Capnograph chishandiso chakakosha chekurapa chinoshandiswa zvakanyanya kuongorora hutano hwekufema. Chinoyera huwandu hweCO₂ mumhepo inobuda uye chinowanzozivikanwa semonitor yeCO₂ (EtCO2) yekupedzisira-mafashamo.Mudziyo uyu unopa zviyero zvenguva chaiyo pamwe chete nemifananidzo yewaveform displays (capnograms), zvichipa ruzivo rwakakosha nezvemamiriro ekufema kwemurwere.
Capnography Inoshanda Sei?
Heino mashandiro ayo mumuviri: okisijeni inopinda muropa kuburikidza nemapapu uye inotsigira mashandiro emuviri. Semhedzisiro yemetabolism, kabhoni dhayokisaidhi inogadzirwa, yotakurwa kudzokera kumapapu, yozoburitswa. Kuyera huwandu hweCO₂ mumhepo inoburitswa kunopa ruzivo rwakakosha nezve mashandiro ekufema uye metabolic emurwere.
Kuti Capnograph Inoyera sei CO2？
Chinoongorora mweya unobuda nekushandisa chinoratidza kumanikidzwa kweCO₂ muchimiro chewaveform pagridi ye x- ne y-axis. Chinoratidza ma waveforms uye zviyero zvenhamba. Kuverengwa kweCO₂ (EtCO₂) kwakajairika kunowanzova pakati pe35 ne45mmHg. Kana EtCO₂ yemurwere2inowira pasi pe30 mmHg, zvinogona kuratidza matambudziko akadai sekutadza kushanda zvakanaka kwechubhu ye endotracheal kana mamwe matambudziko ehutano anokanganisa kudyiwa kweokisijeni.
Nzira mbiri huru dzekuyera gasi rinobuda mweya
Kuongororwa kweEtCO2 Yakanyanya
Munzira iyi, adapta yemhepo ine kamuri rekuenzanisa rekutora sampu inoiswa zvakananga mumhepo iri pakati pedunhu rekufema nechubhu ye endotracheal.
Sidestream EtCO2Monitoring
Sensor iri mukati mechikamu chikuru, kure nemhepo inofema. Pombi diki inogara ichidurura masampuli egasi anoburitswa kubva kumurwere kuburikidza nemutsara wesampuro kuenda kuchikamu chikuru. Mutsetse wesampuro unogona kubatanidzwa neT-piece iri pachubhu ye endotracheal, adapter yeanesthesia mask, kana zvakananga kugomba remhino kuburikidza necannula yesampuro yemhino ine adapta dzemhino.
Kunewo mhando mbiri huru dzemamonitor.
Imwe yacho iEtCO₂ capnograph inotakurika, iyo inotarisa chete pakuyera uku.
Imwe module yeEtCO₂ yakabatanidzwa mu multiparameter monitor, iyo inogona kuyera ma parameter akawanda evarwere panguva imwe chete. Ma monitor ari padivi pemubhedha, michina yemukamuri rekuvhiyira, uye EMS defibrillators zvinowanzo sanganisira kugona kweEtCO₂ kuyerwa.
Chiivari Mashandisirwo eCapnograph muKliniki?
- Mhinduro Yekukurumidzira: Kana murwere ari kusangana nekumira kwekufema kana kumira kwemoyo, EtCO2 kutarisa kunobatsira vashandi vekurapa kukurumidza kuongorora mamiriro ekufema emurwere.
- Kuramba Uchitarisa: Kune varwere vanorwara zvakanyanya vari panjodzi yekukanganisika kwekufema kamwe kamwe, kutarisa kweCO₂ kunoitika nguva dzose kunopa ruzivo rwechokwadi rwekuona nekupindura shanduko nekukurumidza.
- Maitiro Ekunyaradza: Ingava kuvhiyiwa kudiki kana kukuru, kana murwere apiwa mushonga wekuzorora, kutarisa kweEtCO2 kunoita kuti murwere agare achifema zvakanaka panguva yese yekurapwa.
- Kuongorora Basa reMapupa: Kune varwere vane zvirwere zvisingaperi zvakaita sesleep apnea uye chronic obstructive pulmonary disease (COPD), macapnograph anobatsira pakuongorora mashandiro emapapu avo.
Sei Kutarisa kweEtCO₂ Kuchionekwa seMutengo weKutarisira?
Capnography yava kuzivikanwa zvakanyanya senzira yakanakisisa yekurapa munzvimbo dzakawanda dzekiriniki. Masangano makuru ekurapa nemasangano anotonga nyaya—akadai seAmerican Heart Association (AHA) neAmerican Academy of Pediatrics (AAP)—akabatanidza capnography munhungamiro dzavo dzekiriniki uye mazano. Kazhinji, inoonekwa sechinhu chakakosha chekutarisa varwere uye kutarisirwa kwekufema.
