صدك طلاب مو دخلون الملزمة وياكم للقاعة مال الامتحان نفس الكورس الاول وتغيرت الأسئلة مال الدوائيات.
Forwarded from ANESTHESIA _ THIRD STAGE (الشمـري عـلي)
دكتور علي فاضل
اي طالب باجر ما ينجح و ميجيب سعي عالي لا يحجي وياي بعد و ما اريد اشوفه .
اي طالب باجر ما ينجح و ميجيب سعي عالي لا يحجي وياي بعد و ما اريد اشوفه .
Forwarded from ᴀʟ ᴀᴢᴀᴡɪ
Pulse oximetry:
Situation:
1.operating thetare
2. Recovery ward
3. General ward
4. Intensive care unit
5. During transport the cirtically ill patient
Where possited?
1. finger
2. Toe
3. Nose
4. Earlobe
Measure : { oxygen saturation and puls rate }
Components:
1. A Probe
2. Photodetecor
3. Microprocessore
4. LED
Pulse oximeter motion resistance ?
Masimo oximeter
Problem:
1. It is accurat 2% of 70-100% range
2. Excessive movement and malposition of a probe its result error
3. Hypo perfusion and sever peripherial vasoconcentration that affect on prformance of pulse oximetry
4. This device give information about oxygenation but not give any indcation bout patient co2 eleminated
5. Thia device measure the oxygen saturation only dont give any information about oxygen delivery to the tissue
Situation:
1.operating thetare
2. Recovery ward
3. General ward
4. Intensive care unit
5. During transport the cirtically ill patient
Where possited?
1. finger
2. Toe
3. Nose
4. Earlobe
Measure : { oxygen saturation and puls rate }
Components:
1. A Probe
2. Photodetecor
3. Microprocessore
4. LED
Pulse oximeter motion resistance ?
Masimo oximeter
Problem:
1. It is accurat 2% of 70-100% range
2. Excessive movement and malposition of a probe its result error
3. Hypo perfusion and sever peripherial vasoconcentration that affect on prformance of pulse oximetry
4. This device give information about oxygenation but not give any indcation bout patient co2 eleminated
5. Thia device measure the oxygen saturation only dont give any information about oxygen delivery to the tissue
Forwarded from ᴀʟ ᴀᴢᴀᴡɪ
Double lumen:
Compenent :
1. The mallincrodt bronchcath double lumen has two separated colour coded lumen . Each lumen has own bevel
2. Each lumen has own cuff { trecheal, broncheal cuff } each lumen has colour coded pilot balloons
3. Has two curves in double lumen tube .
One curves : to fit into oropharyngeal, laryngeal, trecheal airway
Second curves : right , left side to fit into left , right bronchus
4. The proximal end has connected to Y cathater shaped
Uses :
during thoracic surgery , there is need to one lung deflate
Problem:
1. Carlens hook can trauma the larynx and carina
2. Because relatively small lumen { 6-8mm} that can result increased airway resistance and difficulty to suction thick seceration
3. The distance between the right upper lobe of airway and carina 2.5 cm so there is a reall risk of obstruction airway
Tybe :
1. Robertshaw { rubber} tube
2. Single use { plastic tube }
The plastic tube required interducing to insertion , more recent version of plastic tube has facility the cpap to improve artery oxygenation
3. Carlens : left side version white and right side version the carlens has cranial hook to aid final position of the tube
4. Bronchocath
Compenent :
1. The mallincrodt bronchcath double lumen has two separated colour coded lumen . Each lumen has own bevel
2. Each lumen has own cuff { trecheal, broncheal cuff } each lumen has colour coded pilot balloons
3. Has two curves in double lumen tube .
One curves : to fit into oropharyngeal, laryngeal, trecheal airway
Second curves : right , left side to fit into left , right bronchus
4. The proximal end has connected to Y cathater shaped
Uses :
during thoracic surgery , there is need to one lung deflate
Problem:
1. Carlens hook can trauma the larynx and carina
2. Because relatively small lumen { 6-8mm} that can result increased airway resistance and difficulty to suction thick seceration
3. The distance between the right upper lobe of airway and carina 2.5 cm so there is a reall risk of obstruction airway
Tybe :
1. Robertshaw { rubber} tube
2. Single use { plastic tube }
The plastic tube required interducing to insertion , more recent version of plastic tube has facility the cpap to improve artery oxygenation
3. Carlens : left side version white and right side version the carlens has cranial hook to aid final position of the tube
4. Bronchocath