{"id":103729,"date":"2021-09-09T00:00:00","date_gmt":"2021-09-09T00:00:00","guid":{"rendered":"https:\/\/docosan-blog.local\/blog\/uncategorized\/dat-noi-khi-quan\/"},"modified":"2022-09-09T00:00:00","modified_gmt":"2022-09-09T00:00:00","slug":"dat-noi-khi-quan","status":"publish","type":"post","link":"https:\/\/www.docosan.com\/blog\/ho-hap\/dat-noi-khi-quan\/","title":{"rendered":"\u0110\u1eb7t n\u1ed9i kh\u00ed qu\u1ea3n l\u00e0 g\u00ec? \u0110\u01b0\u1ee3c ch\u1ec9 \u0111\u1ecbnh trong tr\u01b0\u1eddng h\u1ee3p n\u00e0o?"},"content":{"rendered":"\n<p class=\"wp-block-paragraph\">Hi\u1ec7n nay th\u1ee7 thu\u1eadt \u0111\u1eb7t n\u1ed9i kh\u00ed qu\u1ea3n l\u00e0 ph\u01b0\u01a1ng ph\u00e1p ch\u00ednh y\u1ebfu gi\u00fap c\u1ee9u m\u1ea1ng v\u00e0 h\u1ed7 tr\u1ee3 \u0111\u1eafc l\u1ef1c cho nhi\u1ec1u ng\u01b0\u1eddi b\u1ecb b\u1ec7nh l\u00fd nguy hi\u1ec3m c\u1ee7a n\u1ed9i khoa l\u1eabn ngo\u1ea1i khoa. H\u00e3y c\u00f9ng <a href=\"https:\/\/www.docosan.com\/\" target=\"_blank\" rel=\"noreferrer noopener\"><strong>Docosan<\/strong><\/a> t\u00ecm hi\u1ec3u v\u1ec1 th\u1ee7 thu\u1eadt \u0111\u1eb7t n\u1ed9i kh\u00ed qu\u1ea3n trong b\u00e0i vi\u1ebft sau \u0111\u00e2y nh\u00e9!<\/p>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"m\u1ee5c-dich-d\u1eb7t-n\u1ed9i-khi-qu\u1ea3n\">M\u1ee5c \u0111\u00edch \u0111\u1eb7t n\u1ed9i kh\u00ed qu\u1ea3n<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">\u0110\u1eb7t \u1ed1ng n\u1ed9i kh\u00ed qu\u1ea3n c\u1ea5p c\u1ee9u l\u00e0 lu\u1ed3n qua m\u0169i ho\u1eb7c mi\u1ec7ng m\u1ed9t \u1ed1ng n\u1ed9i kh\u00ed qu\u1ea3n trong tr\u01b0\u1eddng h\u1ee3p kh\u1ea9n tr\u01b0\u01a1ng \u0111e d\u1ecda t\u00ednh m\u1ea1ng, nh\u01b0 suy h\u00f4 h\u1ea5p c\u1ea5p th\u1ec3 nguy k\u1ecbch sau ng\u1eebng tim, s\u1eb7c th\u1ee9c \u0103n v\u00e0o \u0111\u01b0\u1eddng h\u00f4 h\u1ea5p, ng\u1ea1t n\u01b0\u1edbc, ch\u1ea5t th\u01b0\u01a1ng s\u1ecd n\u00e3o, ng\u1ed9 \u0111\u1ed9c c\u1ea5p t\u00ednh, \u2026&nbsp;<\/p>\n\n\n\n<figure class=\"wp-block-image size-large\"><img decoding=\"async\" src=\"https:\/\/www.docosan.com\/blog\/wp-content\/uploads\/2021\/09\/dat-noi-khi-quan-min-1024x533.jpg\" alt=\"dat-noi-khi-quan\" class=\"wp-image-27911\"\/><figcaption>\u0110\u1eb7t n\u1ed9i kh\u00ed qu\u1ea3n l\u00e0 th\u1ee7 thu\u1eadt quan tr\u1ecdng trong H\u1ed3i s\u1ee9c c\u1ea5p c\u1ee9u b\u1ec7nh nh\u00e2n<\/figcaption><\/figure>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"khi-nao-c\u1ea7n-d\u1eb7t-n\u1ed9i-khi-qu\u1ea3n\">Khi n\u00e0o c\u1ea7n \u0111\u1eb7t n\u1ed9i kh\u00ed qu\u1ea3n?