Nhungamiro dzeAmerican Heart Association (AHA) dzeKudzorerwa kweMwoyo neMapupa (CPR) uye Kutarisirwa kweMwoyo neMapupa eEmergency (ECC) yeVarwere veVana neVacheche: Nhungamiro dzeKudzorerwa kweMwoyo neMapupa
Chikamu 8: Rutsigiro rweHupenyu hweMwoyo neMwoyo yeVakuru
8.1: Zvimwe Zvekushandisa Pakudzora Nzira Dzemhepo Nekufemesa
Nzira Dzepamusoro Dzemumhepo - Kupinda Mudumbu muEndotracheal Kupinda mudumbu mudumbu mudumbu muEndotracheal kunokurudzirwa kuwedzera pakuongororwa kwekiriniki senzira yakavimbika yekusimbisa nekutarisa kuiswa kwechubhu yemudumbu mudumbu (Kirasi I, LOE A). Vanachiremba vanofanira kuona kuti chubhu yemudumbu inogara ichishandiswa nemhepo inofefetera kuti vasimbise uye vatarise kuiswa kwechubhu yemudumbu mudumbu, mumotokari yekufambisa, pavanosvika kuchipatara, uye mushure mekutamiswa kwemurwere kuti vaderedze njodzi yekusaonekwa kwechubhu kana kusuduruka kwayo. Kufefetera kwakanaka kuburikidza nemudziyo wemhepo unoshanda kunofanira kukonzera kuti chubhu yemudumbu iite wave panguva yeCPR uye mushure meROSC (S733).
Kutarisa kweEtCO2 vs SpO2Kutarisa
Zvichienzaniswa ne pulse oximetry (SpO₂),EtCO2Kutarisa kunopa mabhenefiti akasiyana. Nekuti EtCO₂ inopa ruzivo rwechokwadi nezvekufema kwemuchadenga, inokurumidza kupindura kune shanduko dzemamiriro ekufema. Kana paine dambudziko rekufema, huwandu hweEtCO₂ hunochinja-chinja nekukurumidza, nepo kudonha kweSpO₂ kunogona kunonoka nemasekondi akati wandei kusvika kumaminitsi. Kutarisa nguva dzose kweEtCO2 kunogonesa vanachiremba kuona kudzikira kwekufema nekukurumidza, zvichipa nguva yakakosha yekupindira panguva yakakodzera usati wawedzera okisijeni.
Kutarisa kweEtCO2
Kutarisa EtCO2 kunopa kuongororwa kwenguva chaiyo kwekutsinhana kwemagasi ekufema uye kufefetera kwealveolar. Mazinga eEtCO2 anokurumidza kupindura kune zvisina kunaka zvekufema uye haanyanyi kukanganiswa zvakanyanya neokisijeni yekuwedzera. Senzira yekutarisa isingapindi, EtCO2 inoshandiswa zvakanyanya munzvimbo dzakasiyana dzekiriniki.
Kutarisa Pulse Oximetry
Kutarisa kwePulse Oximetry (SpO₂)inoshandisa sensor yeminwe isingapindi muropa kuyera huwandu hweokisijeni muropa, zvichiita kuti zvionekwe zvakanaka kana paine hypoxemia. Nzira iyi iri nyore kushandisa uye yakakodzera kugara ichitarisa varwere vasiri kurwara zvakanyanya pamubhedha.
| Kushandiswa kweKliniki | SpO₂ | EtCO2 | |
| Muchina wekufema | Kupinza chubhu ye endotracheal mudumbu | Zvishoma nezvishoma | Kukurumidza |
| Kupinza machubhu emukati mebronchi | Zvishoma nezvishoma | Kukurumidza | |
| Kumira kwekufema kana kubatana kwakasununguka | Zvishoma nezvishoma | Kukurumidza | |
| Kuderedza kufema kweropa | x | Kukurumidza | |
| Kufema kwakanyanya | x | Kukurumidza | |
| Kuderera kwekufamba kweokisijeni | Kukurumidza | Zvishoma nezvishoma | |
| Muchina weAnesthesia | Kupera simba reSoda lime/kufemazve | Zvishoma nezvishoma | Kukurumidza |
| Murwere | Okisijeni isina kufemerwa zvakanyanya | Kukurumidza | Zvishoma nezvishoma |
| Shunt yemukati memapapu | Kukurumidza | Zvishoma nezvishoma | |
| Kubatanidzwa kwemapapu | x | Kukurumidza | |
| Kupisa kwakanyanya kwemuviri | Kukurumidza | Kukurumidza | |
| Kusungwa kweropa | Kukurumidza | Kukurumidza |
Maitiro Ekusarudza Zvishongedzo zveCO₂ uye Zvinoshandiswa？
North America ndiyo iri kutonga pamusika pari zvino, ichitora chikamu chinosvika 40% yemari inowanikwa pasi rose, ukuwo dunhu reAsia-Pacific richitarisirwa kunyoresa kukura kwakakurumidza, neCAGR inofungidzirwa ye8.3% munguva imwe chete iyi.monitori yemurwerevagadziri—vakadai sePhilips (Respironics), Medtronic (Oridion), Masimo, uye Mindray—vari kuramba vachiwedzera tekinoroji yeEtCO2 kuti vasangane nezvinodiwa zvinochinja-chinja zveanesthesia, kurapwa kwakakosha, uye mishonga yekukurumidzira.
