ʻO ke koʻikoʻi o ka palekana o nā mea maʻi - ka pahuhopu nui loa i ka lāʻau a me ka anesthesia

I ka makahiki 2018, ʻo Dr David Whitaker e pili ana i ke koʻikoʻi o ka ʻoki kino honua a me ka hāʻawi anesthesia no ka palekana o nā maʻi

 

Anesthesia: hiki iā ʻoe ke hāʻawi i kahi ʻano o ka hope e pili ana i kāu hana a pehea e pili ai i ka palekana o nā maʻi a me nā lāʻau?

David Whitaker: "Ua haʻalele au i kēia manawa mai ka hana lapaʻau akā he anesthetist wau ma kahi o 40 mau makahiki i loea i ka anesthesia cardiac a me ka mālama nui ʻana, a ua hoʻonohonoho pū kekahi wau a holo i kahi lawelawe ʻehaʻeha. I kēia mau lā ma ke Keʻena Pahu Haʻalele Haumāna e kamaʻilio ana e pili ana pehea lākou i komo ai i ka palekana hoʻomanawanui a no kekahi poʻe, aia kekahi hanana kūikawā, pili i kekahi manawa i ko lākou ʻohana ponoʻī, akā ʻike wale wau i kekahi mau hanana i nā makahiki kahi aʻu i ua manaʻo ʻia ua hiki ke hana maikaʻi ʻia nā mea. I ke koho ʻia ʻana i ka AAGBI Council, kahi i lōʻihi loa ke ala o ka palekana hoʻomanawanui, ua kūkākūkā lākou i nā kala o ka ʻāpana oxygen ma kā lākou hui mua ʻana a hiki i ka makahiki 1932, aia kekahi mau kumu aʻo maikaʻi loa ma laila i mākaukau loa no ka hoʻomaikaʻi ʻana i ka palekana ahonui a me ke hāpai nei i nā kūlana, no laila ua lilo wau i mea nui a nui aku. ”

 

He aha nā papahana kikoʻī āu e hana nei i kēia manawa?

DW: “ʻO wau i kēia manawa ka E noho luna o ka Europa Papa o Anaesthesiology (EBA) (UEMS) Kōmike Palekana maʻi a ma 2010 ua hauʻoli au i ke kōkua ʻana i ke kākau ʻana i ka Helsinki Declaration on Patient Safety in Anaesthesiology, e uhi ana i nā ʻano āpau o ka palekana maʻi ʻaʻole wale ka palekana lāʻau. Ua hoʻopaʻa inoa ʻia ka Helsinki Declaration e ʻoi aku ma mua o 200 mau hui e pili ana i ka anesthesia ma ka honua holoʻokoʻa a ke hoʻomau nei ka hana e hāpai i kāna hoʻokō ākea.

A ʻo wau pū kekahi ma ke Kōmike palekana EBA Patient, he lālā wau no ka WFSA's Safety & Quality Committee no 8 mau makahiki a ua loaʻa iaʻu ka pōmaikaʻi o ka nānā ʻana i hope a ʻike i nā loli i hana ʻia i loko o nā makahiki. Ua hana ka nānā ʻana i kahi ʻokoʻa nui i ka hoʻomaikaʻi ʻana i nā hopena o ka mea maʻi mai ka makahiki 1980, akā ʻike wau i kēia manawa ka palekana o ka lāʻau i ke kūpikipiki nui hou aʻe no ka anesthesia.

ʻO kekahi o nā pilikia nui ke hoʻohana mau nei i nā ampoule lāʻau no kahi kokoke i ka hoʻomākaukau hoʻomanawanui o nā injection. He pilikia kēia no ka mea piha i nā hewa kuhihewa kanaka, no laila ʻo ka hopena ʻoi loa e hoʻopau me ka hoʻohana ʻana o ampoules a loaʻa i kā mākou lāʻau anesthesia āpau i nā syringes mua. Ua waiho ʻia ʻo Anesthesia ma kēia hoʻolālā honua me 4% wale nō o nā lāʻau IV i hoʻohana ʻia i ka anesthesia i hoʻolako ʻia i ka PFS i hoʻohālikelike ʻia ma mua o 36% i ka ʻāpana non-koʻikoʻi. ʻOiai ke ʻōlelo mai nei ka Royal Pharmaceity Society e pono e hōʻike ʻia nā lāʻau anesthesia i mākaukau e lawelawe i nā manawa hiki. Ke hana nei ia ma USA i kēia manawa me nā ʻoihana anesthesia he 1,000 me ka hoʻohana ʻana i nā syringes i hoʻopihapiha ʻia. Pili loa ia i nā ʻāina waiwai kiʻekiʻe, akā inā like ia no nā ʻāina kumuwaiwai he nīnau hoihoi loa ia. Hoʻolako nui ʻia nā lāʻau lapaʻau HIV ma ke kua o ka ikaika politika. Pale pū nā huahana PFS i ka haumia kūpono i ʻoi aku paha ka waiwai i nā hoʻonohonoho kahi e ʻoi aku ai ka paʻakikī o ka hoʻokō ʻana i ke kaʻina hana. Hoʻohana ʻia nā miliona o PFS i loaʻa nā lāʻau āpau i kēia ʻano.

ʻO kahi ʻē aʻe aʻu e hana nei kahi hoʻonohonoho maʻamau no nā wahi hana anesthesia / trolleys lāʻau me nā wahi kikoʻī no kēlā me kēia lāʻau / syringe. ʻO ke kūlana maʻamau ka palekana pono a he waiwai hou aʻe ke hana nā anesthetist i nā kime, a i ʻole lawe i nā hihia, me nā hōʻike e hoʻemi ana i kekahi o nā hewa o nā lāʻau i hōʻike ʻia. "

He aha kou manaʻo i nā pilikia nui loa o ka anesthesia no ka palekana o ka mea maʻi i kēia manawa (ʻo UK a me nā ʻāina haʻahaʻa).

DW: "ʻO ka palekana olakino ka hoʻopiʻi nui loa no nā ʻāina waiwai kiʻekiʻe. Ua ʻae ʻia kēia e ka World Health Organization (WHO) nāna i hoʻōla i kā lākou Pilikia Pilikia Pilikia Pilikia ʻekolu, ka lāʻau lapaʻau me ka ʻole o Harm, me kahi pahuhopu e hōʻemi i ka nui o ka lāʻau iatrogenic 50% i nā makahiki ʻelima. ʻO nā pilikia ma mua e pili ana i ka holoi lima ʻana a me ka papa inoa palekana o ke kaha, ʻo ia ka mea i hoʻololi i ka hana ma ka honua holoʻokoʻa i hopena nui.

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