<link rel="stylesheet" href="https://studioyszimg.yxj.org.cn/css/video-js.min.css?v=1"><link rel="stylesheet" href="https://studioyszimg.yxj.org.cn/article/css/base.css?v=5"><link rel="stylesheet" href="https://studioyszimg.yxj.org.cn/article/css/index.css?v=35"><link rel="stylesheet" href="https://ysz-web.yxj.org.cn/live/dist/static/base/index.css?ysz_v=2.0"><script src="https://studioyszimg.yxj.org.cn/js/dsbridge.js?v=13" type="text/javascript"></script><script src="https://ysz-web.yxj.org.cn/dsBridge/main.js?v=26" type="text/javascript"></script><script src="https://ysz-web.yxj.org.cn/live/dist/static/base/fun.js?ysz_v=3" type="text/javascript"></script><script src="https://ysz-web.yxj.org.cn/live/dist/static/js/nativeToWeb.js?v=1" type="text/javascript"></script><div id="ysz-header" style="margin:0;overflow:hidden;"><h1 style="font-size:24px;line-height:1.8;color:#333333;word-wrap:break-word;">麻醉机日常检查程序与步骤</h1><h2 style="font-size:16px;color:#999999;word-wrap:break-word;"><em style="font-style:normal;margin-right:10px;color:#7f7f7f;display:inline-block;">2021-09-21</em><em style="font-style:normal;margin-right:10px;color:#7f7f7f;display:inline-block;">原创:医护多外科学霸</em></h2></div><p class="brief">麻醉机日常检查程序与步骤,你知道多少?</p><p><span class="ysz-ueditor-title-one" style="font-size: 16px; line-height: 28px; font-weight: bold; color: rgb(215, 0, 15); text-align: left;">麻醉机日常检查程序与步骤</span></p><section><br/></section><section><img data-src="https://mmbiz.qpic.cn/mmbiz_png/7FMHhQqMgU8WeJaibHlWb6usFb03Gb2TTP3Bh8JMUujkviaEHmJ98IZksiasH2VNH9ibe0jRiaM7q5vrU7FTow6bWBQ/640?wx_fmt=png" class="" src="https://studioyszimg.yxj.org.cn/0A00007C017C08CC52B2444756E650FD.jpg" alt="图片" style="margin: 0px; padding: 0px; outline: 0px; box-sizing: border-box; border: 1px solid rgb(0, 0, 0); width: 850.2857055664062px; word-wrap: break-word ; visibility: visible ;"/><br/><br/></section><section><span class="ysz-ueditor-title-one" style="font-size: 16px; line-height: 28px; font-weight: bold; color: rgb(215, 0, 15); text-align: left;">一般程序&nbsp;</span></section><section><br/></section><section><span class="ysz-ueditor-content" style="font-size: 16px; line-height: 28px; color: rgb(0, 0, 0);">1、实施任何麻醉之前都应该首先考虑到能否保证患者的气道安全,确保麻醉机或简易呼吸器处于备用状态,不打无准备之仗。&nbsp;</span></section><section><br/></section><section><span class="ysz-ueditor-content" style="font-size: 16px; line-height: 28px; color: rgb(0, 0, 0);">2、每日开始第一例麻醉之前,除确保麻醉机不漏气之外,还应系统地检查,如检查气源、碱石灰、蒸发器、活瓣等。此后的每一例麻醉也应当做漏气试验,确保回路不漏气。&nbsp;</span></section><section><br/></section><section><span class="ysz-ueditor-content" style="font-size: 16px; line-height: 28px; color: rgb(0, 0, 0);">3、需要特别强调的是,进行以下操作后需重新进行漏气试验:更换气源、更换碱石灰、更换蒸发器或往蒸发器加药、更换人工鼻(过滤器)、连接呼气末二氧化碳探头或采样管等。&nbsp;</span></section><section><br/></section><section><span class="ysz-ueditor-title-one" style="font-size: 16px; line-height: 28px; font-weight: bold; color: rgb(215, 0, 15); text-align: left;">具体步骤&nbsp;</span></section><section><br/></section><section><span class="ysz-ueditor-content" style="font-size: 16px; line-height: 28px; color: rgb(0, 0, 0);">各型麻醉机的检查程序略有区别,但基本步骤见图9-18:&nbsp;</span></section><section><br/></section><section><img data-src="https://mmbiz.qpic.cn/mmbiz_png/7FMHhQqMgU8WeJaibHlWb6usFb03Gb2TT9useZEglGOAAgLictkYpsY8DCytxUcqXdtugMlbTia2Sjj11T3HWnBVA/640?wx_fmt=png" class="" src="https://studioyszimg.yxj.org.cn/0A00007C017C08CC54BB194C49CD5DBA.jpg" alt="图片" style="margin: 0px; padding: 0px; outline: 0px; box-sizing: border-box; border: 1px solid rgb(0, 0, 0); width: 834.2857055664062px; word-wrap: break-word ; visibility: visible ;"/><br/><span style="line-height: 28px; font-size: 14px; color: rgb(136, 136, 136);">图9-18 麻醉机使用前检查步骤</span></section><section><br/></section><section><span class="ysz-ueditor-title-two" style="font-size: 16px; line-height: 22.5px; font-weight: bold; color: rgb(0, 0, 0); list-style-type: decimal; text-align: left;">注:</span><span class="ysz-ueditor-content" style="font-size: 16px; line-height: 28px; color: rgb(0, 0, 0);">快速流程系最低要求,适用于紧急情况、非当日第一例麻醉;常规流程适用于当日第一例麻醉,中端麻醉机;自检流程适应于高端麻醉机 。