<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Th\u1ee7 thu\u1eadt \u0111\u1eb7t n\u1ed9i kh\u00ed qu\u1ea3n s\u1ebd \u0111\u01b0\u1ee3c ch\u1ec9 \u0111\u1ecbnh nh\u1eb1m<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>H\u00fat \u0111\u00e0m d\u00e3i trong tr\u01b0\u1eddng h\u1ee3p b\u1ec7nh nh\u00e2n ho kh\u1ea1c k\u00e9m ho\u1eb7c kh\u00f4ng c\u00f3 kh\u1ea3 n\u0103ng ho kh\u1ea1c, g\u00e2y \u1ee9 \u0111\u1ecdng \u0111\u00e0m d\u00e3i l\u00e2u ng\u00e0y<\/li><li>H\u00fat d\u1ecb v\u1eadt ho\u1eb7c d\u1ecbch b\u1ea5t th\u01b0\u1eddng \u0111\u1ed9t nh\u1eadp v\u00e0o kh\u00ed ph\u1ebf qu\u1ea3n&nbsp;<\/li><li>B\u00f3p b\u00f3ng h\u00f4 h\u1ea5p (lo\u1ea1i Ambu) v\u00e0 th\u00f4ng kh\u00ed nh\u00e2n t\u1ea1o&nbsp;<\/li><li>R\u1eeda d\u1ea1 d\u00e0y \u1edf ng\u01b0\u1eddi b\u1ec7nh b\u1ecb h\u00f4n m\u00ea k\u00e9o d\u00e0i&nbsp;<\/li><li>B\u1ea3o v\u1ec7 \u0111\u01b0\u1eddng th\u1edf \u1edf ng\u01b0\u1eddi b\u1ec7nh h\u00f4n m\u00ea s\u00e2u ho\u1eb7c li\u1ec7t c\u01a1 h\u00f4 h\u1ea5p&nbsp;<\/li><li>Ng\u01b0\u1eddi b\u1ec7nh \u0111\u1ed9t nhi\u00ean b\u1ecb co th\u1eaft thanh m\u00f4n d\u1eabn \u0111\u1ebfn suy h\u00f4 h\u1ea5p<\/li><li>T\u1eafc \u0111\u01b0\u1eddng h\u00f4 h\u1ea5p tr\u00ean c\u1ea5p t\u00ednh, nh\u01b0 kh\u00f3 th\u1edf thanh qu\u1ea3n.&nbsp;<\/li><\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">Tuy nhi\u00ean, kh\u00f4ng ph\u1ea3i khi n\u00e0o ng\u01b0\u1eddi b\u1ec7nh c\u0169ng c\u00f3 th\u1ec3 \u0111\u1eb7t n\u1ed9i kh\u00ed qu\u1ea3n. <strong>C\u00e1c tr\u01b0\u1eddng h\u1ee3p ch\u1ed1ng ch\u1ec9 \u0111\u1ecbnh c\u1ee7a th\u1ee7 thu\u1eadt \u0111\u1eb7t n\u1ed9i kh\u00ed qu\u1ea3n l\u00e0<\/strong>:<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>Ch\u1ea5n th\u01b0\u01a1ng thanh kh\u00ed qu\u1ea3n&nbsp;<\/li><li>Ch\u1ea5n th\u01b0\u01a1ng n\u1eb7ng n\u1ec1 hay bi\u1ebfn d\u1ea1ng v\u00f9ng \u0111\u1ea7u m\u1eb7t c\u1ed5 l\u00e0m c\u1ea3n tr\u1edf vi\u1ec7c \u0111\u1eb7t n\u1ed9i kh\u00ed qu\u1ea3n \u0111\u01b0\u1eddng mi\u1ec7ng v\u00e0 m\u0169i<\/li><li>Kh\u00f4ng \u0111\u1eb7t n\u1ed9i kh\u00ed qu\u1ea3n \u0111\u01b0\u1eddng m\u0169i trong tr\u01b0\u1eddng h\u1ee3p c\u00f3 b\u1ea5t th\u01b0\u1eddng v\u1ec1 c\u1ea5u tr\u00fac m\u0169i nh\u01b0 v\u1eb9o v\u00e1ch ng\u0103n, ph\u00ec \u0111\u1ea1i cu\u1ed1n m\u0169i, ung th\u01b0 v\u00f2m m\u0169i, &#8230;<\/li><\/ul>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"b\u1ec7nh-vi\u1ec7n-c\u1ea5p-c\u1ee9u-d\u1eb7t-n\u1ed9i-khi-qu\u1ea3n\">B\u1ec7nh vi\u1ec7n c\u1ea5p c\u1ee9u \u0111\u1eb7t n\u1ed9i kh\u00ed qu\u1ea3n<\/h2>\n\n\n\n<ul class=\"wp-block-list\"><li>B\u1ec7nh vi\u1ec7n Qu\u1ed1c t\u1ebf City\u2013 Qu\u1eadn B\u00ecnh T\u00e2n<\/li><\/ul>\n\n\n\n<iframe