Qhia tawm
Shanghai TeamStand Corporation yog ib lub tuam txhab tshaj lijtus neeg muag khoom siv kho mobthiab chaw tsim khoom. Lawv muab ntau yam khoom zoo, suav nrogtshuaj cannula rau hauv cov hlab ntsha,koob txhaj tshuaj rau cov hlab ntsha ntawm lub taub hau,koob txhaj ntshav,cov koob txhaj tshuaj pov tseg, thiabcov qhov (ports) uas muab cog rau hauv qhov chawHauv tsab xov xwm no, peb yuav tsom mus rau IV Cannula. Peb yuav tham txog ntau hom, nta, thiab qhov loj me uas muaj nyob rau hauv kev ua lag luam niaj hnub no.
Hom IV Cannula
Cov Cannulas IV yog cov khoom siv kho mob tseem ceeb uas siv rau kev kho mob hauv cov hlab ntsha, kev hloov ntshav, thiab kev muab tshuaj. Lawv muaj ntau hom sib txawv kom haum rau cov kev xav tau ntawm tus neeg mob. Feem ntauhom IV Cannulassuav nrog:
1. Peripheral IV Cannula
Ib lub Peripheral IV cannula yog hom siv ntau tshaj plaws hauv tsev kho mob thiab chaw kho mob. Nws raug ntxig rau hauv cov leeg me me, feem ntau yog hauv caj npab lossis tes. Hom no yog qhov tsim nyog rau kev kho mob luv luv, xws li kev ua kom cov kua dej rov qab zoo, tshuaj tua kab mob, lossis kev tswj qhov mob. Nws yooj yim rau ntxig thiab tshem tawm, ua rau nws zoo tagnrho rau kev siv thaum muaj xwm txheej ceev thiab kev siv niaj hnub.
Cov Nta Tseem Ceeb:
- Ntev luv (feem ntau qis dua 3 nti)
- Siv rau kev nkag mus rau lub sijhawm luv luv (feem ntau tsawg dua ib lub lim tiam)
- Muaj ntau qhov ntau thiab tsawg
- Feem ntau siv rau hauv kev kho mob sab nraud thiab kev kho mob hauv tsev kho mob
Ib lub raj xa dej Central Line IV raug ntxig rau hauv cov hlab ntsha loj, feem ntau yog nyob rau hauv caj dab (cov hlab ntsha jugular sab hauv), hauv siab (cov hlab ntsha subclavian), lossis qhov chaw mos (cov hlab ntsha femoral). Lub hau ntawm lub catheter xaus rau hauv lub vena cava sab saud ze ntawm lub plawv. Cov hlab ntsha Central yog siv rau kev kho mob mus sij hawm ntev, tshwj xeeb tshaj yog thaum xav tau cov kua dej ntau, kev kho mob chemotherapy, lossis kev noj zaub mov tag nrho (TPN).
Cov Nta Tseem Ceeb:
- Siv tau ntev (li ob peb lub lis piam mus txog rau lub hlis)
- Tso cai rau kev tswj hwm cov tshuaj irritant lossis vesicant
- Siv rau kev saib xyuas lub zog ntawm cov hlab ntsha hauv nruab nrab
- Yuav tsum tau siv txoj kev tua kab mob thiab kev taw qhia duab
3. Kaw IV Catheter System
A Lub kaw lus IV catheter kaw, tseem hu ua cannula IV kev nyab xeeb, yog tsim los nrog lub raj txuas ntxiv uas tau txuas ua ntej thiab cov khoom sib txuas tsis muaj koob kom txo qhov kev pheej hmoo ntawm kev kis kab mob thiab kev raug mob ntawm koob. Nws muab lub kaw lus kaw txij li kev ntxig mus rau kev muab cov kua dej, pab tswj kom tsis muaj kab mob thiab txo qhov ua rau muaj kab mob.
Cov Nta Tseem Ceeb:
- Txo cov ntshav thiab kev pheej hmoo ntawm kev kis kab mob
- Kev tiv thaiv koob txhaj tshuaj
- Txhim kho kev nyab xeeb rau cov neeg ua haujlwm kho mob
- Zoo tagnrho rau cov chaw uas muaj cov qauv tswj kev kis kab mob siab
Ib lub catheter Midline yog ib hom khoom siv IV peripheral uas ntxig rau hauv cov leeg ntshav hauv sab caj npab thiab nce mus rau sab saud kom lub hau nyob hauv qab lub xub pwg (tsis ncav cuag cov leeg ntshav hauv nruab nrab). Nws tsim nyog rau kev kho mob nruab nrab-feem ntau yog txij li ib mus rau plaub lub lis piam-thiab feem ntau siv thaum xav tau kev nkag mus rau IV ntau zaus tab sis tsis tas yuav muaj txoj kab hauv nruab nrab.
