Hoʻopau Endotracheal

ʻO ka intubation Endotracheal kahi hana olakino kahi i hoʻokomo ʻia ai kahi paipu i loko o ka puka makani (trachea) ma o ka waha a ihu paha. I ka hapanui o nā hanana pōpilikia, waiho ʻia ma o ka waha.

Inā ala ʻoe (noʻonoʻo) ʻaʻole ala paha (unconscious), hāʻawi ʻia ʻoe i ka lāʻau i mea e maʻalahi ai a ʻoluʻolu hoʻi e hoʻokomo i ka paipu. Loaʻa paha iā ʻoe ka lāʻau e hoʻomaha ai.

E hoʻokomo ka mea hoʻolako i kahi hāmeʻa i kapa ʻia he laryngoscope e hiki ai ke ʻike i nā kaula leo a me ka ʻaoʻao kiʻekiʻe o ka puka makani.

Ke hana ʻia nei ke kaʻina hana e kōkua ai i ka hanu ʻana, hoʻokomo ʻia kahi paipu i loko o ka puhi makani a hala nā kaula leo a ma luna pono o kahi i luna kahi e lūlū ai nā trachea i loko o nā akemāmā. Hiki ke hoʻohana i ka paipu e hoʻohui me kahi ʻenekini mīkini e kōkua i ka hanu ʻana.

Hana ʻia ka hoʻopili endotracheal i:

• E wehe i ke ala ākea i mea e hāʻawi ai i ka oxygen, lāʻau lapaʻau, a anesthesia paha.
• Kākoʻo i ka hanu ʻana i loko o kekahi mau maʻi, e like me ka niumonia, emfysema, puʻuwai puʻuwai, hāʻule i ka hanu a i ʻole trauma ʻeha.
• Wehe i nā blockages mai ke ala waena.
• E ʻae i ka mea hāʻawi e ʻike i kahi ala maikaʻi loa o ke alaloa kiʻekiʻe.
• Pale i nā akemāmā i ka poʻe hiki ʻole ke pale i ko lākou ala ākea a me ka makaʻu no ka hanu ʻana i ka wai (aspiration). Hoʻopili kēia i nā poʻe me kekahi ʻano o nā hahau, nā overdosis, a i ʻole ke kahe nui ʻana mai ka esophagus a i ʻole ka ʻōpū.

Nā pilikia me:

• Kahena
• Maʻi kīnā
• Ka hōʻeha i ka pahu leo ​​(larynx), kelepaʻi thyroid, nā kaula leo a me ka windpipe (trachea), a i ʻole esophagus
• ʻO ke kuʻi ʻana a i ʻole ka haehae ʻana (perforation) o nā ʻāpana o ke kino i ka umauma umauma, e alakaʻi ana i ka hāʻule o ka māmā
  
  

Hana pinepine ʻia ke kaʻina hana i nā hanana pilikia, no laila ʻaʻohe ʻanuʻu hiki iā ʻoe ke lawe e hoʻomākaukau.

Ma ka haukapila ʻoe e nānā ai i kou hanu ʻana a me kou pae oxygen oxygen. Hāʻawi ʻia ʻoe i ka oxygen a kau ʻia ma ka mīkini hanu. Inā ala ʻoe, hāʻawi paha kāu mea mālama ola iā ʻoe i ka lāʻau e hōʻemi i kou hopohopo a i ʻole hōʻoluʻolu ʻole.

E kau ka maka i ke kumu o ka hana e pono ai.

Hoʻokomo - endotracheal

ʻO Keaukaha BE, Reardon RF. Intubation Tracheal. I: Roberts JR, Custalow CB, Thomsen TW, eds. ʻO Roberts a me Hedges 'Nā Kauka Lapaʻau i ka Medicine Emergency a me ka Care Acute. ʻEpekema 7 Piladelapia, PA: Elsevier; 2019: chap 4.

Hartman ME, Cheifetz IM. Pediatric kūpilikiʻi a me ka resuscitation. I: Kliegman RM, Stanton BF, St. Geme JW, Schor NF, eds. ʻO Puka Textbook of Pediatrics ʻo Nelson. 20 ouk. Piladelapia, PA: Elsevier; 2016: chap 67.

Hagberg CA, Artime CA. ʻO ka hoʻokele alaloa i ke kanaka makua. I: Miller RD, ed. Miller Anesthesia. 8th ed. Piladelapia, PA: Elsevier Saunders; 2015: chap 55.