I-Anesthesia Yenhliziyo

I-Cardiac Anesthesia Hospital e-Raipur

E-Ramkrishna Care Hospitals Raipur, sihlinzeka ngohlu olubanzi lwezinsizakalo zemitholampilo, kuhlanganise nangaphambi kokuhlinzwa i-anesthesia izinsiza, imithi yokunakekelwa kwababucayi, kanye nemithi yezinhlungu. Iziguli zethu zithola usizo lwezokwelapha oluthuthukisiwe olunikezwa odokotela abaqeqeshwe kakhulu nabanekhono. Ifilosofi yethu ibilokhu kuwukusebenza ngendlela yethimba lemikhakha eminingi. UMnyango Wezokubulala Izinzwa ungumnyango ohamba phambili ezweni wokwenziwa kwe-anesthesia evamile neyesifunda. Isisekelo salo mnyango yikhono lomtholampilo lodokotela ababulala izinzwa abathole ukuqeqeshwa kanye nezinto abazifezile ezikhungweni ezihamba phambili emhlabeni jikelele. Sinethimba elizinikele lodokotela ababulala izinzwa abakhulu abangaphezu kweshumi nanhlanu abathi kanye nabasebenzisana nabo nabasebenzi abancane bahlinzeka ngesevisi ubusuku nemini. Odokotela ababulala izinzwa basizwa isimo semishini yokubulala izinzwa. Izinsizakalo ezihlinzekwayo zihlanganisa nokuhlolwa ngaphambi kokuhlinzwa kanye nethimba lokulawula ubuhlungu ngemva kokuhlinzwa kanye nethimba lokunakekela okubucayi.

I-anesthesia ejwayelekile

•  I-anesthesia ejwayelekile iwukwelashwa okwenza uquleke phakathi nezinqubo zezokwelapha, ukuze ungezwa noma ungakhumbuli lutho phakathi nezinqubo. I-anesthesia ejwayelekile ivame ukukhiqizwa ngenhlanganisela yemithi efakwa emithanjeni kanye negesi ehogelwayo (imithi yokubulala izinzwa).

•  "Ubuthongo" obuzwayo ngaphansi kwe-anesthesia jikelele buhlukile ekulaleni okuvamile. Ubuchopho obulaliswa izinzwa abuphenduli kumasiginali wezinhlungu noma ukuguqulwa kokuhlinzwa.

•  Umkhuba wokubulala izinzwa okuvamile uhlanganisa nokulawula ukuphefumula kwakho nokuqapha imisebenzi ebalulekile yomzimba wakho phakathi nenqubo yakho. I-anesthesia ejwayelekile ilawulwa udokotela oqeqeshwe ngokukhethekile, okuthiwa i-an i-anesthesiologist.

Udokotela obulala izinzwa (Anesthetist)

•  Udokotela Obulala Izinzwa) ungudokotela owenza iziqu kulo mkhakha. Sinababonisi Abaphezulu abaqeqeshwe eNdiya. Basizwa ama-Associate Consultants, Ababhalisi, Abasizi boMnyango Osebenzayo (ochwepheshe), nabahlengikazi basegumbini lokutakula. Abasebenzi abaqeqeshwe kahle nokutholakala kobuchwepheshe bamuva kwenza lokhu kube njengenye yezindawo eziphephe kakhulu zokuthola izibulala-zinzwa.

I-Cardiac Anesthesia Hospital e-Raipur insizakalo ehlelekile yokukhulula izinhlungu zisebenzisa:

•  I-Electronic PCA (i-analgesia elawulwa yisiguli)
•  Idivayisi ye-PCA elahlekayo
•  I-analgesia ye-epidural eqhubekayo
•  Amabhulokhi emizwa Yesifunda
•  Izibulali zinhlungu zomlomo, ze-intramuscular kanye ne-intravenous

Izinhlobo zokubulala izinzwa ezihlinzekiwe zincike esimweni sezokwelapha sesiguli kanye nohlobo lwenqubo

• I-Anesthesia ejwayelekile: Isiguli asazi
• I-Regional Anesthesia: Izinzwa zasendaweni zijovwa udokotela obulala izinzwa ukuze anikeze ukuba ndikindiki engxenyeni ethile yomzimba. Lokhu kungase kusetshenziselwe ukulawula ubuhlungu ngesikhathi/ ngemva kwenqubo.
• I-MAC (Ukunakekelwa Kwezinzwa Ezigadwayo): Ukuqapha ukunakekelwa kwezinto ezibalulekile ngesikhathi senqubo, kungase kuhlanganise ukulaliswa uma kunesidingo.
• Udokotela obulala izinzwa uzohlangana nesiguli ngaphambi kokuhlinzwa futhi axoxe ngomlando wezokwelapha, imiphumela yelebhu kanye nohlelo lwe-anesthesia. Ku-OT ilungu lokunakekelwa kwezinzwa lizoba nesiguli kuyo yonke inqubo. Ngemva kokuhlinzwa isiguli sizoyiswa egumbini lokutakula futhi umhlengikazi uzoqapha isiguli futhi anikeze imithi yokunciphisa ubuhlungu, isicanucanu nokuhlanza njengoba kudingeka. Khona-ke isiguli sizokhishwa egumbini lokululama ngeseluleko sikadokotela obulala izinzwa lapho sizinzile futhi sinethezekile.

