Isihluthulelo se-anesthesia ne-ICU ukuqapha ukujula kwe-anesthesia. Singakuthola kanjani ukubonwa okujulile kwe-anesthesia? Ngaphezu kwesidingo sodokotela obulala izinzwa, ukujula kwe-anesthesiologist anomucukuzitha okulahlwa kwe-eeg ennsor esetshenzisiwe nge-anesthesia Monitor kumele futhi ibe namandla ngokwengeziwe.

Izinzwa ezilahliwe ze-eeg

Siyazi ukuthi ukujula kwe-anesthesia kuyinto degree lapho umzimba uvinjelwa khona ukuhlanganiswa kwe-anesthesia kanye nokukhuthaza emzimbeni. Njengoba ukuqina kwe-anesthesia kanye nokukhuthaza kwanda futhi kuncipha, ukujula kwe-anesthesia kushintsha ngokulandelana.

Ukuqashelwa kokujula kwe-anesthesia bekulokhu kungukukhathazeka kwezazi zokubulala izinzwa. Okujulile okungajulile noma okujulile kakhulu kuzodala ukulimala ngokomzimba noma kwengqondo ezigulini. Ukugcina ukujula okufanele kwe-anesthesia kubalulekile ukuqinisekisa ukuphepha kweziguli futhi kunikeze izimo ezinhle zokuhlinza.

Kubikwa ukuthi iBIS inokuhlobana okuhle nokuqoqwa kwezidakamizwa okuhle kakhulu, ngakho-ke ukuze kuholwa umthamo wezidakamizwa wezimvukuthela we-Anesthetic, okusetshenziswa kwe-BIS ukuqapha, ngokusho kwemiphumela yokuqapha ukuqondisa ukusetshenziswa kwezidakamizwa zokubulala izinzwa, okungalondolozwa kangcono ukujula kwe-anesthesia futhi kudlala umphumela omuhle kakhulu.

Ngokuthuthukiswa kwe-EEG yokuqapha ubuchwepheshe eminyakeni yamuva nje, i-BIS (iBispectralindex) isibe yindlela eyaziwayo yokuqapha okungcono kwesimo sokusebenza kwe-cerebral cortex kanye nezinguquko, futhi ingasetshenziswa njengendlela yokuhlola ukujula okujwayelekile futhi ethembekile ekusebenzeni komtholampilo.

Mayelana ne-BIS

I-BIS yinani lesibalo elithathwe kurekhodi le-eeg-frequency eeg lokuphuma kwezidakamizwa ezihlukile zesampula enkulu. Le datha itholwe ikakhulukazi kwisampula enkulu yezifundo ezithola izidakamizwa ezi-anesthesia ezimbili ezifakwe amarekhodi ama-eeg-frequency eeg, kanye nesimo sokwazi, futhi konke okurekhodiwe, futhi konke okurekhodiwe kwaqoshwa kabusha i-database. Ngemuva kwalokho, kususelwa ku-electroencephalogram (eeg) imvamisa i-suplectrum kanye ne-power spectrum, inani lemininingwane exubile elitholwa ekuhlaziyweni kwe-nonlinear of Phase naseHarmonics.

I-BIS ukuphela kwenkomba yokuqapha ye-anesthesia ye-anesthesia evunyelwe yi-US FDA, engabheka isimo sokusebenza kwe-cerebral cortical kanye nezinguquko ezingcono, ukuzwela okungcono ukubikezela ukunyakaza komzimba, futhi kunganciphisa ukululama kwemithamo yezidakamizwa. Indlela enembile kakhudlwana yokwahlulela izinga le-sedation nokubheka ukujula kwe-anesthesia ngo-Eeg.

Inkomba yokuqapha ye-BIS

Inani le-BIS 100, Phaphama Statu; Inani le-BIS 0, akukho msebenzi we-EEG (iCerebral Cortex Evition), (Ukuvinjwa kweCorteb yeCortex). Inani le-BIS ngokuvamile libhekwa njengejwayelekile phakathi kuka-85 no-100. 65 ~ 85 ukudilizwa; 40 ~ 65 ama-anesthesia. <40 ingahle inikeze ukucindezela kokuqhuma.

Ukuze ubheke ukujula okunembile futhi okufanelekile kanye ne-anesthesia ezikhathini ezibucayi, inzwa yokulahla i-EEG esetshenzisiwe ngokuhlola okujulile kwe-anesthesia kufanele kube wusizo, ukuze inani lezinkomba kunoma yisiphi isimo liboniswe ngokunembile.

I-Shenzhen Med-Link Electronics Tech Co, Ltd (kwalapha lapha ebizwa ngokuthi yi-Med-Linket) ineminyaka engu-15 yolwazi lokucwaninga emihlanganweni yekhebula lezokwelapha. Ngemuva kweminyaka yokuqinisekiswa kwemitholampilo, sithuthukise ngokuzimela i-EEG Sensor elahlekile, ehambelana ne-Anesthesia Dealth Monitors ngama-module e-BIS afana ne-Mindray noPhilips. Ukulinganisa kuyazwela, inani linembile, futhi amandla okulwa nokuphazamiseka aqinile. Kuyasiza udokotela obulala izinzwa ukuba abheke eduze isiguli esingazi lutho futhi anikeze izinyathelo ezihambisanayo kanye nezindlela zokwelashwa ngesikhathi ngokuya ngesimo sokuqapha.

Izinzwa ezilahliwe ze-eeg 

I-Sel-Linket elahlekile ye-eeg ennsor esetshenziswayo esebenzisa i-glue engenisiwe engenisiwe, ukungavikeleki okuphansi nokuvuvukala okuhle; Idlule isitifiketi sokubhaliswa kwedivayisi kazwelonke; Ukuhlolwa kwe-biocomtic okuwukuphambanisa, akukho cytotoxicity, ukucasuka kwesikhumba kanye nokusabela komzimba, kungasetshenziswa ngokuphepha. Uye waqashelwa futhi wathandwa yi-anesthesiologists enobungcweti ekhaya nakwamanye amazwe. Ixazululwe ngempumelelo ezikhungweni zezokwelapha zakwamanye amazwe kanye nezibhedlela ezimbalwa ezaziwayo eziyaziwayo ukusiza i-anesthesia kanye nokunakekelwa okukhulu ukunakekelwa ngokunembile ukubheka ukujula kwezinkomba ze-anesthesia.

Khetha inzwa ye-EEG ye-Med-Linket engahlaseli, khomba ikhwalithi ephezulu ye-EEG, iminyaka engu-15 yokutshala okujulile, phansi-kuya-emhlabeni, enezakhi ezisebenzayo zekhebula lezokwelapha, zisiza imikhiqizo yasekhaya.

* Ukumenyezelwa: Zonke izimpawu zokuthengisa ezibhalisiwe, amagama, amamodeli, njll. Kuboniswe kokuqukethwe okungenhla kungumnikazi woqobo noma umenzi wangempela. Le ndatshana isetshenziselwa kuphela ukukhombisa ukuhambisana kwemikhiqizo ye-Med-Linket. Ayikho enye inhloso! Konke okungenhla. Imininingwane ingeyokubhekiswa kuphela, futhi akufanele isetshenziswe njengesiqondisi somsebenzi wezikhungo zezokwelapha noma amayunithi ahlobene. Ngaphandle kwalokho, noma yimiphi imiphumela ebangelwa yile nkampani ayinalutho olungakwenza ngale nkampani.