Hōʻailona sedation no nā kaʻina hana

ʻO ka sedation conscious kahi hui pū ʻia o nā lāʻau e kōkua iā ʻoe e hoʻomaha (kahi mea hōʻoluʻolu) a me ka pale ʻana i ka ʻeha (kahi anesthetic) i ka wā olakino a lāʻau lapaʻau paha. E ala paha ʻoe, akā ʻaʻole hiki paha iā ʻoe ke ʻōlelo.

Hāʻawi ka sedation conscious iā ʻoe e hoʻi wikiwiki a hoʻi i kāu mau hana i kēlā me kēia lā ma hope koke o kāu kaʻina hana.

ʻO kahi kahu hānai, kauka, a i ʻole ke kauka niho, e hāʻawi iā ʻoe i ka sedation ma ka haukapila a i ʻole kahi haukapila maʻi. ʻO ka hapa nui o ka manawa, ʻaʻole ia he anesthesiologist. E pau koke ka lāʻau, no laila hoʻohana ʻia no nā kaʻina hana pōkole, paʻakikī ʻole.

Hiki paha iā ʻoe ke loaʻa ka lāʻau i loko o ka laina intravenous (IV, i kahi aa) a i ʻole ke kī ʻia ʻana i kahi mākala. E hoʻomaka ʻoe e hiamoe a hoʻomaha wikiwiki. Inā hāʻawi kāu kauka iā ʻoe i ka lāʻau e ale ai, e ʻike ʻoe i nā hopena ma hope o 30 a 60 mau minuke.

E lohi kou hanu ʻana a hāʻule iki paha kou kaomi koko. E kiaʻi kāu kauka olakino iā ʻoe i ke kaʻina hana e ʻike he maikaʻi ʻoe. E noho pū kēia mea lawelawe me ʻoe i nā manawa āpau i ke kaʻina hana.

ʻAʻole pono ʻoe i ke kōkua me kāu hanu ʻana. Akā hiki iā ʻoe ke loaʻa i ka oxygen keu ma o ka mask a i ʻole nā ​​wai IV ma o kahi catheter (Tube) i loko o kahi aa.

E hiamoe paha ʻoe, akā e ala maʻalahi ʻoe e pane i ka poʻe i loko o ka lumi. Hiki paha iā ʻoe ke pane i nā ʻōuli waha. Ma hope o ka hoʻohiamoe ʻana, ʻike paha ʻoe i ka hiamoe a hoʻomanaʻo ʻole e pili ana i kāu kaʻina hana.

Palekana a palekana ka sedation no nā poʻe e pono ana i kahi ʻoki liʻiliʻi a i ʻole kahi kaʻina hana e kuhikuhi i kahi ʻano.

ʻO kekahi o nā hoʻokolohua a me nā kaʻina hana i hiki ke hoʻohana ʻia ka sedation ʻike:

• Biopsy umauma
• Dental prosthetic a reconstructive ʻoki
• Hoʻoponopono i ka haʻi iwi liʻiliʻi
• ʻOki wāwae wāwae liʻiliʻi
• ʻOki kino ʻili liʻiliʻi
• Pākuʻi a hana hou paha
• Nā kaʻina hana e diagnose a mālama i kekahi ʻōpū (endoscopy luna), kolona (colonoscopy), lung (bronchoscopy), a me nā ʻōpū (cystoscopy)

Palekana pinepine ka sedation. Eia nō naʻe, inā hāʻawi nui ʻia ʻoe i ka lāʻau, hiki mai nā pilikia me kou hanu ʻana. E nānā ana kahi mea hoʻolako iā ʻoe i nā kaʻina hana holoʻokoʻa.

Loaʻa i nā mea hoʻolako i nā lakohana kūikawā e kōkua iā ʻoe me kou hanu ʻana, inā pono. Hiki i kekahi o nā ʻoihana olakino kūpono ke hāʻawi i ka sedation.

