Laina arterial peripheral - nā pēpē

ʻO kahi laina ākea peripheral (PAL) kahi liʻiliʻi, pōkole, pōpoki lula i hoʻokomo ʻia i loko o ka ʻili i loko o ke aʻa o ka lima a me ka wāwae. Kapa ʻia nā lawelawe mālama ola iā ia i kekahi manawa he "laina noʻeau." Kuhi kēia ʻatikala i nā PAL i nā pēpē.

NO KA MEA I PALAHI AI?

Hoʻohana nā mea hoʻolako i kahi PAL e kiaʻi i ke kaomi koko o kāu pēpē. Hiki nō ke hoʻohana ʻia kahi PAL e lawe i nā hāpana koko pinepine, ma mua o ke kiʻi pinepine ʻana i ke koko mai kahi pēpē. Pono ʻia kahi PAL inā loaʻa i kahi pēpē:

• Maʻi maʻi ʻoi loa a aia ia ma ka ventilator
• ʻO nā pilikia kaomi koko a aia i ka lāʻau no ia
• ʻO ka maʻi lōʻihi a makua ʻole paha e koi ana i nā hoʻokolohua koko pinepine
  

PEHEA KA PAL E NOHO AI?

ʻO ka mea mua, hoʻomaʻemaʻe ka mea hāʻawi i ka ʻili o ka pēpē me kahi lāʻau make-germ (antiseptic). A laila hoʻokomo ʻia ka catheter liʻiliʻi i loko o ke aʻa. Ma hope o ka PAL i loko, pili ia i kahi ʻeke wai IV a me ka mea nānā i ke kaomi koko.

He aha nā pilikia o kahi PAL?

Nā pilikia me:

• ʻO ka makaʻu ʻoi loa ka paʻa ʻana o PAL i ke koko mai ka hele ʻana i ka lima a i ka wāwae paha. ʻO ka hoʻāʻo ʻana ma mua o ka hoʻonoho ʻia ʻana o ka PAL hiki ke pale i kēia pilikia ma ka hapanui o nā hihia. E nānā pono nā kahu hānai ʻo NICU i kāu pēpē no kēia pilikia.
• ʻOi aku ka pilikia o ka PAL no ke kahe ʻana o ke kahe ma mua o nā kūlana IV.
• Aia kahi makaʻu liʻiliʻi no ka maʻi, akā ʻoi aku ka haʻahaʻa ma mua o ka makaʻu mai kahi kūlana IV.

PAL - pēpē; Laina kiʻi - nā pēpē; Laina kaha - neonatal

• Laina ākea peripheral

Nā kikowaena no ka pūnaewele Disease Control a me Prevent. Nā ʻōlelo aʻoaʻo 2017 e pili ana i ka hoʻohana ʻia ʻana o nā lole chlorhexidine-impregnated no ka pale ʻana i nā maʻi e pili ana i nā catheter e pili ana i ka maʻi: e hōʻano hou i nā kuhikuhi 2011 no ka pale ʻana i nā maʻi e pili ana i nā catheter e pili ana i nā maʻi e pili ana i nā catheter e pili ana i nā maʻi e pili ana i ka maʻi a me ka pale ʻana. www.cdc.gov/infectioncontrol/pdf/guidelines/c-i-dressings-H.pdf. Hoʻohou i Iulai 17, 2017. Loaʻa iā Kepakemapa 26, 2019.

Pasala S, Storm EA, Stroud MH, a me al. Loaʻa i nā vascular Pediatric a me nā kenekulia. I: Fuhrman BP, Zimmerman JJ, eds. Mālama Nui ʻo Pediatric. 5th lā. Piladelapia, PA: Elsevier; 2017: chap 19.

ʻO Santillanes G, Claudius I. Hiki i nā vaskular a me nā ʻenehana laʻana koko. 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 Saunders; 2019: chap 19.

Pōkō EK. Therapy no ka pono ʻole cardiorespiratory i ka neonate. I: Martin RJ, Fanaroff AA, Walsh MC, hua. ʻO Fanaroff lāua ʻo Martin's Neonatal-Perinatal Medicine: Nā maʻi o ka Fetus a me ka pēpē. 11th hua. Piladelapia, PA: Elsevier Saunders; 2020: chap 70.