width=\"100%\" style=\"height: 330px\" src=\"https:\/\/www.docosan.com\/widget\/clinic-info\/371?book=1&amp;utm_source=embed-widget\" frameborder=\"0\"><\/iframe>\n\n\n\n<ul class=\"wp-block-list\"><li>B\u1ec7nh vi\u00ean \u0111a khoa T\u00e2n H\u01b0ng&nbsp;\u2013 Qu\u1eadn 7<\/li><\/ul>\n\n\n\n<iframe width=\"100%\" style=\"height: 330px\" src=\"https:\/\/www.docosan.com\/widget\/clinic-info\/556?book=1&amp;utm_source=embed-widget\" frameborder=\"0\"><\/iframe>\n\n\n\n<ul class=\"wp-block-list\"><li>B\u1ec7nh vi\u1ec7n \u0111a khoa Nam S\u00e0i G\u00f2n&nbsp;\u2013 Q. B\u00ecnh Ch\u00e1nh<\/li><\/ul>\n\n\n\n<iframe width=\"100%\" style=\"height: 330px\" src=\"https:\/\/www.docosan.com\/widget\/clinic-info\/595?book=1&amp;utm_source=embed-widget\" frameborder=\"0\"><\/iframe>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"cach-d\u1eb7t-n\u1ed9i-khi-qu\u1ea3n\">C\u00e1ch \u0111\u1eb7t n\u1ed9i kh\u00ed qu\u1ea3n&nbsp;<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">T\u00f9y theo m\u1ee5c \u0111\u00edch c\u1ee5 th\u1ec3 v\u00e0 ph\u00e2n lo\u1ea1i theo c\u1ea5u tr\u00fac gi\u1ea3i ph\u1eabu, b\u1ec7nh n\u1ed9i v\u00e0 ngo\u1ea1i khoa c\u1ee7a t\u1eebng b\u1ec7nh nh\u00e2n kh\u00e1c nhau, s\u1ebd c\u00f3 nhi\u1ec1u lo\u1ea1i k\u1ef9 thu\u1eadt \u0111\u1eb7t n\u1ed9i kh\u00ed qu\u1ea3n ph\u00f9 h\u1ee3p. M\u1ed9t s\u1ed1 c\u00e1ch \u0111\u1eb7t n\u1ed9i kh\u00ed qu\u1ea3n th\u01b0\u1eddng g\u1eb7p nh\u01b0:<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>\u0110\u1eb7t \u1ed1ng n\u1ed9i kh\u00ed qu\u1ea3n qua \u0111\u01b0\u1eddng mi\u1ec7ng hay m\u0169i th\u00f4ng th\u01b0\u1eddng&nbsp;<\/li><li>\u0110\u1eb7t \u1ed1ng n\u1ed9i kh\u00ed qu\u1ea3n \u0111\u01b0\u1eddng m\u0169i c\u00f3 \u0111\u00e8n soi thanh qu\u1ea3n&nbsp;<\/li><li>\u0110\u1eb7t \u1ed1ng n\u1ed9i kh\u00ed qu\u1ea3n m\u00f2 qua \u0111\u01b0\u1eddng m\u0169i&nbsp;<\/li><li>\u0110\u1eb7t \u1ed1ng n\u1ed9i kh\u00ed qu\u1ea3n \u0111\u01b0\u1eddng mi\u1ec7ng c\u00f3 \u0111\u00e8n soi thanh qu\u1ea3n.<\/li><\/ul>\n\n\n\n<figure class=\"wp-block-image size-full is-resized\"><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/www.docosan.com\/blog\/wp-content\/uploads\/2021\/09\/endotrachealintubationgetty_1265284.jpg\" alt=\"\" class=\"wp-image-27787\" width=\"700\" height=\"402\"\/><figcaption>C\u00e1ch \u0111\u1eb7t n\u1ed9i kh\u00ed qu\u1ea3n kh\u00e1c nhau s\u1ebd c\u00f3 d\u1ee5ng c\u1ee5 chuy\u00ean bi\u1ec7t<\/figcaption><\/figure>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"k\u1ef9-thu\u1eadt-d\u1eb7t-n\u1ed9i-khi-qu\u1ea3n\">K\u1ef9 thu\u1eadt \u0111\u1eb7t n\u1ed9i kh\u00ed