Unyango lwe-intravenous, iinkqubo zokuhambisa ezijikelezayo zokuvuselela kwakhona, kunye nezixhobo ze-salvage zeseli
UVanessa G. Honke, uWarren S. Sandberg, kwiNcwadi ye-MGH yezixhobo ze-anesthetic, ngo-2011
Amagqabantshintshi ngeenkqubo zokuswela
Eyona njongo iphambili ye-IV ye-IV ye-IV izakhiwo ezifudumeleyo ezifudumeleyo kwiqondo lobushushu okanye elincinci elingaphezulu lokuthintela i-hypothermia ngenxa yokufakwa kulwelo olubandayo. Umngcipheko onxulumene nokusetyenziswa kwee-onbolism ze-fluid zibandakanya i-embolism yomoya, ubushushu obutofotofo kunye nokulimala kwenqanawa, ukuvuza kwangoku kwi-fluid yendlela, usulelo, kunye noxinzelelo .42
I-floid ifudumeza iboniswe ngokupheleleyo kwiimveliso zegazi ezibandayo, ngenxa yemingcipheko yokubanjwa kwentliziyo kunye ne-ANSECHEMIA (ingakumbi xa i-nodotial node ipholile ingaphantsi kwe-30 ° C). Ukubanjwa kwentliziyo kubonakalisiwe xa abantu abadala bafumana igazi okanye iplasma kumaxabiso angaphezulu kwe-100 ml / imizuzu engama-30.40 umbundu we-Dediac Assall iphantsi kakhulu ukuba ngabantwana.
Amabala omdyarho anokuhlelwa ngokubanzi kwizixhobo ezenzelwe ukuba afune amanzi afudumeleyo amatyala aqhelekileyo kunye nezixhobo ezintsonkothileyo ezenzelwe ukuvuselwa kwevolunti enkulu. Ngelixa onke amabala angama-fluid ane-heater, ulawulo lwe-thermonatic, kwaye, kwiimeko ezininzi, amaqondo obushushu afundwayo, aze ayeke ukuhamba esigulayo xa umoya obalulekileyo ufumaneka kwityhubhu. Amabala amancinci amanzi afudumeleyo ngamaxabiso afudumeleyo ukuya kwi-150 ml / min (kwaye ngamanye amaxesha aphezulu kakhulu, ahlukane ne-1000 ml / min (min (10
Ukufudumeza kolwelo lwe-IV kunokwenziwa ngotshintshiselwano lobushushu owomileyo, ubushushu obunobushushu obuthile, ukuntywila okungenayo, okanye (kancinci) ngokubeka inxenye ye-heater ye-sleid okanye i-stracress yamanzi okanye ishushu).
IXESHA LOKUQALA: UJan-17 ukuya ku-1525