</span></section><section><br/></section><section><span class="ysz-ueditor-title-one" style="font-size: 16px; line-height: 28px; font-weight: bold; color: rgb(215, 0, 15); text-align: left;">麻醉机使用常见故障及失误</span></section><section><br/></section><section><span class="ysz-ueditor-content" style="font-size: 16px; line-height: 28px; color: rgb(0, 0, 0);">1、电源故障常见插座无电、接触不良、误拔除、备用电池老化等。&nbsp;</span></section><section><br/></section><section><span class="ysz-ueditor-content" style="font-size: 16px; line-height: 28px; color: rgb(0, 0, 0);">2、环路漏气常见螺纹管和导管弯头松脱;移动蒸发器后未安装到位;更换钠石灰后罐体未安装到位;活瓣失灵;弯头或过滤器盖子脱落;麻醉机压力或流量传感器脱落等。&nbsp;</span></section><section><br/></section><section><span class="ysz-ueditor-content" style="font-size: 16px; line-height: 28px; color: rgb(0, 0, 0);">3、麻醉机本身严重故障如主板、电路烧坏等。&nbsp;</span></section><section><br/></section><section><span class="ysz-ueditor-content" style="font-size: 16px; line-height: 28px; color: rgb(0, 0, 0);">4、碱石灰未及时更换致二氧化碳蓄积。&nbsp;</span></section><section><br/></section><section><span class="ysz-ueditor-content" style="font-size: 16px; line-height: 28px; color: rgb(0, 0, 0);">5、忘记开机或忘记关机。</span></section><section><br/></section><section><span class="ysz-ueditor-content" style="font-size: 16px; line-height: 28px; color: rgb(0, 0, 0);">6、改手控模式后,忘记手控呼吸致缺氧;或忘记手控呼吸后,同时没有将限压阀调至合适位置致肺部严重膨胀,甚至可导致心搏骤停。&nbsp;</span></section><section><br/></section><section><span class="ysz-ueditor-content" style="font-size: 16px; line-height: 28px; color: rgb(0, 0, 0);">7、蒸发器忘记加药导致术中知晓。&nbsp;</span></section><section><br/></section><section><img data-src="https://mmbiz.qpic.cn/mmbiz_png/7FMHhQqMgU8WeJaibHlWb6usFb03Gb2TTCtbURymRm46Ygr6gib62WvZwOfeLBicZ5vzMjKMx9TZFz4zm6iaUArcug/640?wx_fmt=png" class="" src="https://studioyszimg.yxj.org.cn/0A00007C017C08CC5715A9A7723BF58F.jpg" alt="图片" style="margin: 0px; padding: 0px; outline: 0px; box-sizing: border-box; border: 1px solid rgb(0, 0, 0); width: 850.2857055664062px; word-wrap: break-word ; visibility: visible ;"/><br/><br/></section><section><span class="ysz-ueditor-title-one" style="font-size: 16px; line-height: 28px; font-weight: bold; color: rgb(215, 0, 15); text-align: left;">麻醉机的使用&nbsp;</span></section><section><br/></section><section><span class="ysz-ueditor-content" style="font-size: 16px; line-height: 28px; color: rgb(0, 0, 0);">1、在连接麻醉机与患者时,必须调节好参数,避免潮气量或压力过大损伤患者肺脏。&nbsp;</span></section><section><br/></section><section><span class="ysz-ueditor-content" style="font-size: 16px; line-height: 28px; color: rgb(0, 0, 0);">2、麻醉机运行期间,麻醉医师不得随意离开麻醉机,应随时监控麻醉机的运行状态,包括呼吸波形、呼气末二氧化碳波形、风箱的运动、碱石灰的颜色等。&nbsp;</span></section><section><br/></section><section><span class="ysz-ueditor-content" style="font-size: 16px; line-height: 28px; color: rgb(0, 0, 0);">3、麻醉机运行期间,麻醉医师要高度警惕麻醉机的各种警报声;遇有警报时,应首先确定患者是否存在危险,然后再排查报警原因。有时,某些元器件损坏或老化(比如氧电池老化)会引起低级别报警,但麻醉机仍然可以运行。遇有这种情况时,也应予以及时修复,以免混淆真正有致命危险的报警。&nbsp;</span></section><section><br/></section><section><span class="ysz-ueditor-content" style="font-size: 16px; line-height: 28px; color: rgb(0, 0, 0);">4、麻醉医师遇到自己从未使用过的麻醉机,应先熟悉麻醉机或在他人的指导下使用,不可贸然自行使用。&nbsp;</span></section><section><br/></section><section><span class="ysz-ueditor-content" style="font-size: 16px; line-height: 28px; color: rgb(0, 0, 0);">5、麻醉结束时,应及时关闭蒸发器、气体。若有接台手术,使麻醉机处于待机状态。螺纹管、面罩、气体采样管均应收纳好,放在合适的位置,不要堆放,避免被他人无意踩踏、拉扯,损坏螺纹管、面罩、采样管,甚至是麻醉机。若无接台手术,应该关闭麻醉机电源、气源,将螺纹管等配件取下丢弃或消毒。&nbsp;</span></section><section><br/></section><section><span class="ysz-ueditor-content" style="font-size: 16px; line-height: 28px; color: rgb(0, 0, 0);">6、麻醉机使用完毕,应及时清洁,收纳。清洁时应断电,避免触电。麻醉机长时间不使用,也应断电。</span></section>

点赞 2
收藏 13
全部评论
医学界推荐
指南解读
会议报道