ʻO ke kī i ka anesthesia a me ka ICU ka nānā ʻana i ka hohonu o ka anesthesia. Pehea e hiki ai iā mākou ke hoʻokō i ka nānā ʻana i ka hohonu o ka anesthesia kūpono? Ma waho aʻe o ka pono no kahi anesthesiologist akamai, pono e ʻoi aku ka ikaika o kahi mea nānā hohonu anesthesiologist a me ka sensor EEG non-invasive hoʻolei ʻia i hoʻohana ʻia me ka mea nānā anesthesia.
Nā mea ʻike EEG ʻaʻole invasive hiki ke hoʻolei ʻia
Ua ʻike mākou ʻo ka hohonu o ka anesthesia ke kekelē i kāohi ʻia ai ke kino e ka hui pū ʻana o ka anesthesia a me ka hoʻoulu ʻana ma ke kino. I ka piʻi ʻana a me ka emi ʻana o ka ikaika o ka anesthesia a me ka hoʻoulu ʻana, loli like ka hohonu o ka anesthesia.
ʻO ka nānā ʻana i ka hohonu o ka anesthesia he mea hopohopo mau ia no nā anesthesiologists. ʻO ka pāpaʻu loa a i ʻole ka hohonu loa e hōʻeha kino a noʻonoʻo paha i nā maʻi. He mea nui ka mālama ʻana i ka hohonu kūpono o ka anesthesia e hōʻoia i ka palekana o ka mea maʻi a hāʻawi i nā kūlana ʻoki kino maikaʻi.
Ua hōʻike ʻia he pilina maikaʻi ko BIS me ka nui o ka hapa nui o nā lāʻau anesthetic, no laila no ke alakaʻi ʻana i ka dosage lāʻau anesthetic intraoperative, ka hoʻohana ʻana i ka nānā ʻana o BIS, e like me nā hopena nānā ʻana e alakaʻi i ka hoʻohana ʻana i nā lāʻau anesthetic, hiki ke mālama maikaʻi i ka hohonu o ka anesthesia a pāʻani i kahi hopena anesthetic maikaʻi.
Me ka hoʻomohala ʻana o ka ʻenehana nānā ʻana i ka EEG i nā makahiki i hala iho nei, ua lilo ʻo BIS (bispectralindex) i ʻano hana i ʻike ʻia no ka nānā pono ʻana i ke kūlana o ka hana cortex cerebral a me nā loli, a hiki ke hoʻohana ʻia ma ke ʻano he ʻano nānā hohonu anesthesia maʻamau a hilinaʻi hoʻi i ka hana lapaʻau.
E pili ana iā BIS
ʻO BIS kahi waiwai helu i loaʻa mai kahi moʻolelo EEG pālua-alapine o ka hopena o nā lāʻau anesthetic like ʻole i loko o kahi hāpana nui. Ua loaʻa kēia ʻikepili mai kahi hāpana nui o nā kumuhana e loaʻa ana i nā lāʻau anesthesia pālua i hoʻokomo ʻia me nā moʻolelo EEG pālua-alapine, a ʻo ke kūlana o ka ʻike, ka pae hoʻomaha, a me nā EEG i hoʻopaʻa ʻia a pau i hana i kahi waihona ʻikepili. A laila, ma muli o ka electroencephalogram (EEG) frequency spectrum a me ka mana spectrum, ua hoʻohui ʻia ka helu o nā ʻike i hui pū ʻia i loaʻa mai ka loiloi nonlinear o ka pae a me nā harmonics.
ʻO BIS wale nō ka papa kuhikuhi nānā ʻana i ka hoʻomaha ʻana o ka anesthesia i ʻāpono ʻia e ka US FDA, hiki ke nānā maikaʻi i ke kūlana o ka hana cortical cerebral a me nā loli, loaʻa iā ia kekahi ʻano naʻau e wānana i ka neʻe ʻana o ke kino, ka ʻike intraoperative, a me ka nalowale a me ka hoʻōla ʻana o ka ʻike, a hiki ke hōʻemi i nā lāʻau anesthetic. ʻO ka dosage kahi ala pololei loa no ka hoʻoholo ʻana i ka pae hoʻomaha a me ka nānā ʻana i ka hohonu o ka anesthesia e ka EEG.