Kuti isangane nezvinodiwa zvekiriniki uye kuvandudza mashandiro evashandi vekurapa, MedLinket inotarisa pakugadzira nekugadzira zvinhu zvemhando yepamusoro, zvakaita semitsetse yesampuru, maadapter emhepo, uye misungo yemvura. Kambani iyi yakazvipira kupa nzvimbo dzehutano mhinduro dzakavimbika dzekushandisa kwese ..., izvo zvinoenderana nemakambani akawanda epamusoro ekuongorora varwere, zvichibatsira mukusimudzira nzvimbo yekutarisa kufema.
Mainstream etco2 sensorsuyemaadapta emhepondizvo zvinhu zvinonyanya kushandiswa pakuongorora zvinhu zviri kuitika.
Yekutarisa divi,zvekufunga nezvazvo zvinosanganisira, ma sensor ekunze, uyemisungo yemvura，CO2 Sample line, zvichienderana nezvinodiwa pakugadzirisa kwako uye kugadzirisa.
Nhevedzano yeMisungo yeMvura | ||||||||||
Mugadziri weOEM & Mamodheru | Mufananidzo weRef | Nhamba yeOEM | Kodhi yeOdha | Tsananguro | ||||||
| Inoenderana neMindray (China) | ||||||||||
| Kune BeneView, iPM, iMEC, PM, MEC-2000 series monitors, PM-9000/7000/6000 series, BeneHeart defibrillator |  | 115-043022-00 (9200-10-10530) | RE-WT001A | Musungo wemvura usina kuoma, wevakuru/Pediatirc wemodule ine slot mbiri, 10pcs/bhokisi | ||||||
 | 115-043023-00 (9200-10-10574) | RE-WT001N | Musungo wemvura usina kuoma, wevana vacheche wemodule ine slot mbiri, 10pcs/bhokisi | |||||||
| YeBeneVision, BeneView akateedzana monitors |  | 115-043024-00 (100-000080-00) | RE-WT002A | Dryline II water trap, Adult/Pediatirc ye single-slot module, 10pcs/bhokisi | ||||||
 | 115-043025-00 (100-000081-00) | RE-WT002N | Dryline II water trap, yevana vacheche ye single-slot module, 10pcs/bhokisi | |||||||
| Inoenderana neGE | ||||||||||
| GE Solar Sidestream EtCO₂ Module, GE MGA-1100 Mass Spectrometer GE Advantage System, EtCO₂ Sampling Systems |  | 402668-008 | CA20-013 | Kushandiswa kwemurwere mumwe chete kwe 0.8 micron Fitter, standard Luer Lock, 20pcs/box | ||||||
| GE Healthcare gventilator, monitor, muchina weanesthesia une E-miniC gas module |  | 8002174 | CA20-053 | Vhoriyamu yeContainer yemukati i> 5.5mL, 25pcs/box | ||||||
| Drager Inoenderana | ||||||||||
| Inoenderana Drager Babytherm 8004/8010 Babylog VN500 ventilator |  | 6872130 | WL-01 | Waterlock inoshandiswa nemurwere mumwe chete, 10pcs/bhokisi | ||||||
| Inoenderana nePhilips | ||||||||||
| Inoenderana Module:Philips - IntelliVue G5 |  | M1657B / 989803110871 | CA20-008 | Musungo wemvura wePhilips, 15pcs/box | ||||||
| Inoenderana nePhilips |  | CA20-009 | Chigadziko chemusungo wemvura chePhilips | |||||||
| Inoenderana Module:Philips – IntelliVue G7ᵐ | | 989803191081 | WL-01 | Waterlock inoshandiswa nemurwere mumwe chete, 10pcs/bhokisi | ||||||
Mutsetse wekuenzanisa weCO2 | ||||
Chinobatanidza murwere | Mufananidzo wekubatanidza murwere | Chishandiso chekushandisa | Mufananidzo wekushandisa zviridzwa | |
| Chivharo cheLuer |  | Chivharo cheLuer | | |
| Mutsetse wekuenzanisira wemhando yeT |  | Chivharo chePhilips (Respironics) |  | |
| Mutsetse wekuenzanisira wemhando yeL |  | Chivharo cheMedtronic (Oridion) |  | |
| Mutsetse wekutora sampuli dzemhino |  | Chivharo cheMasimo |  | |
| Mutsetse wekutorwa kwesampuli yemhino/muromo |  | / |
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Nguva yekutumira: Chikumi-03-2025