qu\u1ea3n<\/h2>\n\n\n\n<h3 class=\"wp-block-heading\" id=\"b\u01b0\u1edbc-1-danh-gia-ban-d\u1ea7u\"><strong>B\u01b0\u1edbc 1: \u0110\u00e1nh gi\u00e1 ban \u0111\u1ea7u<\/strong><\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">\u0110\u00e1nh gi\u00e1 c\u1ea5u tr\u00fac gi\u1ea3i ph\u1eabu \u0111\u01b0\u1eddng th\u1edf v\u00e0 v\u00f9ng \u0111\u1ea7u m\u1eb7t c\u1ed5 b\u1ec7nh nh\u00e2n, t\u1eeb \u0111\u00f3 ng\u01b0\u1eddi th\u1ef1c hi\u1ec7n th\u1ee7 thu\u1eadt s\u1ebd ti\u00ean l\u01b0\u1ee3ng m\u1ee9c \u0111\u1ed9 kh\u00f3 v\u00e0 chu\u1ea9n b\u1ecb ph\u00f9 h\u1ee3p.&nbsp;<\/p>\n\n\n\n<h3 class=\"wp-block-heading\" id=\"b\u01b0\u1edbc-2-chu\u1ea9n-b\u1ecb-k\u1ef9-thu\u1eadt\"><strong>B\u01b0\u1edbc 2 : Chu\u1ea9n b\u1ecb k\u1ef9 thu\u1eadt&nbsp;<\/strong><\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">Chu\u1ea9n b\u1ecb t\u01b0 th\u1ebf b\u1ec7nh nh\u00e2n v\u00e0 ng\u01b0\u1eddi th\u1ef1c hi\u1ec7n, \u0111\u1ed3ng th\u1eddi theo d\u00f5i \u0111\u1ed9 b\u00e3o h\u00f2a oxy h\u00f3a m\u00e1u v\u00e0 c\u00e1c d\u1ea5u hi\u1ec7u sinh t\u1ed3n c\u1ee7a ng\u01b0\u1eddi b\u1ec7nh:<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>B\u1ec7nh nh\u00e2n \u0111\u1eb7t \u1edf t\u01b0 th\u1ebf n\u1eb1m ng\u1eeda \u0111\u1ea7u b\u1eb1ng, c\u00f3 th\u1ec3 k\u00ea g\u1ed1i m\u1ec1m \u1edf v\u00f9ng ch\u1ea9m g\u00e1y<\/li><li>\u0110\u1eb7t \u0111\u01b0\u1eddng truy\u1ec1n t\u0129nh m\u1ea1ch ngo\u1ea1i bi\u00ean hay trung \u01b0\u01a1ng.&nbsp;<\/li><li>D\u00f9ng thu\u1ed1c an th\u1ea7n \u0111\u01b0\u1eddng truy\u1ec1n t\u0129nh m\u1ea1ch. Th\u01b0\u1eddng s\u1eed d\u1ee5ng Midazolam li\u1ec1u 5-10mg v\u00e0 Fentanyl ti\u00eam t\u0129nh m\u1ea1ch ch\u1eadm ho\u1eb7c Propofol ti\u00eam bolus, c\u1ea7n ph\u1ed1i h\u1ee3p v\u1edbi thu\u1ed1c gi\u00e3n c\u01a1 n\u1ebfu c\u1ea7n.&nbsp;<\/li><li>Song song v\u1edbi d\u00f9ng thu\u1ed1c an th\u1ea7n, gi\u00e3n c\u01a1 th\u00ec c\u1ea7n ti\u1ebfn h\u00e0nh b\u00f3p b\u00f3ng Ambu qua m\u1eb7t n\u1ea1 m\u0169i m\u1eb7t oxy li\u1ec1u cao sao cho \u0111\u1eb7t m\u1ee9c SpO2 t\u1eeb 98% tr\u1edf l\u00ean trong v\u00f2ng 1-2 ph\u00fat ho\u1eb7c khi \u0111\u1eb7t \u1ed1ng n\u1ed9i kh\u00ed qu\u1ea3n th\u00e0nh c\u00f4ng.<\/li><\/ul>\n\n\n\n<h3 class=\"wp-block-heading\" id=\"b\u01b0\u1edbc-3-ki\u1ec3m-soat-l\u01b0\u1ee1i-b\u1ec7nh-nhan\"><strong>B\u01b0\u1edbc 3: Ki\u1ec3m so\u00e1t l\u01b0\u1ee1i b\u1ec7nh nh\u00e2n&nbsp;<\/strong><\/h3>\n\n\n\n<ul class=\"wp-block-list\"><li>Ki\u1ec3m tra h\u00e0m d\u01b0\u1edbi c\u1ee7a b\u1ec7nh nh\u00e2n: d\u00f9ng ng\u00f3n c\u00e1i tay thu\u1eadn \u0111\u1ea9y h\u00e0m d\u01b0\u1edbi ra tr\u01b0\u1edbc \u0111\u1ec3 m\u1edf mi\u1ec7ng ng\u01b0\u1eddi b\u1ec7nh. N\u1ebfu m\u1edf mi\u1ec7ng d\u1ec5 d\u00e0ng th\u00ec ti\u1ebfp t\u1ee5c th\u1ef1c hi\u1ec7n b\u01b0\u1edbc 2, n\u1ebfu m\u1edf mi\u1ec7ng kh\u00f3 kh\u0103n th\u00ec xem x\u00e9t s\u1eed d\u1ee5ng th\u00eam thu\u1ed1c an th\u1ea7n gi\u00e3n c\u01a1.