Cov Nta Tseem Ceeb:
- Qhov ntev yog li ntawm 3 mus rau 8 nti
- Muab ntxig rau hauv cov leeg loj dua (piv txwv li, basilic lossis cephalic)
- Muaj kev pheej hmoo tsawg dua ntawm cov teeb meem dua li cov kab hauv nruab nrab
- Siv rau tshuaj tua kab mob, dej haus thiab qee yam tshuaj
Cov yam ntxwv ntawm cov cannulas intravenous
Cov cannulas txhaj rau hauv cov hlab ntsha tau tsim los nrog ntau yam ntxwv kom ntseeg tau tias tus neeg mob xis nyob thiab muaj kev nyab xeeb thaum lub sijhawm kho mob hauv cov hlab ntsha. Qee qhov tseem ceeb suav nrog:
1. Cov khoom siv rau catheter: Cov cannulas uas txhaj rau hauv cov hlab ntsha yog ua los ntawm cov khoom siv xws li polyurethane lossis silicone. Cov khoom siv no yog biocompatible thiab txo qhov kev pheej hmoo ntawm thrombosis lossis kev kis kab mob.
2. Tsim lub hau catheter: Lub hau cannula tuaj yeem ua tau ntse lossis puag ncig. Lub hau ntse yog siv thaum xav tau tho lub phab ntsa ntawm cov hlab ntsha, thaum lub hau puag ncig yog tsim rau cov hlab ntsha me me kom txo qhov kev pheej hmoo ntawm cov teeb meem ntsig txog kev tho.
3. Muaj Tis lossis Tsis Muaj Tis: Cov cannulas IV tuaj yeem muaj tis txuas rau lub hub kom yooj yim dua rau kev tuav thiab kev ruaj ntseg thaum ntxig.
4. Qhov chaw txhaj tshuaj: Qee cov cannulas hauv cov hlab ntsha muaj qhov chaw txhaj tshuaj. Cov qhov chaw no tso cai rau kev txhaj tshuaj ntxiv yam tsis tau tshem lub catheter.
| Tus lej xim | GAUGER | OD (hli) | NTEV | Tus nqi ntws (ml / feeb) |
| Txiv kab ntxwv | 14G | 2.1 | 45 | 290 |
| Xim av nruab nrab | 16G | 1.7 | 45 | 176 |
| Dawb | 17G | 1.5 | 45 | 130 |
| Ntsuab tob | 18G | 1.3 | 45 | 76 |
| Liab dawb | 20G | 1 | 33 | 54 |
| Xiav tob | 22G | 0.85 | 25 | 31 |
| Xim daj | 24G | 0.7 | 19 | 14 |
| Xim av | 26G | 0.6 | 19 | 13 |
16 Gauge: Qhov loj no feem ntau siv rau hauv ICU lossis thaj chaw phais. Qhov loj no ua rau muaj ntau yam txheej txheem sib txawv, xws li kev muab ntshav, kev muab dej sai, thiab lwm yam.
18 Gauge: Qhov loj no tso cai rau koj ua feem ntau cov haujlwm uas 16 gauge ua tau, tab sis nws loj thiab mob dua rau tus neeg mob. Qee qhov kev siv feem ntau suav nrog kev muab ntshav, thawb cov kua dej sai sai, thiab lwm yam. Koj tuaj yeem siv qhov no rau CT PE Protocols lossis lwm yam kev kuaj mob uas xav tau cov IV loj.
20 Gauge: Tej zaum koj yuav muaj peev xwm thawb cov ntshav hla qhov loj no yog tias koj siv tsis tau 18 gauge, tab sis ib txwm xyuas koj tus thawj coj cov txheej txheem. Qhov loj no zoo dua rau cov neeg mob uas muaj cov leeg me dua.
22 Gauge: Qhov me me no zoo rau thaum tus neeg mob tsis xav tau IV ntev thiab tsis mob hnyav. Feem ntau koj tsis tuaj yeem muab ntshav vim nws me me, txawm li cas los xij, qee cov txheej txheem hauv tsev kho mob tso cai rau kev siv 22 G yog tias tsim nyog.
24 Gauge: Qhov loj me no yog siv rau cov menyuam yaus thiab feem ntau tsuas yog siv ua qhov chaw kawg ua IV hauv cov neeg laus.
Xaus Lus
Cov cannula txhaj rau hauv cov hlab ntsha yog ib yam khoom siv kho mob uas tseem ceeb heev rau ntau yam kev phais mob. Shanghai TeamStand Corporation yog ib lub tuam txhab muab khoom siv kho mob thiab chaw tsim khoom, muab ntau yam cannula txhaj rau hauv cov hlab ntsha zoo thiab lwm yam khoom. Thaum xaiv IV cannula, nws yog ib qho tseem ceeb uas yuav tsum xav txog ntau hom, yam ntxwv, thiab qhov loj me uas muaj. Cov hom tseem ceeb yog peripheral venous cannula, central venous catheters, thiab midline catheters. Cov yam ntxwv xws li cov khoom siv catheter, kev tsim cov taub hau, thiab qhov muaj tis lossis qhov chaw txhaj tshuaj yuav tsum tau xav txog. Tsis tas li ntawd, qhov loj me ntawm cov cannula txhaj rau hauv cov hlab ntsha (qhia los ntawm qhov ntsuas ntawm lub 'meter') sib txawv nyob ntawm qhov kev kho mob tshwj xeeb. Kev xaiv cov cannula txhaj rau hauv cov hlab ntsha uas tsim nyog rau txhua tus neeg mob yog qhov tseem ceeb rau kev ua kom muaj kev nyab xeeb thiab ua haujlwm tau zoo hauv cov hlab ntsha.
Lub sijhawm tshaj tawm: Kaum Ib Hlis-01-2023