Catheter yeArterial
Zvimiro zveChigadzirwa
● Kuongororwa kweropa panguva chaiyo (kwakarurama kupfuura macuff asingapindi mumuviri).
● Kuongororwa kweropa zvakananga mutsinga (kune ABGs, mumarabhoritari).
● Nzvimbo dzinoshandiswa zvakanyanya: Radial artery (inonyanya kushandiswa), femoral, brachial, kana dorsalis pedis.
● Mashandisirwo: ICU, kuvhiyiwa kukuru, kuvhunduka, kusagadzikana kweropa.
Mirayiridzo yekushandisa
● Kusarudzwa Kwenzvimbo: Nzvimbo dzinowanikwa vanhu vakawanda—radial (inofarirwa), femoral, brachial, kana dorsalis pedis. Ita bvunzo yeAllen yeradial artery kuti uongorore kutenderera kweropa.
● Kugadzirira: Nzira isina utachiona—chenesa nzvimbo yacho nekushandisa mushonga unouraya utachiona, jira rakacheneswa.
● Kuraradza: Isa jekiseni re lidocaine pasi peganda panzvimbo yekuisira.
● Kubvisa tsvina: Nzira yeSeldinger (yakajairika): Isa tsono pakona ye30–45°, famba mberi kusvika ropa rabuda, wobva waisa waya yekufambisa, wozoisa catheter.
● Kupinza zvakananga: Isa catheter-over-tsono mutsinga kusvika yapenya, wobva waendesa catheter mberi.
● Simbisa kuti ropa raiswa papi: Ropa rinofanira kudzoka nekukurumidza.
● Chengetedza: Suture kana chinhu chinonamira; isa dressing isina utachiona.
● Batanidza: Ku pressurized saline flush (500 mmHg) uye transducer kuti urambe uchitarisa.
Chikumbiro chechigadzirwa
● Kuramba uchitarisa BP (semuenzaniso, kushandisa vasopressor, hypotension yakanyanya/BP).
● Kuongororwa ropa kakawanda (semuenzaniso, ABGs muvarwere vanofema mweya).
● Kuongororwa kweHemodynamic (semuenzaniso, kuverenga kwemoyo nekuvhunduka).
Magadzirirwo uye Mamodheru
| Nhamba yeChigadzirwa | Saizi |
| 681001 | 18G |
| 681002 | 20G |
| 681003 | 22G |
| 681004 | 24G |
Ruzivo rweChigadzirwa