Kukosha kwevarwere kuchengetedzeka - Dambudziko rakakura mumushonga neanesthesia

Muna 2018, Dr David Whitaker nezve kukosha kwekuvhiyiwa kwepasirese uye mupiro weanesthesia pane kuchengetedzeka kwevarwere

 

Anesthesia: Unogona here kupa zvishoma kumashure nezve izvo zvaunoita uye kuti zvine chekuita sei nevarwere kuchengetedzeka nemishonga?

David Whitaker: “Ndichangobva pamudyandigere kubva pakuitwa zvekuchipatara asi ndaive chiremba anoverengera muviri kweanopfuura makore makumi mana achinyatsoita chirwere chekurwadziwa nemoyo uye kutarisirwa zvakanyanya, uye ndakamisazve uye ndikamhanyisa basa rekurwadziwa zvakanyanya. Munguva pfupi yapfuura paPatient Safety Movement Summit vaipinda vaitaura pamusoro pekuti vakapinda sei mukuchengetedzwa kwevarwere uye kune vamwe vanhu, pakave nechiitiko chakati, dzimwe nguva chakabatana nemhuri yavo, asi ini ndakangoona zviitiko zvakati wandei makore uko ini kufunga zvinhu zvaigona kunge zvakaitwa zvirinani. Pandakasarudzwa kuenda kuAAGBI Council, iyo yaive iine nzira refu mukuchengeteka kwevarwere, vakakurukura okisijeni humburumbira mavara pamusangano wavo wekutanga kare 40, paive nevamwe vakura vakuru vanopa mazano ipapo vaive nehunyanzvi hwekuvandudza kuchengetedzeka kwevarwere uye kusimudzira tsika, saka ndakawedzera kubatanidzwa. ”

 

Ndeapi mapurojekiti auri kushanda nawo panguva ino?

DW: “Parizvino ndini Chigaro wekuEurope bhodhi yeAnaesthesiology (EBA) (UEMS) Patient Safety Committee uye muna 2010 ndakava nemufaro wekubatsira kudhirowa Helsinki Declaration pamusoro pePatient Safety muAnaesthesiology, iyo inovhara zvese zvekuchengetedzwa kwevarwere kwete kungochengetedzeka kwemishonga. Chiziviso cheHelsinki parizvino chakasainwa nemasangano anopfuura mazana maviri ane chekuita neanesthesia pasi rese uye basa ririkuenderera mberi nekusimudzira kuita kwayo kwakakura.

Zvakare nekuve paEBA Patient Safety Committee, ini ndaimbove nhengo yeWFSA's Safety & Quality Committee kwemakore masere uye ndakawana mukana wekutarisa kumashure nekuona shanduko dzakaitika makore apfuura. Kuongorora kwaita musiyano mukuru mukuvandudza mhedzisiro yevarwere kubva kuma8, asi ini ikozvino ndaona kuchengetedzwa kwemishonga sedambudziko guru rinotevera reanesthesia.

Imwe yematambudziko akakosha ichiri kushandisa ma ampoules emishonga padyo nekugadzirira kwevarwere majekiseni. Izvi zvinonetsa nekuti izere nezvingaitika zvevanhu zvikanganiso, saka mhinduro yakanakisa ndeyekubvisa kushandiswa kwema ampoules uye kuve nemishonga yedu yese yeanesthesia mumajekiseni akafanirwa. Anesthesia yasara kumashure mukuvandudza kwepasirese neine chete 4% yemishonga IV inoshandiswa muanesthesia inopihwa muPFS ichienzaniswa neinopfuura 36% mune isiri-yakaoma chikamu. Kunyangwe iyo Royal Pharmaceutical Society yave kutaura kuti mishonga yeanesthesia inofanirwa kuunzwa seyakagadzirira kupa pese pazvinogoneka. Zviri kuitika muUSA izvozvi neinopfuura chiuru cheanesthesia madhipatimendi achishandisa majekiseni akafanirwa. Izvo zvinonyanya kushanda kune akakwirira nyika zviwanikwa, asi kunyangwe zvikafanana kune yakaderera zviwanikwa nyika mubvunzo unonyanya kufadza. Mishonga inodhura yeHIV yave kupihwa zvakanyanya kumashure kwesimba rezvematongerwo enyika. Zvigadzirwa zvePFS zvakare zvinodzivirira kusvibiswa kunogona kuve kunogona kuve nekukosha kwakakura mumamiriro ezvinhu uko kushomeka kwenzira kunogona kunetsa kuwana. Mamirioni ePFS ane majekiseni akatoshandiswa mune aya mamiriro.

Imwe nzvimbo yandinoshandira kurongeka kwakamisikidzwa kweanesthesia yekushandira chiteshi / trolleys yemishonga ine nzvimbo dzakananga kune yega mushonga / sirinji. Kumisikidza chishandiso chikuru chekuchengetedza uye kune humwezve hunobetsera apo vanachiremba vezvekutindivadza vanoshanda muzvikwata, kana kutora mhaka, nehumbowo hwekuti zvinoderedza zvimwe zvikanganiso zvemushonga zvinotaurwa. "

Ndeapi iwe aunofunga ndeapi makuru matambudziko eanesthesia pane murwere kuchengetedzeka parizvino (zvese UK uye nyika dzakaderera zviwanikwa)?

DW: “Kuchengetedzwa kwemishonga ndicho chinetso chikuru kunyika dzine zviwanikwa zvikuru. Izvi zvakagamuchirwa neWorld Health Organisation (WHO) iyo yakaparura yavo yeTatu Global Patient Safety Dambudziko, Mishonga isina Kukuvadza, nechinangwa ndechekuderedza iyo iatrogenic mishonga yekukuvara ne50% mumakore mashanu. Zvinetso zvakapfuura zvave zviri pakugeza mawoko uye kuongorora kwakachengeteka kwekuvhiya, uko kwakachinja maitiro epasirese kwakabatsira zvikuru. ”

SOURCE

WFSA Blog

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