Lɛ wi lan bɔt di tiub we dɛn kin put insay we pɔsin gɛt prɔblɛm fɔ blo? (Intubeshɔn) .

Yu go dɔn yɛri di wɔd "put in a tube" ɔ "put in a tube" we pɔsin de na krichɔl kɔndishɔn, ɔ bifo dɛn du big ɔpreshɔn . Wetin dis rili min? Pan ɔl we i kin tan lɛk se i de mek pɔsin fred smɔl, na tin we rili impɔtant we kin sev pɔsin in layf bɔku tɛm. Mek wi jos tok abaut am, okay?

Wetin na intubation?

Fɔ tɔk am simpul wan, intubation na we dɔktɔ ɔ pɔsin we tren fɔ kia fɔ wɛlbɔdi biznɛs put wan tin tiub tru yu mɔt (ɔ sɔntɛnde yu nos) insay yu winda paip (di men say we yu de blo). dεn kכl dis bak εndotracheal intubation כ tracheal intubation . We dɛn put dis tiub insay, di briz paip kin opin, we kin mek i izi fɔ blo. Dɔn dɛn kin kɔnɛkt dis tiub to mashin (bɔku tɛm na ventilator ) we kin blo fɔ yu. Dɔn di mashin kin gi yu ɔksijɛn ɛn briz fɔ ɛp yu fɔ blo.

Wetin mek dɛn go nid fɔ intubate pɔsin lɛk dis?

Na if pɔsin nɔ ebul fɔ blo fayn fɔ insɛf, ɔ if di say we i de blo dɔn blok ɔ i dɔn pwɛl. Tink bɔt am, ɔksijɛn impɔtant fɔ wi bɔdi. So if wi nɔ gɛt am fayn, bɔku prɔblɛm kin apin.

Dis na di situeshɔn dɛn we dɛn kin put tiub insay:

• Di say we yu de blo: Imajin if sɔntin stɔp na yu aywe, lɛk it, ɛn yu nɔ ebul fɔ blo. Na so i bi.
• Cardiac arrest: If di at stɔp fɔ wok wantɛm wantɛm , ɔksijɛn nɔ de go na di bren ɛn ɔda pat dɛn. Dɛn kin yuz dis we fɔ blo kwik kwik wan da tɛm de.
• Bɔrku bad bad injury na in nɛk, chɛst, ɔr bɛlɛ: Dɛn injury ya kin afɛkt di say we di briz de blo ɛn mek i nɔ izi fɔ blo.
• Wae pɔrsin nɔr kin no natin ɔr nɔr kin no natin: We pɔrsin nɔr kin no natin, i nɔr kin ebul fɔ kɔntrol aw i de blo. Dis min se di tɔŋ kin fɔdɔm bak ɛn chok.
• We dɛn de du big ɔpreshɔn: We dɛn de du sɔm big ɔpreshɔn dɛn, dɛn go gɛt anestezi ɛn yu nɔ go ebul fɔ blo fɔ yusɛf. Da tɛm de, dɛn go yuz dis tiub fɔ ɛp yu fɔ blo te di ɔpreshɔn dɔn.
• We yu nɔ ebul fɔ blo fayn ɔ yu nɔ de blo fɔ sɔm tɛm (Apnea):If yu gɛt siriɔs lכng infεkshכn lεk nyumonia כ di asma we de bכku, di lכng dεm nכ kin wok fayn fayn wan. Ivin da tɛm de, dɛn nid sɔpɔt dis we.
• Risk fɔ mek tin dɛn lɛk it, vɔmit, ɔ blɔd go insay di say we di briz de blo aspireshɔn : If pɔsin nɔ no natin, tin kin go insay di lɔng we i de vɔmit. Dat na tin we rili denja. Dis tiub de ɛp fɔ mek dat nɔ apin.

Yu tink se fɔ put tiub ɛn kɔnɛkt am to ventilatɔ na di sem tin?

Dɛn tu tin ya gɛt sɔntin fɔ du wit dɛnsɛf, bɔt nɔto di sem tin.

intubeshכn, lεk aw wi bin dכn tכk bכt, de tכk bכt di prכsεs we dεn de put wan tכb (Endotracheal tube - ETT) insay di trakya.

Dɔn, tru dis tiub, dɛn kin kɔnɛkt yu to wan tin we yu kin yuz fɔ blo. Sɔntɛnde dis kin bi bag we dɔktɔ kin swɛt ɛn blo briz insay (yu kin dɔn si am na di fim). Ɔ, yu kɔnɛkt to wan mashin we dɛn kɔl `Ventilator` . Dis mashin na di wan we de sɛn ɔksijɛn ɛn briz insay di lɔng dɛn we dɛn kin kɔntrol.

Bɔt sɔntɛnde di ventilatɔ de gi briz tru wan mask we de kɔba di mɔt ɛn nos. Dɔn dɛn nɔ kin put wan tiub insay. Dat na difrɛn tin.

