Invasive blood pressure monitoring inowanzoshandiswa kukiriniki, iyo inogona kuyera zvakananga BP yemurwere, uye inogona kuramba ichitarisa murwere diastolic blood pressure, systolic blood pressure, uye zvinoreva arterial pressure.Uchishandisa yekumanikidza sensor, iyo waveform uye kukosha kunogona kuratidzwa pane yekutarisa chiridzwa munguva chaiyo.Iko kushanduka kwekuchinja kweropa kunogona kuratidzwa nenguva uye nenzira kwayo pasina kukanganiswa nezvinhu zvakaita sehupamhi hwecuff, preficial pressure, uye tightness.Inogona kushandiswa mukupindira kurapwa kwezvirwere zvemwoyo kuti zvinyatsocherechedza basa rekutenderera kwevarwere.Kuongorora kwakagumisa kuti, kune varwere vari kuvhiyiwa kwemwoyo, nekuda kwekunyanya kushanda, postoperative hemodynamic instability, invasive blood pressure monitoring inofanira kushandiswa kuchipatara kune varwere, uye mhedzisiro yacho yakanaka.Munguva yekuvhiya, varwere vanofanirwa kusimbiswa kwakabatana mukoti, kliniki yekushandisa kukosha kwakakwira.Muchikamu chino, varwere ve55 vakasarudzwa kuti vakurukure pamusoro pemigumisiro yekudzivirira kweropa rekuongorora uye mukoti mukupindira kurapwa kwezvirwere zvemwoyo.
1.Zvishandiso uye nzira
1.1 Ruzivo rwese
Huwandu hwevarwere makumi mashanu neshanu vane chirwere chemoyo chemoyo chemukati mekurapa vakarapwa muchipatara A kubva muna Kubvumbi 2018 kusvika Kurume 2019 vakasarudzwa sezvinhu zvekutsvagisa zvekuongorora zvekare, uye vese vakasainwa mvumo ine ruzivo, kusanganisira makumi matatu evarume, 25 vakadzi, uye makumi matatu nematanhatu ekuzvarwa ~ 81 makore, ane avhareji yemakore 62.5 makore.
1.2 Nzira
Nzvimbo yekubaya ndiyo radial artery, femoral artery kana brachial artery.Kune varwere vane radial artery puncture, ita bvunzo yeAllen usati wavhiya.Simudza ruoko rwemurwere.Mushure mekunge mushandi anzwa kurova kwetsinga yeradial-ulnar yemurwere nezvigunwe zvese, taurira murwere kuti aite chibhakera ozorora., yakadzokororwa 3 nguva, kuvhara radial-ulnar artery blood flow, mushure mokunge ruoko rwomurwere ruchichinja ruchena, kuderedza ruoko rwemurwere, kusunungura kudzvinyirira kweurnar artery, uye kucherechedza nguva yekuti ruoko rwomurwere ruchitsvuka.Kutenderera kweropa kwakanaka: 0-7 s;Kunyumwa: 8-15 s;Kusakwana kweropa: kupfuura 15 s.Kana iyo Allen bvunzo inopfuura 7 s, femoral artery puncture inogona kusarudzwa.
Kutanga, ita disinfection yeganda uye anesthesia yemunharaunda kumurwere, sarudza 1% lidocaine, kona iri pakati peganda netsono yekubaya iri 30 ° -40 °, bevel retsono riri pasi, uye iyo inonyanya kuoneka radial artery pulse inobaiwa. pachinzvimbo 0.5 cm kureba kumurwere, mushure mekuona kudzoka kweropa, dzvanya muswe wetsono, bata musimboti wetsono, zvishoma nezvishoma isa trocar kuhupamhi hunodiwa, vhomora core yetsono, nekukurumidza ubatanidze iyo isina mbereko. pressure yekuyeresa chubhu, ine heparin saline, flush Chenesa ropa mupombi netsono, disinfecting chikamu chacho zvakare, gadzirisa uye uifukidze neasina utachiona applicator, batanidzadisposable pressure transduceruye kutevera murairo wekushandisakuongororwa kweropakit.
2. Results
Miedzo muboka iri: invasive blood pressure monitoring and nursing yakaitwa kune varwere.Kuwedzerwa kweropa kwevarwere vose kwakaramba kwakagadzikana.Mushure mekupindira kwekurapa uye extubation, chiitiko chematambudziko chaiva 0.00% (0/55).
Kubva pane data iri pamusoro apa, inogona kugumiswa kuti kushandiswa kwehutachiona hwehutachiona hwehutachiona muhutano hwekupindira kwezvirwere zvemwoyo kune migumisiro yakajeka.
Semugadziri anotungamira weIBP transducer supplier, Antmed inopa akawanda eIBP transducer yekupindira application Antmed.IBP transducerine mapfumbamwe Common Connectors emhando dzakasiyana mamonitor evarwere: ACE, Utah, Argon, Abbott / Medex / ICU / Elcam / Hospira / Biometrix, Edwards, BD, B.Braun / Philips, PVB, Mindray.Zvakare, kunzwisiswa kweAntmed IBP transducer kwakakwira kupfuura indasitiri avhareji nhanho.Sarudza Antmed transducer, inogona kuve yakanyatso kukosha kweropa, uye data iri rine kukosha kukuru kune vashandi vekurapa mukupindira kurapwa.
Isu tinokurudzira zvakasimba vashandi vekurapa kuti vashandise yakanaka mhando IBP transducer.Antmed transducer hapana mubvunzo sarudzo yakanaka.Kuti uwane rumwe ruzivo senge tekinoroji yakatarwa kana mutengo, ndapota taura nesu pa:info@antmed.com
Nguva yekutumira: Zvita-13-2022