Papa kuhikuhi nānā ʻana o BIS
ʻO ka waiwai BIS 100, kūlana ala; ʻO ka waiwai BIS 0, ʻaʻohe hana EEG (kaohi ʻana o ka cerebral cortex), (kaohi ʻana o ka cerebral cortex). Manaʻo ʻia ka waiwai BIS he maʻamau ma waena o 85 a me 100. 65~85 he mau mea hoʻomaha; 40~65 he anesthesia. <40 Hiki ke hōʻike i ka pahū ʻana o ka pahū.
I mea e nānā ai i ka hohonu pololei a kūpono o ka anesthesia i nā manawa koʻikoʻi, pono e hoʻohana pono ʻia ka sensor eeg non-invasive hoʻokahi i hoʻohana ʻia me ka nānā ʻana i ka hohonu anesthesia, i hiki ke hōʻike pololei ʻia ka helu o nā hōʻailona ma kekahi mokuʻāina.
ʻO Shenzhen Med-link Electronics Tech Co., Ltd (i kapa ʻia ma hope aku ʻo Med-linket) he 15 mau makahiki o ka ʻike noiʻi i nā ʻākoakoa kaula lapaʻau. Ma hope o nā makahiki o ka hōʻoia lapaʻau, ua hoʻomohala kūʻokoʻa mākou i kahi sensor EEG non-invasive hoʻolei ʻia, kahi kūpono me nā monitor hohonu anesthesia branded me nā modula BIS e like me Mindray lāua ʻo Philips. He ʻike ke ana, pololei ka waiwai, a ikaika ka hiki ke kūʻē i ke komo ʻana. Kōkua ia i ka anesthesiologist e nānā pono i ka mea maʻi ʻike ʻole a hāʻawi i nā ana hoʻomalu a me nā ana lapaʻau i ka manawa e like me ke kūlana nānā.
Nā mea ʻike EEG ʻaʻole invasive hiki ke hoʻolei ʻia
Hoʻohana ka mea ʻike EEG non-invasive hoʻolei ʻo Med-linket i ka glue conductive i lawe ʻia mai, ka impedance haʻahaʻa a me ka viscosity maikaʻi; ua hala ia i ka palapala hōʻoia hoʻopaʻa inoa mea lapaʻau aupuni; ua hala i ka hoʻāʻo biocompatibility, ʻaʻohe cytotoxicity, ka huhū ʻili a me nā hopena allergic, hiki ke hoʻohana palekana ʻia. Ua ʻike ʻia a makemake ʻia e nā anesthesiologists ʻoihana ma ka home a ma waho. Ua noho maikaʻi ʻo ia ma nā ʻoihana lapaʻau mana haole a me kekahi mau haukapila kaulana i loko o ka home e kōkua i ka anesthesia a me ka mālama nui ICU e nānā pono i ka hohonu o nā ʻōkuhi anesthesia.
E koho i ka mea ʻike EEG ʻole-invasive Med-linket, e kuhikuhi i ka maikaʻi ʻoihana Med-linket, 15 mau makahiki o ka mahiʻai nui, i lalo i ka honua, me nā ʻāpana uwea lapaʻau waiwai kūpono, e kōkua i nā lama kūloko e uhaʻi.
*Hōʻike: ʻO nā hōʻailona kālepa i hoʻopaʻa inoa ʻia, nā inoa, nā hiʻohiʻona, a me nā mea ʻē aʻe i hōʻike ʻia ma luna nei no ka mea nona mua a i ʻole ka mea hana mua. Hoʻohana wale ʻia kēia ʻatikala e hōʻike i ka kūlike o nā huahana Med-Linket. ʻAʻohe manaʻo ʻē aʻe! ʻO nā ʻike a pau i luna nei no ka ʻike wale nō, a ʻaʻole pono e hoʻohana ʻia ma ke ʻano he alakaʻi no ka hana a nā ʻoihana lapaʻau a i ʻole nā ʻāpana pili. A i ʻole, ʻaʻohe hopena i hana ʻia e kēia hui me kēia hui.
Ka manawa hoʻouna: Dec-06-2019