Udat nɔ go ebul fɔ put tyub insay dis we? (Dɛn nɔ fɔ du am)

Pan ɔl we dɛn kin du dis sef wan bɔku tɛm, tɛm kin de we dɔktɔ dɛn kin disayd se i nɔ sef fɔ put tiub dis we. Fɔ ɛgzampul:

• If di say we di briz de blo dɔn pwɛl bad bad wan.
• If big tin de we de ambɔg di trakya we de mek dɛn nɔ ebul fɔ put di tiub insay.

Imajin, if big aksidɛnt dɔn apin na di nɛk eria ɛn dɛn dɔn kɔt di trakya , if yu tray fɔ put tiub tru am, dat kin mek yu gɛt mɔ damej, nɔto so?

We dɛn kayn tin ya kin apin, dɔktɔ dɛn kin yuz difrɛn we. Dat min se dɛn kin mek smɔl ol na di ɔda pat na di nɛk, dairekt insay di briz paip, ɛn blo tru am. dis dεn kכl am `tracheostomy` . dis `tracheostomy` nid fכ de bak we di tכb nid fכ lεf in ples fכ mכr dan fכ de, sכmtεm ivin wik. Dis na bikɔs if yu put tyub insay yu mɔt ɔ yu nos fɔ lɔng tɛm, dat kin mek yu gɛt ɔda prɔblɛm dɛn.

Aw dis tiub plesmɛnt prosidur de wok?

Bɔku tɛm, dɛn kin du dis na ɔspitul. If ɛnitin apin, dɛn kin du dis bifo di ambulans savis kɛr yu go na ɔspitul. Bɔt na dɔktɔ dɛn we tren ɛn di wan dɛn we de wok fɔ di wɛlbɔdi biznɛs kin du dis.

Na dis na wetin kin apin:

1. Fɔ pripia: Fɔs, dɛn kin put smɔl nidul (lɛk `IV nidul`) insay wan vein na yu an ɛn dɛn kin gi yu di mɛrɛsin we yu nid tru am. Dis na aw dɛn kin gi yu anestezi fɔ mek yu slip ɛn nɔ fil ɛni pen.

2. Gi sɔpɔtmɛnt ɔksijɛn:Neks, dɛn kin put ɔksijɛn mask oba yu mɔt ɛn yu nos fɔ mek yu bɔdi gɛt smɔl ɛkstra ɔksijɛn. dεn kin du dis fכ mek di כksijεn nכ dכn insay di sכt tεm we di tiub de insay.

3. Fɔ put di divays insay: Dɔn dɛn kin pul di ɔksijɛn mask, tilt yu ed bak smɔl, ɛn put wan spɛshal tin we dɛn kɔl laryngoscope insay yu mɔt (sɔntɛnde i kin pas tru yu nos). I gɛt smɔl layt ɛn pat we tan lɛk miro. Dis kin mek di dɔktɔ si di winda fayn fayn wan ɛn put di tiub insay.

4. fכ mek di trakya fכ si: Dis divays de muv sכmtεm frכm insay di mכt to di bak, εn if i nכ tכch di tit dεm, di pat pan di trot we dεn kכl di epiglottis (dis lεk sכm sכm lid we de kכlok di trakya we wi de sכlow it) de es di mכt fכ di trakya klia wan.

5. insay di tכb: nεks, dεn de pas di tכp fכ di laryngoscope tru di mכt fכ di trachea insay di trachea, εn dεn de put di brith tכb (endotracheal tube) along am.

6. Fɔ mek di tiub stebul: Afta dɛn dɔn put di tiub, dɛn kin blo wan smɔl pat we tan lɛk balɔ rawnd am fɔ mek i big. dis we ya, di tכb de de na di trakya we i nכ de muv, εn כl di briz we yu de brith de go insay di lכng dεm εn i nכ de kכmכt.

7. Fɔ pul ɛn ataya di divays: Dɔn dɛn kin pul di laryngoscope ɛn tay di tiub na di sayd na di mɔt wit plasta ɔ edband fɔ mek i nɔ muv.

8. fכ chεk fכ kכrekt ples: fכ finish, dεn de chεk di tכb fכ si if i de na di trakya כ i dכn go כdasay. Dɛn kin du dis wit ɛkstrem rayt na di chɛst , ɔ bay we yu tay bag na di tiub ɛn blo am wit briz, ɛn lisin to di chɛst wit stetɔskɔp fɔ si if ɛni sawnd de we yu de blo.

Ɔl dis go jɔs tek sɔm minit, bɔt dɛn nid fɔ tek tɛm du am kwik kwik wan.

Yu kin tɔk ɛn it we yu gɛt tiub na in ples?

Dis na prɔblɛm fɔ bɔku pipul dɛn.

• Yu nɔ ebul fɔ tɔk: Bikɔs di tiub de go bitwin yu vɔkal kɔd dɛn (di pat we de shek shek we yu de tɔk), yu nɔ go ebul fɔ tɔk we yu gɛt tiub na in ples.
• Yu nɔ go ebul fɔ it ɔ drink: Dɔn bak, yu nɔ go ebul fɔ swɛla we yu gɛt tiub na in ples. So yu nɔ go ebul fɔ it ɔ drink.

Yu go de wɔnda se, "Aw yu go gi pipul dɛn tin fɔ it da tɛm de?"

