1. Wehewehe

ʻO ka ihu artificial, ʻike ʻia hoʻi ʻo ka heat and moisture exchanger (HME), he mea kānana i hana ʻia me nā ʻāpana he nui o nā mea hoʻoheheʻe wai a me nā pūhui hydrophilic i hana ʻia me ka gauze mesh maikaʻi, hiki ke hoʻohālikelike i ka hana o ka ihu e hōʻiliʻili a mālama i ka wela. a me ka wai i loko o ka ea exhaled e hoʻomaʻamaʻa a hoʻomaʻemaʻe i ka ea inhaled. I ka wā o ka inhalation, hele ke kinoea i loko o ka HME a lawe ʻia ka wela a me ka wai i ke alaloa, e hōʻoiaʻiʻo ana e loaʻa ka humidification kūpono a kūpono hoʻi ma ke alaloa. I ka manawa like, loaʻa i ka ihu artificial kekahi hopena kānana i ka bacteria, hiki ke hōʻemi i ka manawa o ka maʻi i hoʻokumu ʻia e nā microorganism pathogenic i ka lewa, a pale pū i ka ea exhaled o ka mea maʻi mai ka laha ʻana i ke kaiapuni a puni, no laila ke pāʻani nei i kahi pale pālua. kuleana.

2. Pono

(1) ʻO ka hopena kānana bacteria: ʻO ka noi ʻana o ka ihu artificial hiki ke hoʻopaʻa i ka bacteria a me nā mea huna i ka ʻāpana hanu haʻahaʻa o nā mea maʻi i hoʻoheheʻe ʻia, pale iā lākou mai ke komo ʻana i ka pipeline ventilator, a pale i ka bacteria mai ka pipeline ventilator e hoʻihoʻi ʻia i loko o ka mea maʻi. ala ea ma ke kaʻina hana pōʻai hanu. ʻO ka ʻūhā haʻahaʻa haʻahaʻa he hana pale ʻelua, e ʻoki ana i ke ala e hiki ai i ka bacteria i loko a i waho o ka ventilator ke alakaʻi i ka maʻi pneumonia pili i ka ventilator (VAP).

(2) Pono ka mahana a me ka haʻahaʻa: Ua hōʻike nā haʻawina e hiki i ka noi ʻana o ka ihu artificial ke mālama i ka mahana ma ke ala ea ma 29 ℃ ~ 32 ℃, a me ka haʻahaʻa pili i kahi kiʻekiʻe o 80% ~ 90%, kahi e hoʻomaikaʻi piha ai i ka. ka haʻahaʻa o ke ala ea hana. Hoʻokō maoli ke kaiapuni kemika i nā koi physiological o ka ʻōpū hanu no ka mahana a me ka haʻahaʻa.

(3) E ho'ēmi i ka hana hānai: Ma hope o ka hoʻohanaʻana i ka humidification nasal artificial i nā poʻe maʻi offline, ua ho'ēmiʻia ka hana hānai e like me ka humidification, ka kulu, ka hoʻololiʻana i ka gauze, ke paniʻana i ka intratracheal instillation a me ka catheter. No nā poʻe maʻi i hoʻokuʻu ʻia me ka mechanically, ua hoʻopau ʻia ke kaʻina hana paʻakikī o ka hoʻokomo ʻana i kahi humidifier uila a me ka hana kahu hānai e like me ka hoʻololi ʻana i ka pepa kānana, ka hoʻohui ʻana i ka wai humidification, disinfecting i ka pahu humidification, a me ka ninini ʻana i ka wai condensate, e hoʻomaikaʻi ai i ka hoʻokele maikaʻi ʻana o ke ala ea.

(4) Ka palekana kiʻekiʻe: No ka mea ʻaʻole pono ka ihu hana i ka uila a me ka wela hou, ʻoi aku ka palekana ma mua o ka ʻōnaehana hoʻomehana a me ka humidifying o ka ventilator, a ʻaʻole ia e hoʻokomo i ke kinoea wela kiʻekiʻe, e pale aku i ka pilikia o ke ea scalding.

3. ʻĀpana

Loaʻa nā ʻāpana āpau o ka ihu artificial Kangyuan me ka kānana hoʻololi ʻana i ka wela a me ka hoʻonui ʻana. ʻO nā palena hana o kēlā me kēia māhele penei.

4. Hōʻike

5. Kiʻi