He aha ka hui ʻana o ka spinal epidural anesthesia?

Hoʻohui ʻia ka spinal epidural anesthesia(CSE) he ʻenehana i hoʻohana ʻia i nā kaʻina hana lapaʻau e hāʻawi i nā mea maʻi me ka anesthesia epidural, transport anesthesia, a me analgesia.Hoʻohui ia i nā pono o ka spinal anesthesia a me ka epidural anesthesia techniques.Hoʻokomo ʻia ka hana CSE i ka hoʻohana ʻana i kahi pahu epidural spinal hui pū ʻia, kahi i loaʻa nā ʻāpana like ʻole e like me kahi hōʻailona LOR.syringe, nila epidural, catheter epidural, akānana epidural.

Hoʻolālā maikaʻi ʻia ka pahu epidural spinal hui e hōʻoia i ka palekana, ka pono a me ka maʻalahi o ka hoʻohana ʻana i ka wā o ke kaʻina hana.ʻO ka LOR (Loss of Resistance) hōʻike syringe kahi mea nui o ka pahu.Kōkua ia i ka mea anesthesiologist e ʻike pololei i ka wahi epidural.Ke huki ʻia ka plunger o ka syringe i hope, huki ʻia ka ea i loko o ka pahu.I ke komo ʻana o ka nila i loko o kahi epidural, ʻike ka plunger i ke kūpaʻa ma muli o ke kaomi o ka wai cerebrospinal.ʻO kēia nalowale o ke kū'ē e hōʻike ana i ke kūlana kūpono o ka nila.

ʻO ka nila epidural he ʻuala ʻeleʻele ʻeleʻele i hoʻohana ʻia e komo i ka ʻili i ka hohonu i makemake ʻia i ka wā o ke kaʻina CSE.Hoʻolālā ʻia e hōʻemi i ka ʻehaʻeha o ka maʻi a hōʻoia i ka hoʻokomo pololei ʻana o ka catheter epidural.Hoʻopili ʻia ka hub o ka nila i kahi syringe hōʻike LOR, e ʻae i ka mea anesthesiologist e nānā i ke kū ʻana i ka wā o ka hoʻokomo ʻana i ka nila.

I ka manawa i loko o ka epidural space, hele ka epidural catheter ma ka nila a neʻe i kahi i makemake ʻia.ʻO ka catheter he paipu maʻalahi e hāʻawi i ka anesthetic kūloko a i ʻole analgesic i loko o ka epidural space.Hoʻopaʻa ʻia ia me ka lipine i mea e pale ai i ka hoʻololi ʻana.Ma muli o ka makemake o ka mea maʻi, hiki ke hoʻohana ʻia ka catheter no ka infusion mau a i ʻole ka hoʻokele bolus intermittent.

No ka hōʻoia ʻana i ka hoʻokele lāʻau kiʻekiʻe, ʻo ka kānana epidural kahi mea nui o ka CSE suite.Kōkua ka kānana i ka wehe ʻana i nā ʻāpana a i ʻole nā ​​microorganism i loaʻa i loko o ka lāʻau lapaʻau a i ʻole ka catheter, e hōʻemi ana i ka pilikia o ka maʻi a me nā pilikia.Hoʻolālā ʻia ia e ʻae i ka holo ʻana o ka lāʻau lapaʻau me ka pale ʻana i nā mea haumia mai ke komo ʻana i ke kino o ka mea maʻi.

He nui nā mea maikaʻi o ka hui spinal-epidural.Hāʻawi ia i ka hilinaʻi a me ka wikiwiki o ka hoʻomaka ʻana o ka anesthesia ma muli o ke kumu spinal mua.He mea maikaʻi loa kēia i nā kūlana e koi koke ʻia ai ka hoʻomaha ʻeha a i ʻole ke komo ʻana.Hoʻohui ʻia, hāʻawi nā catheters epidural i ka analgesia hoʻomau, e kūpono iā lākou no nā kaʻina hana lōʻihi.

Hāʻawi pū ka hui ʻana o ka spinal-epidural anesthesia i ka hiki ke hoʻololi.Hiki iā ia ke titrated i ka lāʻau lapaʻau, ʻo ia hoʻi, hiki i ka anesthesiologist ke hoʻoponopono i ka nui o ka maʻi ma muli o nā pono a me nā pane o ka mea maʻi.ʻO kēia ala pilikino e kōkua i ka hoʻokō ʻana i ka hoʻomalu ʻeha maikaʻi ʻoiai e hōʻemi ana i nā hopena ʻaoʻao.

Eia kekahi, pili ka CSE me ka haʻahaʻa haʻahaʻa o nā pilikia ʻōnaehana i hoʻohālikelike ʻia me ka anesthesia maʻamau.Hiki iā ia ke mālama i ka hana o ka māmā, pale i kekahi mau pilikia pili i ke ea, a pale i ka pono o ka hoʻokomo ʻana i ka endotracheal.ʻO ka poʻe maʻi e loaʻa ana i ka CSE e ʻike pinepine i ka ʻeha ma hope o ka hana ʻana a me nā manawa hoʻōla pōkole, e ʻae iā lākou e hoʻi wikiwiki i nā hana maʻamau.

I ka hopena, hui pū ʻia ka neuraxial a me ka epidural anesthesia he ʻano waiwai nui no ka hāʻawi ʻana i ka anesthesia, transport anesthesia, a me analgesia i nā maʻi i ka wā o nā kaʻina hana.ʻO ka pahu epidural spinal hui pū ʻia a me kāna mau ʻāpana, e like me ka LOR indicator syringe, epidural needle, epidural catheter, a me ka kānana epidural, he hana koʻikoʻi i ka hōʻoia ʻana i ka palekana, pono, a me ka holomua o ke kaʻina hana.Me kona mau pono a me nā noi, ua lilo ʻo CSE i ʻāpana koʻikoʻi o ka hoʻomaʻamaʻa anesthesia hou, e hāʻawi ana i nā poʻe maʻi me ka hoʻokele ʻeha ʻoi aku ka wikiwiki a me ka wikiwiki.