyeoe tsa ho buuoa, tse akaretsang linyeoe tse 164, li khethiloe ka mokhoa o sa reroang bakeng sa tlhahlobo.Ba sebelisa protocol e neng e netefalitsoe pele, bafuputsi ba ile ba fumana linyeoe tsa phetisetso ea baktheria ea intraoperative ho sesebelisoa sa intravenous stopcock le tikoloho ea anesthesia.Joale ba ile ba bapisa likokoana-hloko tsena tse tšoaetsanoang le tse ikarotseng matsohong a batho ba fanang ka thethebatso ho fumana hore na tšoaetso ea letsoho e na le phello efe.Ho feta moo, ho ile ha hlahlojoa katleho ea liprothokholo tsa hajoale tsa ho hloekisa ka har'a opereishene.
Liphetho:
Boithuto bo senotse hore har'a linyeoe tse 164, 11.5% e bonts'itse phetisetso ea baktheria ka har'a sesebelisoa sa intravenous stopcock, mme 47% ea phetiso e hlahisoa ke bafani ba tlhokomelo ea bophelo.Ho feta moo, phetiso ea baktheria ea intraoperative tikolohong ea anesthesia e ile ea bonoa ho 89% ea linyeoe, le 12% ea phetiso e bakoang ke bafani ba tlhokomelo ea bophelo.Phuputso e boetse e bontšitse hore palo ea likamore tsa ho buuoa tse hlokometsoeng ke ngaka e robatsang ka lithethefatsi, lilemo tsa mokuli, le phetisetso ea mokuli ho tloha kamoreng ea ho buuoa ho ea setsing sa tlhokomelo e matla e ne e le mabaka a ikemetseng a ho bolela esale pele bakeng sa phetiso ea baktheria, e sa amaneng le bafani.
Puisano le Bohlokoa:
Liphuputso tsa phuputso li toboketsa bohlokoa ba tšilafalo ea letsoho har'a basebetsi ba thethefatsang maqeba tšilafalong ea tikoloho ea phaposi ea ho buoa le lisebelisoa tsa stopcock tse kenang methapong.Liketsahalo tsa phetisetso ea baktheria tse bakoang ke bafani ba tlhokomelo ea bophelo li ikarabella bakeng sa karolo e kholo ea phetisetso ea intraooperative, e leng se behang likotsi tse ka bang teng bophelong ba mokuli.Ka hona, lipatlisiso tse ling mabapi le mehloli e meng ea phetisetso ea baktheria ea intraoperative le ho matlafatsa mekhoa ea ho hloekisa ka har'a opereishene ea hlokahala.
qetellong, tšilafalo ea letsoho har'a basebetsi ba thethebatso ke kotsi e kholo ea phetisetso ea baktheria ea intraoperative.Ka ho kenya tšebetsong mehato e nepahetseng ea thibelo e kang ho hlapa matsoho khafetsa, tšebeliso e nepahetseng ea liatlana,Ho khetha thepa e nepahetseng ea mochini oa anesthesia ea ho thibela likokoana-hlokole tšebeliso ea li-disinfectants tse sebetsang hantle, kotsi ea tšoaetso ea baktheria e ka fokotseha.Liphuputso tsena ke tsa bohlokoa bakeng sa ho ntlafatsa maemo a bohloeki le bohloeki ka phaposing ea ts'ebetso, 'me qetellong e ntlafatsa polokeho ea bakuli.
Mohloli oa qotso ea sengoloa:
Loftus RW, Muffly MK, Brown JR, Beach ML, Koff MD, Corwin HL, Surgenor SD, Kirkland KB, Yeager MP.Tšilafalo ea matsoho ea bafani ba anesthesia ke ntlha ea bohlokoa ea kotsi bakeng sa phetiso ea baktheria ea intraoperative.Anesth Analg.2011 Jan;112(1):98-105.doi: 10.1213/ANE.0b013e3181e7ce18.Epub 2010 Aug 4. PMID: 20686007