<\/li><li>Tay kh\u00f4ng thu\u1eadn c\u1ea7m c\u00e1n \u0111\u00e8n, trong khi tay thu\u1eadn v\u1eabn \u0111\u1ea9y h\u00e0m d\u01b0\u1edbi \u0111\u1ec3 m\u1edf mi\u1ec7ng. Sau \u0111\u00f3 t\u1eeb t\u1eeb \u0111\u01b0a l\u01b0\u1ee1i \u0111\u00e8n t\u1eeb mi\u1ec7ng xu\u1ed1ng khu v\u1ef1c thanh m\u00f4n hay c\u00f2n g\u1ecdi l\u00e0 ng\u00e3 ba h\u1ea7u h\u1ecdng&nbsp;<\/li><li>Ph\u1ed1i h\u1ee3p g\u1ea1t l\u01b0\u1ee1i sang b\u00ean tr\u00e1i v\u00e0 n\u00e2ng l\u01b0\u1ee1i \u0111\u00e8n l\u00ean theo h\u01b0\u1edbng ra tr\u01b0\u1edbc v\u00e0 l\u00ean tr\u00ean.&nbsp;<\/li><\/ul>\n\n\n\n<h3 class=\"wp-block-heading\" id=\"b\u01b0\u1edbc-4-ki\u1ec3m-soat-n\u1eafp-thanh-mon\"><strong>B\u01b0\u1edbc 4: Ki\u1ec3m so\u00e1t n\u1eafp thanh m\u00f4n<\/strong><\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">N\u1ebfu s\u1eed d\u1ee5ng \u0111\u00e8n \u0111\u1eb7t n\u1ed9i kh\u00ed qu\u1ea3n l\u01b0\u1ee1i th\u1eb3ng th\u00ec \u0111\u1eb7t \u0111\u1ea7u xa c\u1ee7a l\u01b0\u1ee1i \u0111\u00e8n \u0111\u1eb7t \u0111\u00e8 l\u00ean \u00edt nh\u1ea5t \u1edf 2\/3 tr\u00ean c\u1ee7a n\u1eafp thanh m\u00f4n.&nbsp;<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>N\u1ebfu s\u1eed d\u1ee5ng lo\u1ea1i l\u01b0\u1ee1i xong th\u00ec \u0111\u1ea7u xa c\u1ee7a l\u01b0\u1ee1i \u0111\u00e8n n\u1eb1m \u1edf g\u1ed1c thanh \u00e2m c\u1ee7a n\u1eafp thanh m\u00f4n.&nbsp;<\/li><li>Thanh m\u00f4n \u0111\u01b0\u1ee3c ki\u1ec3m so\u00e1t khi l\u01b0\u1ee1i \u0111\u00e8n \u0111\u01b0\u1ee3c n\u00e2ng l\u00ean tr\u00ean v\u00e0 ra tr\u01b0\u1edbc l\u00e0m b\u1ed9c l\u1ed9 \u0111\u01b0\u1ee3c 2 d\u00e2y thanh \u00e2m.&nbsp;<\/li><\/ul>\n\n\n\n<p class=\"wp-block-paragraph\"><strong><em>L\u01b0u \u00fd:<\/em><\/strong> trong m\u1ed9t s\u1ed1 tr\u01b0\u1eddng h\u1ee3p l\u1ed7 thanh m\u00f4n \u1edf v\u1ecb tr\u00ed cao, khi \u0111\u00e3 \u0111\u01b0a l\u01b0\u1ee1i \u0111\u00e8n ra tr\u01b0\u1edbc v\u00e0 l\u00ean tr\u00ean m\u00e0 v\u1eabn ch\u01b0a quan s\u00e1t \u0111\u01b0\u1ee3c 2 d\u00e2y thanh \u00e2m. Khi \u0111\u00f3 th\u1ef1c hi\u1ec7n \u0111\u1ed9ng t\u00e1c t\u1ea1o \u00e1p l\u1ef1c b\u1eb1ng c\u00e1ch \u1ea5n thanh qu\u1ea3n t\u1eeb ngo\u00e0i c\u1ed5 theo h\u01b0\u1edbng t\u1eeb tr\u00ean xu\u1ed1ng d\u01b0\u1edbi v\u00e0 t\u1eeb d\u01b0\u1edbi l\u00ean tr\u00ean, v\u1eeba \u1ea5n v\u00e0i l\u1ea7n v\u1eeba quan s\u00e1t cho \u0111\u1ebfn khi quan s\u00e1t \u0111\u01b0\u1ee3c 2 d\u00e2y thanh \u00e2m.