I-Anesthesiology: Ukwelashwa Nezinsizakalo: Ithimba lethu lodokotela ababulala izinzwa lihlinzeka ngosizo lokubulala izinzwa emisebenzini ehlukahlukene esibhedlela

• Ukuhlinzwa okujwayelekile, Ukuhlinzwa okuncane okungavamisile, ukuhlinzwa kwe-laparoscopic, ukuhlinzwa kwe-Bariatric: Ithimba elifanayo elinenani elengeziwe lababulala izinzwa lisiza odokotela abahlinzayo ukuthi bahlinze cishe ama-800 ngenyanga)
• Ukuhlinzwa Kwenhliziyo
• Ukuhlinzwa Kwenhliziyo Kwezingane
• I-Laser, I-Obstetrics & Gynecology, I-Gastroenterology, i-Ophthalmology, i-ENT, i-Orthopedics ehlanganisa ama-arthroscopies okubuyisela ahlangene, ukusetshenziswa kwe-laser ezinqubweni ezihlukahlukene.
• Umgogodla, ukuhlinzwa kwepulasitiki, ukuhlinzwa kwemithambo, izifo zezingane, i-neonatology, i-urology, i-oncology.

I-Anesthesiology: Izinsiza: Izinsiza ezinikezwe kumatiyetha ethu okusebenza kanye negumbi lokutakula elihambisana nezindinganiso zamazwe ngamazwe zimi kanje,

•  Imishini yokubulala izinzwa ukunikeza umoya-mpilo owanele ngaso sonke isikhathi/ Ukuqapha komoyampilo
•  Iziqapha zegesi ezibulala izinzwa Enye yalezi itholakala kuwo wonke amathiyetha angenakuqhathaniswa nasemhlabeni othuthukile. Lezi ziqapha zisenza sisebenzise ukugeleza kwegesi okusha okuphansi kakhulu okungaphansi kuka-500mls okuholela emnothweni owedlulele, kanye nokungcoliswa kwetiyetha okungenandaba.
• Baqapha okulandelayo ngokuqhubekayo
  • Umoya-mpilo
  • I-carbon dioxide
  • I-nitrous oxide
  • Amagesi e-anesthetic
•  Abaqaphi besiguli
  • ECG
  • Ukushaya kwegazi
  • Ukugcwaliswa komoya-mpilo
  • Izingcindezi ezihlaselayo ezifana ne-arterial pulmonary artery central venous
  • Temperature
  • Izingcindezi zomoya kanye nomthamo wegesi
  • Ukuqapha ukusebenza kwe-Neuromuscular, Entropy, BIS
  • Ukujula kokuqapha kwezinzwa usebenzisa i-BIS, i-entropy
  • I-TEE ngesikhathi se-intra-operative ekuhlinzeni kwenhliziyo ukuhlonza ukungasebenzi kahle kwe-valve kanye nesifunda kukho konke ukungasebenzi
•  Ukuqapha inhliziyo
  • I-Thermo dilution okukhiphayo kwenhliziyo, i-Flowtrac, i-TEE
  • Ukuphuma kwenhliziyo okuqhubekayo
  • Ukugcwala kwe-venous okuxubile okuqhubekayo
•  Imishini eyenza ukuhlinzwa okuyinkimbinkimbi kakhulu kuphephe
  • Ama-Bair Huggers nezingubo zokulala ezilahlwayo zokugcina isiguli sifudumele
  • Izifudumezi zegazi
  • Amaphampu esirinji, amaphampu okumnika
  • Igesi legazi kanye nomshini we-electrolyte, amaGlucometer
  • I-Fiberoptic Laryngoscope, i-TEG, amaphampu e-SCD
  • I-Ultrasound ne-transthoracic kanye ne-transoesophageal ECHO kanye namabhulokhi wesifunda
•  Imithi emisha itholakala mahhala
  • Fentanyl
  • I-Sevoflurane
  • I-Propofol
  • I-Desflurane
  • Iziphumuli zemisipha ezintsha, Izibulala-zinzwa zasendaweni ezintsha
•  Izinto zakamuva ezilahlwayo zomoya
  • LMAS, IGEL
•  Amakamelo amathathu okutakula ahlome ngokuphelele ngemva kokuhlinzwa anemishini yokuqapha njengasemagunjini okuhlinza.