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I-CPR Eyenziwe Ukuqonda, Into ebalulekileyo ekufuneka uyiqaphele

By UCristiano Antonino On Ngamana 30, 2022

Ukuqonda okubangelwa yi-CPR, ukuvuselelwa kwe-cardiopulmonary, yinto eyenzekayo apho umhlanguli kufuneka aqaphele kwaye ephakamisa imibuzo malunga neenkqubo eziza kulandelwa.

IZIXHOBO ECG? NDWENDWELA KWI-ZOLL BOOTH KWIMIBONISO ENGXAMISEKILEYO

I-CPR-induced consciousness: indlela yokujongana nesigulane esenza ukunyakaza ngenjongo?

Ukulandela i-cardiopulmonary resuscitation maneuvre, isigulane esingekho zingqondweni sinokuthi siqaphele kwaye senze ukunyakaza ngenjongo.

Ezi ntshukumo, mhlawumbi zixhomekeke kwinkxalabo kunye nokudideka kwesigulana esincediswayo, kunokuthintela imisebenzi yokuhlangula, okanye konakalise izixhobo zonyango, ezifana ne-endotracheal tube okanye inaliti efakwe emthanjeni.

Ngexesha le misebenzi yokuvuselela, i iigulane abasebenzi ke ngoko bayacelwa ukuba babuze oku kubuyela ezingqondweni, kwaye bathathe amanyathelo okuthintela ukukhusela isigulana kunye nomsebenzi wokuhlangula oqhubekayo.

Ngaba ke ngoko kuyimfuneko ukunqanda ngokomzimba umguli?

UKUTSHINTSHWA KWE-CARDIOPULOTE KUNYE NOKUVUSELELWA KWEZIBOPHELELE? NDWENDWELA EMD112 BOOTH KWIMBONAKALO YONXAKEKO NGOKU UKUFUNDA OKUNGAKUMBI

Ukuqonda okubangelwa yiCPR yinto enqabileyo, apho kubalulekile ukuba uqaphele

Ngoxinzelelo olukumgangatho ophezulu, ukuhamba kwegazi okwaneleyo ebuchotsheni kunokuveliswa ngokwethiyori ukuphembelela iimeko ezahlukeneyo zengqondo.

Oku kunokubonakaliswa ngokuvuleka kwamehlo okuzenzekelayo, ithoni entsha yomhlathi, intetho okanye iintshukumo ezizenzekelayo zomzimba neziphela.1,2

Iziganeko zale ngqondo ziphinde zaqikelelwa kwi-0.7% kwi-pre-hospital registry study egqitywe ngo-2014.2

Kwakhona kuye kwaphawulwa ukuba i-CPR-induced consciousness inxulunyaniswa nokuphuculwa kokusinda kunye nokuba inani lamatyala arekhodiweyo liye landa kwisithuba sokufunda seminyaka emithandathu.

IZOLUHLI, IZIXHOBO ZEMIPHUMVA, IZIHLALO ZOKUPHUMA: IIMVELISO ZESPENSER KWI-DOUBLE BOOTH KWI-EXPO EXPO.

Okwangoku, ulawulo lwe-CPR-induced consciousness aluchazwanga kakuhle

Iingxelo zongenelelo lwamaxwebhu ukusuka ekungangeneleliyo, imiyalelo yomlomo, ukuthintela ngokomzimba, ukukhawulwa kweekhemikhali (kubandakanywa ne-ketamine, i-benzodiazepines, i-opioids, i-relaxation muscle) okanye ukudibanisa izicwangciso.1-3

Ukuza kuthi ga ngoku, isampula esilinganiselweyo sezigulane siye safumana ukungenelela kokuvuselela. 1-3

Ukuza kuthi ga ngoku, ubungakanani besampulu elinganiselweyo kuphononongo olukhulu lokuqwalasela kuphela luthintele naluphi na unxulumano olubalulekileyo phakathi kokukhethwa kwearhente yeekhemikhali kunye neziphumo zokusinda.

Nangona kunjalo, ngokwembono ebonakalayo, kufuneka kuthathelwe ingqalelo ekhethekileyo ngaphambi kokuba kusetyenziswe i-opioids okanye i-benzodiazepines, kunikwe amandla abo okubangela i-hypotension.

Ngokufanayo, abantu abakhubazekileyo banomngcipheko 'wokukhubazeka ngelixa besazi', nto leyo efuna ukuqwalaselwa ngakumbi kwezonyango.

Kwi-2016, ileta evela kwi-Ofisi ye-EMS yaseNebraska yabelana ngeprotocol ye-prehospital ye-CPR-induced consciousness.

Iprotocol yaqalwa emva kokunyuka kwamatyala achaziweyo, ngokucacileyo emva kokuqaliswa kwe-CPR ye-prehospital mechanical.

Iprothokholi ichaza ukuba unyango lomgca wokuqala luxube lwe-ketamine IV okanye i-IM kunye nokulawulwa ngokubambisana okunokwenzeka kwe-midazolam IV okanye i-IM.3

Uphando olongezelelweyo luyafuneka ukuhlola eyona rejimeni yeyeza.

Ucaphulo

U-Olaussen A, uMalusi M, uNehme Z, et al. Ukubuya kwengqondo ngexesha lokuvuselela i-cardiopulmonary: ukuphononongwa ngokuchanekileyo. Ukuvuselela. Jan 2015;86:44-48.

Olaussen A, Nehme Z, Shepherd M, et al. Ukunyanzeliswa kwengqondo ngexesha lokuvuselela i-cardiopulmonary: isifundo sokuqwalasela. Ukuvuselela. Epreli 2017;113:44-50.

Ilayisi DT, Nudell NG, Habrat DA, et al. I-CPR-induced consciousness: Ixesha leeprotocol ze-sedation kolu luntu lukhulayo. Ukuvuselela. Jun 2016;103:e15-e16.