&nbsp;<\/p>\n\n\n\n<figure class=\"wp-block-image size-full is-resized\"><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/www.docosan.com\/blog\/wp-content\/uploads\/2021\/09\/ga\u0302y-me\u0302-no\u0323\u0302i-khi\u0301-qua\u0309n.jpg\" alt=\"\" class=\"wp-image-27784\" width=\"701\" height=\"466\"\/><figcaption>L\u01b0u \u00fd tr\u01b0\u1eddng h\u1ee3p l\u1ed7 thanh m\u00f4n \u1edf v\u1ecb tr\u00ed cao<\/figcaption><\/figure>\n\n\n\n<h3 class=\"wp-block-heading\" id=\"b\u01b0\u1edbc-5-d\u01b0a-\u1ed1ng-n\u1ed9i-khi-qu\u1ea3n-vao\"><strong>B\u01b0\u1edbc 5: \u0110\u01b0a \u1ed1ng n\u1ed9i kh\u00ed qu\u1ea3n v\u00e0o&nbsp;<\/strong><\/h3>\n\n\n\n<ul class=\"wp-block-list\"><li>Khi \u0111\u00e3 quan s\u00e1t \u0111\u01b0\u1ee3c 2 d\u00e2y thanh \u00e2m, tay thu\u1eadn c\u1ea7m \u1ed1ng n\u1ed9i kh\u00ed qu\u1ea3n c\u00f3 g\u1eafn n\u00f2ng d\u1eabn t\u1eeb t\u1eeb lu\u1ed3n theo khe c\u1ee7a l\u01b0\u1ee1i \u0111\u00e8n \u0111i qua khe 2 d\u00e2y thanh \u00e2m sao cho \u0111\u1ea7u \u1ed1ng \u0111i qua khe 2 d\u00e2y thanh \u00e2m kho\u1ea3ng 2cm.&nbsp;<\/li><li>R\u00fat n\u00f2ng gi\u00e3n \u1ed1ng n\u1ed9i kh\u00ed qu\u1ea3n<\/li><li>B\u01a1m b\u00f3ng ch\u00e8n c\u1ee7a \u1ed1ng n\u1ed9i kh\u00ed qu\u1ea3n v\u1edbi m\u1ee9c \u00e1p l\u1ef1c kho\u1ea3ng 20-25 cm H2O<\/li><li>Nghe ph\u1ed5i \u0111\u00e1nh gi\u00e1 th\u00f4ng kh\u00ed hai b\u00ean ph\u1ed5i. Kh\u00f4ng \u0111\u1ea1t ti\u00eau chu\u1ea9n khi ch\u1ec9 c\u00f3 th\u00f4ng kh\u00ed 1 b\u00ean, l\u00fac n\u00e0y c\u1ea7n r\u00fat \u1ed1ng n\u1ed9i kh\u00ed qu\u1ea3n ra m\u1ed9t \u0111o\u1ea1n v\u00e0 ki\u1ec3m tra l\u1ea1i<\/li><li>C\u1ed1 \u0111\u1ecbnh \u1ed1ng n\u1ed9i kh\u00ed qu\u1ea3n khi k\u1ef9 thu\u1eadt \u0111\u00e3 \u0111\u1ea1t ti\u00eau chu\u1ea9n th\u00f4ng kh\u00ed ph\u1ed5i \u0111\u01b0\u1ee3c 2 b\u00ean \u0111\u1ec1u nhau.&nbsp;<\/li><\/ul>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"tinh-tr\u1ea1ng-sau-khi-d\u1eb7t-n\u1ed9i-khi-qu\u1ea3n\"><strong>T\u00ecnh tr\u1ea1ng sau khi \u0111\u1eb7t n\u1ed9i kh\u00ed qu\u1ea3n&nbsp;<\/strong><\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Ng\u01b0\u1eddi b\u1ec7nh sau khi l\u00e0m th\u1ee7 thu\u1eadt c\u00f3 th\u1ec3 b\u1ecb \u0111au h\u1ecdng nh\u1eb9, kh\u00f3 nu\u1ed1t ho\u1eb7c c\u1ea3m gi\u00e1c v\u01b0\u1edbng c\u1ed5 h\u1ecdng, nh\u01b0ng c\u00e1c t\u00ecnh tr\u1ea1ng n\u00e0y s\u1ebd nhanh t\u1ef1 h\u1ed3i ph\u1ee5c.