Intshayelelo:
Iinkqubo ze-anesthetic zenziwa ngokuqhelekileyo kwintsimi yeyeza.Nangona kunjalo, ukudluliselwa kwebhaktheriya kwi-intraoperative kubangela ingozi enkulu kwimpilo yesigulane.Uphando lwakutsha nje lucebisa ukuba ukosuleleka kwezandla phakathi kwabasebenzi be-anesthetic yeyona nto ibalulekileyo yomngcipheko wosulelo lwebhaktheriya ngexesha lotyando.
Iindlela:
Uphononongo lugxininise kwiZiko lezoNyango laseDartmouth-Hitchcock, inqanaba le-III lobuhlengikazi kunye nenqanaba le-Iziko le-trauma elineebhedi ze-400 kunye namagumbi okusebenza angama-28.Izibini ezingamashumi alithoba anesibini zeemeko zotyando, zizonke iimeko ze-164, zikhethwe ngokungenamkhethe ukuba zihlalutywe.Besebenzisa iprotocol eqinisekisiweyo yangaphambili, abaphandi bachonge iimeko zokudluliselwa kwebhaktheriya kwi-intraoperative kwisixhobo sokumisa i-intravenous kunye nemekobume ye-anesthesia.Emva koko bathelekisa ezi zinto zidluliswayo kunye nezo zihlukanisiweyo kwizandla zababoneleli be-anesthesia ukumisela impembelelo yokungcola kwesandla.Ukongeza, ukusebenza kweeprotocol zangoku zokucoca kwangaphakathi kwavavanywa.
Iziphumo:
Uphononongo lubonise ukuba phakathi kweemeko ezili-164, i-11.5% ibonise usulelo lwebhaktiriya engaphakathi kwi-intraoperative kwisixhobo sokumisa i-intravenous stopcock, kunye ne-47% yosulelo oluyalelwa kubaboneleli bezempilo.Ngaphezu koko, ukuhanjiswa kwebhaktheriya ye-intraoperative kwindawo ye-anesthesia kwabonwa kwi-89% yamatyala, kunye ne-12% yosulelo olubangelwa ngababoneleli bezempilo.Uphononongo luphinde lwafumanisa ukuba inani lamagumbi okuhlinzwa alawulwa yi-anesthesiologist ehambayo, ubudala besigulane, kunye nokudluliselwa kwesigulane ukusuka kwigumbi lokusebenza ukuya kwiyunithi yokunyamekela kakhulu yayiziimeko ezizimeleyo zokuxela ukuhanjiswa kwebhaktheriya, ezingahambelani nababoneleli.
Ingxoxo kunye nokubaluleka:
Iziphumo zophononongo zigxininisa ukubaluleka kokungcoliseka kwezandla phakathi kwabasebenzi bokuthomalalisa iintlungu ekungcolisekeni kwendawo engqongileyo yegumbi lotyando kunye nezixhobo ze-stopcock ezifakwa emithanjeni.Iziganeko zosulelo lwebhaktheriya ezibangelwa ngababoneleli bezempilo zibalelwa kumlinganiselo omkhulu wosulelo lwangaphakathi, oko kubeka umngcipheko kwimpilo yesigulana.Ngoko ke, uphando olongezelelweyo kwiminye imithombo yokusasazwa kwebhaktheriya ye-intraoperative kunye nokomeleza iindlela zokucoca kwi-intraoperative kuyimfuneko.
Ekugqibeleni, ukungcoliseka kwesandla phakathi kwabasebenzi be-anesthetic yinto ebalulekileyo yomngcipheko wokudluliselwa kwebhaktheriya kwi-intraoperative.Ngokuphumeza amanyathelo afanelekileyo othintelo afana nokuhlamba izandla rhoqo, ukusetyenziswa kweglavu ngokufanelekileyo,Ukukhetha izixhobo ezifanelekileyo zokubulala iintsholongwane kumatshini we-anesthesiakunye nokusetyenziswa kwe-disinfectants esebenzayo, umngcipheko wokudluliselwa kwebhaktheriya unokunciphisa.Ezi ziphumo zibalulekile ekuphuculeni ukucoceka kunye nemigangatho yococeko kwigumbi lokusebenza, ekugqibeleni kuphuculwe ukhuseleko lwesigulane.
Umthombo wokucaphula inqaku:
Loftus RW, Muffly MK, Brown JR, Beach ML, Koff MD, Corwin HL, Surgenor SD, Kirkland KB, Yeager MP.Ukungcoliswa kwezandla zababoneleli be-anesthesia yinto ebalulekileyo yomngcipheko wokudluliselwa kwebhaktheriya kwi-intraoperative.Anesth Analg.2011 Jan;112(1):98-105.doi: 10.1213/ANE.0b013e3181e7ce18.Epub 2010 Aug 4. PMID: 20686007
