Isingeniso:
Izinqubo zokubulala izinzwa zivame ukwenziwa emkhakheni wezokwelapha.Kodwa-ke, ukudluliswa kwebhaktheriya nge-intraoperative kubangela ingozi enkulu empilweni yesiguli.Ucwaningo lwakamuva luphakamisa ukuthi ukungcoliswa kwezandla phakathi kwezisebenzi ezibulala izinzwa kuyisici esiyingozi esiyingozi ekudluliselweni kwamagciwane ngesikhathi sokuhlinzwa.
Izindlela:
Ucwaningo lwalugxile esikhungweni sezokwelapha sase-Dartmouth-Hitchcock, isikhungo sabahlengikazi sezinga le-III kanye nesikhungo sokuhlukumezeka se-level I esinemibhede yeziguli ezingu-400 kanye namagumbi okuhlinza angu-28.Amapheya angamashumi ayisishiyagalolunye nambili amacala okuhlinzwa, aphelele amacala ayi-164, akhethwe ngokungahleliwe ukuze ahlaziywe.Besebenzisa iphrothokholi egunyazwe ngaphambilini, abacwaningi bahlonze amacala okudluliselwa kwebhaktheriya e-intraoperative kudivayisi ye-stopcock ye-intravenous kanye nendawo ye-anesthesia.Babe sebeqhathanisa lezi zifo ezithathelwanayo nalezo ezihlukanisiwe nezandla zabahlinzeki be-anesthesia ukuze banqume umthelela wokungcoliswa kwezandla.Ukwengeza, ukusebenza kwezinqubo zamanje zokuhlanza kwangaphakathi kwahlolwa.
Imiphumela:
Ucwaningo luveze ukuthi phakathi kwezigameko eziyi-164, u-11.5% ukhombise ukusulelana ngegciwane emshinini wokumisa i-stopcock, kanti u-47% wamagciwane adluliselwa kubahlinzeki bezempilo.Ngaphezu kwalokho, ukudluliselwa kwebhaktheriya kwangaphakathi kokuhlinzwa endaweni yokubulala izinzwa kubonwe kuma-89% wamacala, kanye ne-12% yokudluliselwa okubangelwa abahlinzeki bezempilo.Ucwaningo luphinde lwaveza ukuthi inani lamagumbi okuhlinza agadwa udokotela obulala izinzwa, iminyaka yesiguli, nokudluliselwa kwesiguli kusuka egunjini lokuhlinza kuya egunjini labagula kakhulu kwakuyizici ezizimele zokubikezela ukudluliselwa kwebhaktheriya, ezingahlobene nabahlinzeki.
Ingxoxo Nokubaluleka:
Okutholwe yilolu cwaningo kugcizelela ukubaluleka kokungcoliswa kwezandla phakathi kwezisebenzi ezibulala izinzwa ekungcolisweni kwendawo yegumbi lokuhlinzela kanye namadivayisi e-stopcock afakwa emthanjeni.Izehlakalo zokudluliselwa kwamagciwane okubangelwa abahlinzeki bezokunakekelwa kwempilo zibalwe engxenyeni enkulu yokudluliselwa kokuhlinzwa, okubeka izingozi ezingaba khona empilweni yesiguli.Ngakho-ke, uphenyo olwengeziwe kweminye imithombo yokudluliselwa kwebhaktheriya ye-intraoperative kanye nokuqinisa izinqubo zokuhlanza ngaphakathi kokuhlinzwa kuyadingeka.
ekugcineni, ukungcoliswa kwezandla phakathi kwabasebenzi ababulala izinzwa kuyisici esiyingozi esibalulekile sokudluliselwa kwebhaktheriya ngaphakathi kokuhlinzwa.Ngokusebenzisa izindlela zokuvimbela ezifanele ezinjengokugeza izandla njalo, ukusebenzisa amagilavu ngendlela efanele,Ukukhetha umshini wokubulala izinzwa ofanele imishini yokubulala amagciwanekanye nokusetshenziswa kwezibulala-magciwane ezisebenzayo, ingozi yokudluliselwa kwamagciwane ingancishiswa.Lokhu okutholakele kubalulekile ekuthuthukiseni izinga lenhlanzeko nenhlanzeko egunjini lokuhlinzela, ekugcineni kuthuthukiswe ukuphepha kwesiguli.
Umthombo wengcaphuno ye-athikili:
I-Loftus RW, i-Muffly MK, i-Brown JR, i-Beach ML, i-Koff MD, i-Corwin HL, i-Surgenor SD, i-Kirkland KB, i-Yeager MP.Ukungcoliswa kwezandla kwabahlinzeki be-anesthesia kuyisici esibalulekile sobungozi bokudluliselwa kwebhaktheriya ngaphakathi kokuhlinzwa.Anesth Analg.2011 Jan;112(1):98-105.doi: 10.1213/ANE.0b013e3181e7ce18.Epub 2010 Aug 4. PMID: 20686007