&nbsp;<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">C\u00f3 \u0111i\u1ec1u \u0111\u00e1ng lo ng\u1ea1i l\u00e0 x\u1ea3y ra c\u00e1c r\u1ee7i ro kh\u00f4ng mong mu\u1ed1n, c\u0169ng xem nh\u01b0 bi\u1ebfn ch\u1ee9ng do \u0111\u1eb7t n\u1ed9i kh\u00ed qu\u1ea3n g\u00e2y ra. N\u1ebfu ng\u01b0\u1eddi b\u1ec7nh g\u1eb7p ph\u1ea3i c\u00e1c t\u00ecnh tr\u1ea1ng sau th\u00ec c\u1ea7n th\u00f4ng b\u00e1o cho b\u00e1c s\u0129 ngay&nbsp;: <\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>M\u1eb7t b\u1ecb s\u01b0ng, ph\u00f9 n\u1ec1&nbsp;<\/li><li>\u0110au h\u1ecdng n\u1eb7ng, \u0111au r\u00e1t c\u1ed5&nbsp;<\/li><li>N\u1eb7ng t\u1ee9c ng\u1ef1c&nbsp;<\/li><li>Nu\u1ed1t ngh\u1eb9n, nu\u1ed1t kh\u00f3 nhi\u1ec1u&nbsp;<\/li><li>Kh\u00f3 th\u1edf, th\u1edf m\u1ec7t.&nbsp;<\/li><\/ul>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"k\u1ebft-lu\u1eadn\">K\u1ebft lu\u1eadn&nbsp;<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">\u0110\u1eb7t \u1ed1ng n\u1ed9i kh\u00ed qu\u1ea3n l\u00e0 m\u1ed9t th\u1ee7 thu\u1eadt quan tr\u1ecdng v\u00e0 c\u1ea7n thi\u1ebft cho ng\u01b0\u1eddi b\u1ec7nh trong nh\u1eefng ho\u00e0n c\u1ea3nh nguy hi\u1ec3m c\u1ea7n ph\u1ea3i c\u1ea5p c\u1ee9u k\u1ecbp th\u1eddi. V\u00ec v\u1eady ng\u01b0\u1eddi b\u1ec7nh v\u00e0 ng\u01b0\u1eddi nh\u00e0 b\u1ec7nh nh\u00e2n c\u1ea7n hi\u1ec3u r\u00f5 nh\u1eefng \u0111i\u1ec1u ki\u1ec7n ch\u1ec9 \u0111\u1ecbnh, th\u1ee7 thu\u1eadt c\u0169ng nh\u01b0 t\u00ecnh tr\u1ea1ng c\u00f3 th\u1ec3 x\u1ea3y ra sau khi \u0111\u1eb7t \u1ed1ng n\u1ed9i kh\u00ed qu\u1ea3n. T\u1ed1t nh\u1ea5t b\u1ea1n v\u00e0 ng\u01b0\u1eddi th\u00e2n n\u00ean t\u00ecm \u0111\u1ebfn c\u00e1c k\u1ef9 thu\u1eadt vi\u00ean hay b\u00e1c s\u0129 chuy\u00ean khoa \u0111\u1ec3 \u0111\u01b0\u1ee3c t\u01b0 v\u1ea5n t\u1eadn t\u00ecnh v\u1ec1 c\u00e1c v\u1ea5n \u0111\u1ec1 li\u00ean quan \u0111\u1ebfn \u0111\u1eb7t n\u1ed9i kh\u00ed qu\u1ea3n.<\/p>\n\n\n\n<hr class=\"wp-block-separator\"\/>\n\n\n\n<p class=\"wp-block-paragraph\"><em>B\u00e0i vi\u1ebft \u0111\u01b0\u1ee3c tham kh\u1ea3o t\u1eeb b\u00e1c s\u0129 v\u00e0 c\u00e1c ngu\u1ed3n t\u01b0 li\u1ec7u \u0111\u00e1ng tin c\u1eady trong v\u00e0 ngo\u00e0i n\u01b0\u1edbc. Tuy nhi\u00ean, Docosan Team khuy\u1ebfn kh\u00edch b\u1ec7nh nh\u00e2n h\u00e3y t\u00ecm v\u00e0 \u0111\u1eb7t l\u1ecbch h\u1eb9n v\u1edbi b\u00e1c s\u0129 c\u00f3 chuy\u00ean m\u00f4n \u0111\u1ec3 \u0111i\u1ec1u tr\u1ecb.