כltu, dipכnt pan aw lכng yu go de pan dis tכb, dכkta dεm go gi yu di nyutrishכn we yu nid εither tru salin (`IV fluids`) כ as likwid tru wan sεparat tin tכb we dεn kin put tru yu mכt כ nos insay yu bεlε.

Aw yu kin pul wan tiub? (Ekstubeshɔn) .

We di dɔktɔ dɛn disayd se yu kin blo fayn fɔ yusɛf ɛn yu nɔ nid dis tiub igen, dɛn kin pul am. dis dεn kכl am ``Extubation .'' Dis na wan rili simpul prכsidכs bak.

Na dis na aw:

1. Fɔs, pul di plasta ɔ tep we de ol di tiub na in ples.

2. afta dat, dεn kin pul mכkus we nכ nid εn כda tin dεm na di rεspiretכri trakt wit fayn tכb (sכkshכn).

3. di sכmכl balכn we dεn bin fכ blo fכ mek di tכb nכ stכk insay di trakya de fכm.

4. Dɔn, di dɔktɔ go tɛl yu fɔ tek dip briz, kɔf lawd wan, ɛn ol yu briz. Da tɛm de, dɛn go pul di tiub kɔmɔt smɔl smɔl.

Afta dɛn dɔn pul di tiub, yu trot kin at fɔ sɔm dez. Yu kin fil bak smɔl we yu de tɔk. Bɔt dat go dɔn insay sɔm dez.

Ɛni risk de fɔ dis? (Risks fɔ Intubation) .

Fɔ put tiub insay na kɔmɔn tin, bɔku pan am nɔ kin sef, ɛn i kin sev layf. Bɔrku pipul dɛn kin wɛl insay sɔm awa ɔr dez. Bɔt sɔm prɔblɛm dɛn de we kin apin we nɔ kin apin so ɔltɛm:

• Aspirashon: We dεn put tכb insay כ lεf in ples, sכmtεm tin dεm lεk vכmit εn blכd kin go insay di lכng.
• Paip we de go na di rɔng ples:
• εndobronchial intubation: sכmtεm di tכb kin כnli go insay wan pan di tu men aywe dεm we de branch כf frכm di trachea insay di lכng dεm (dεn kכl am bak mainstem intubation). Dɔn na wan lɔng nɔmɔ de blo.
• Esophageal intubation: If di tiub go insay di it paip, di esophagus, insted of di windpaip , i kin mek yu bren pwɛl ɛn ivin day if yu nɔ no am kwik. Bɔt dɔktɔ dɛn kin rili tek tɛm wit dis.
• If yu nɔ ebul fɔ mek di say we yu de blo fayn: Sɔntɛnde, we yu tray fɔ put tiub insay, i nɔ kin wok fayn, ɛn dis kin mek i nɔ pɔsibul fɔ trit di pɔsin.
• Infεkshכn: Pipul dεm we gεt tyub kin gεt tin dεm lεk sayn infεkshכn sכmtεm.
• Injury: We dɛn put tiub, i kin gɛt smɔl injury na di mɔt, tit, tɔŋ, vokal kɔd, ɔ di say we di briz de blo. Dis kin mek yu blɔd ɛn swel.
• Prɔblɛm dɛn we kin kam wit anestezi: Pan ɔl we bɔku pipul dɛn kin wɛl fayn fayn wan we dɛn tek anestezi, sɔm kin gɛt te fɔ wɛl ɔ ɔda tin dɛn we kin apin kwik kwik wan.
• Tεnshכn nyumotכraks: Na kכndyushכn we di briz de trכp insay di chεst kεviti, we de mek di lכng dεm kכlaps.

Pan ɔl we dɛn prɔblɛm ya de, dɛn rili smɔl we yu kɔmpia dɛn to di bɛnifit dɛn we pɔsin kin gɛt we dɛn put tiub insay, mɔ we pɔsin de sev pɔsin in layf.

Fɔ dɔn, tin dɛn fɔ mɛmba (Take-Home Message) .

A op se naw yu dɔn ɔndastand gud gud wan bɔt Endotracheal intubation , ɔ endotracheal intubation. Dis na rili impɔtant mɛrɛsin we dɛn kin du fɔ sev pɔsin in layf we i nɔ ebul fɔ blo fɔ insɛf.

dis tכb de mek di briz paip opin εn i de mek כksijεn go insay di lכng.

Bɔku tɛm, dɛn kin du dis na ɔspitul, we dɛn gɛt imejensi, ɔ bifo dɛn du big ɔpreshɔn. Pan ɔl we i kin tan lɛk se i de mek yu fred smɔl, dɛn kin du am fɔ ɛp yu fɔ wɛl. Trɔst se yu dɔktɔ go du wetin bɛtɛ fɔ yu ɔltɛm. If yu gɛt ɛni kwɛstyɔn ɔ tin we de mɔna yu, nɔ fred fɔ aks yu dɔktɔ ɔ nɔs.

` intubation, trachea, insertion of a tube, ventilator, brith, ɔpreshɔn, imejensi tritmɛnt