E haʻi i ka mea hāʻawi:

• Inā ʻoe a hāpai paha
• He aha nā lāʻau āu e lawe nei, a ʻo nā lāʻau paha, nā mea hoʻopili, a i ʻole nā ​​mea kanu āu i kūʻai ai me ka ʻole o ka lāʻau

I nā lā ma mua o kāu kaʻina hana:

• E haʻi i kāu mea hoʻolako e pili ana i nā maʻi āpau a i ʻole nā ​​kūlana olakino āu, nā lāʻau lapaʻau āu e lawe nei, a me nā mea anesthesia a i ʻole sedation i loaʻa iā ʻoe ma mua.
• Loaʻa paha iā ʻoe nā hoʻokolohua koko a mimi paha a me kahi hoʻokolohua kino.
• E hoʻonohonoho no kahi makua makua e hoʻokele iā ʻoe a i ka haukapila a i ʻole ka haukapila no ke kaʻina hana.
• Inā puhi ʻoe, hoʻāʻo e kū. Hoʻonui ka puhi paka ʻana i ka pilikia no nā pilikia e like me ka hoʻōla lohi. E noi i kāu mea nāna e hāʻawi i ke kōkua no ka haʻalele.

I ka lā o kāu kaʻina hana:

• E hāhai i nā ʻōkuhi e pili ana i ka wā e hōʻoki ai i ka ʻai a me ka inu ʻana.
• Mai inu i ka waiʻona i ka pō ma mua a me ka lā o kāu kaʻina hana.
• E lawe i nā lāʻau a kāu kauka i haʻi aku ai iā ʻoe e lawe me kahi wahi wai ʻuʻuku.
• E hōʻea i ka haukapila a i ʻole ka haukapila i ka manawa.

Ma hope o ka hoʻohiamoe ʻana, ʻike ʻoe i ka hiamoe a loaʻa paha i kahi poʻo poʻo a maʻi paha i kou ʻōpū. I ka wā o ke ola ʻana, e kāʻei ʻia kou manamana lima i kahi hāmeʻa kūikawā (pulse oximeter) e nānā i nā pae oxygen i loko o kou koko. E nānā ʻia kou kaomi koko me ka cuff lima e pili ana i kēlā me kēia 15 mau minuke.

Hiki iā ʻoe ke hoʻi i ka home 1 a 2 mau hola ma hope o kāu kaʻina hana.

Ke noho home ʻoe:

• E ʻai i kahi papaʻai olakino e hoʻihoʻi i kou ikehu.
• Hiki iā ʻoe ke hoʻi i kāu hana i kēlā me kēia lā i ka lā aʻe.
• E hōʻalo i ka hoʻokele, ka hana ʻana i nā mīkini, ka inu rama, a me ka hoʻoholo ʻana i ke kānāwai ma ka liʻiliʻi he 24 mau hola.
• E launa me kāu kauka ma mua o ka lawe ʻana i nā lāʻau a i ʻole nā ​​mea hoʻopili.
• Inā ua ʻoki ʻoe, e hāhai i nā ʻōlelo aʻoaʻo a kāu kauka no ka hoʻōla a me ka mālama ʻeha.

Palekana ʻo ka sedation āpau, a he koho ia no nā kaʻina hana a i ʻole nā ​​hōʻike diagnostic.

Anesthesia - hoʻohiamoe hoʻohaʻahaʻa

• Anesthesia - he aha e nīnau aku ai i kāu kauka - makua
• Anesthesia - he aha e nīnau aku ai i kāu kauka - keiki

ʻO Hernandez A, Sherwood ER. Nā loina Anesthesiology, mālama ʻeha, a me ka sedation ʻike. I: Townsend CM Jr, Beauchamp RD, Evers BM, Mattox KL, eds. ʻO Sabiston Textbook of Surgery: Ke kumu kumu olaola o ka hana ʻoki ʻana o kēia ao. 20 ouk. Piladelapia, PA: Elsevier; 2017: chap 14.

ʻO Vuyk J, Sitsen E, Reekers M. Nā Anesthetics Intravenous. I: Miller RD, ed. Miller Anesthesia. 8th ed. Piladelapia, PA: Elsevier Saunders; 2015: chap 30.