<\/em><\/p>\n\n\n\n\n\n<ul class=\"wp-block-list\" id=\"block-d86dde07-3486-4fba-bd9b-420c86aec869\"><li>\u0110\u1eb7t n\u1ed9i kh\u00ed qu\u1ea3n &#8211; Gi\u00e1o tr\u00ecnh H\u1ed3i s\u1ee9c t\u00edch c\u1ef1c c\u01a1 b\u1ea3n &#8211; B\u1ed9 Y t\u1ebf, B\u1ec7nh vi\u1ec7n B\u1ea1ch mai<\/li><li><a href=\"https:\/\/www.healthline.com\/health\/endotracheal-intubation\" target=\"_blank\" rel=\"noreferrer noopener nofollow\">Endotracheal Intubation <\/a>&#8211; <a href=\"https:\/\/www.healthline.com\/health\/endotracheal-intubation\" target=\"_blank\" rel=\"noreferrer noopener\">Healthline<\/a><\/li><\/ul>\n\n\n","protected":false},"excerpt":{"rendered":"<p>Hi\u1ec7n nay th\u1ee7 thu\u1eadt \u0111\u1eb7t n\u1ed9i kh\u00ed qu\u1ea3n l\u00e0 ph\u01b0\u01a1ng ph\u00e1p ch\u00ednh y\u1ebfu gi\u00fap c\u1ee9u m\u1ea1ng v\u00e0 h\u1ed7 tr\u1ee3 \u0111\u1eafc l\u1ef1c cho nhi\u1ec1u ng\u01b0\u1eddi b\u1ecb b\u1ec7nh l\u00fd nguy hi\u1ec3m c\u1ee7a n\u1ed9i khoa l\u1eabn ngo\u1ea1i khoa. H\u00e3y c\u00f9ng Docosan t\u00ecm hi\u1ec3u v\u1ec1 th\u1ee7 thu\u1eadt \u0111\u1eb7t n\u1ed9i kh\u00ed qu\u1ea3n trong b\u00e0i vi\u1ebft sau \u0111\u00e2y nh\u00e9! M\u1ee5c \u0111\u00edch [&hellip;]<\/p>\n","protected":false},"author":7,"featured_media":89292,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"inline_featured_image":false,"footnotes":""},"categories":[69],"tags":[],"class_list":["post-103729","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-ho-hap"],"acf":[],"featured_image_src":"https:\/\/www.docosan.com\/blog\/wp-content\/uploads\/2021\/09\/endotrachealintubationgetty_1265284-600x392.jpg","featured_image_src_square":"https:\/\/www.docosan.com\/blog\/wp-content\/uploads\/2021\/09\/endotrachealintubationgetty_1265284-600x392.jpg","author_info":{"display_name":"D\u01b0\u1ee3c s\u0129, Th\u1ea1c s\u0129 Nguy\u1ec5n Th\u1ecb Thanh T\u00fa","author_link":"https:\/\/www.docosan.com\/blog\/author\/tunguyen\/"},"_links":{"self":[{"href":"https:\/\/www.docosan.com\/blog\/wp-json\/wp\/v2\/posts\/103729","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.docosan.com\/blog\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.docosan.com\/blog\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.docosan.com\/blog\/wp-json\/wp\/v2\/users\/7"}],"replies":[{"embeddable":true,"href":"https:\/\/www.docosan.com\/blog\/wp-json\/wp\/v2\/comments?post=103729"}],"version-history":[{"count":0,"href":"https:\/\/www.docosan.com\/blog\/wp-json\/wp\/v2\/posts\/103729\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.docosan.com\/blog\/wp-json\/wp\/v2\/media\/89292"}],"wp:attachment":[{"href":"https:\/\/www.docosan.com\/blog\/wp-json\/wp\/v2\/media?parent=103729"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.docosan.com\/blog\/wp-json\/wp\/v2\/categories?post=103729"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.docosan.com\/blog\/wp-json\/wp\/v2\/tags?post=103729"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}