{"id":210,"date":"2018-07-18T07:21:23","date_gmt":"2018-07-18T07:21:23","guid":{"rendered":"http:\/\/localhost\/dev\/capno\/?p=210"},"modified":"2018-07-18T07:21:23","modified_gmt":"2018-07-18T07:21:23","slug":"legut-es-legzes-monitorizalasa","status":"publish","type":"post","link":"https:\/\/capno.albacomp.hu\/index.php\/legut-es-legzes-monitorizalasa\/","title":{"rendered":"L\u00e9g\u00fat \u00e9s l\u00e9gz\u00e9s monitoriz\u00e1l\u00e1sa"},"content":{"rendered":"<h3><strong>Fizik\u00e1lis vizsg\u00e1latok<\/strong><\/h3>\n<p>Az endotrachealis tubus \u00e1tj\u00e1rhat\u00f3s\u00e1g\u00e1t egyszer\u0171 megtekint\u00e9ssel, annak megfelel\u0151 r\u00f6gz\u00edt\u00e9si technik\u00e1j\u00e1val is biztos\u00edtanunk, \u00e9s rendszeresen ellen\u0151rizn\u00fcnk kell. K\u00fcl\u00f6n\u00f6sen igaz ez azokban az esetekben, amikor kil\u00e9gz\u00e9sv\u00e9gi sz\u00e9n-dioxid-nyom\u00e1st nem \u00e1ll m\u00f3dunkban m\u00e9rni.<\/p>\n<p>A l\u00e9gz\u00e9ssz\u00e1m m\u00e9r\u00e9s\u00e9vel, a mellkasmozg\u00e1s mint\u00e1zat\u00e1nak megfigyel\u00e9s\u00e9vel, illetve a l\u00e9gz\u00e9si \u00e9s l\u00e9legeztet\u00e9si hangok hallgat\u00f3z\u00e1s\u00e1val egyszer\u0171 \u00faton kaphatunk inform\u00e1ci\u00f3t a l\u00e9gz\u00e9s el\u00e9gtelens\u00e9g\u00e9r\u0151l, esetleges sziv\u00e1rg\u00e1sr\u00f3l.<\/p>\n<h3><strong>Eszk\u00f6z\u00f6s megfigyel\u00e9s<\/strong><\/h3>\n<p>A kapnogr\u00e1fia a kil\u00e9gz\u00e9sv\u00e9gi sz\u00e9n-dioxid parci\u00e1lis nyom\u00e1s\u00e1nak (ETCO<sub>2<\/sub>) m\u00e9r\u00e9s\u00e9vel az endotracheal\u00adis tubus poz\u00edci\u00f3j\u00e1nak, \u00e1tj\u00e1rhat\u00f3s\u00e1g\u00e1nak legmegb\u00edzhat\u00f3bb szenzora. Az ETCO<sub>2<\/sub> norm\u00e1l \u00e9rt\u00e9ke 30-40 mmHg.<\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-212 aligncenter\" src=\"http:\/\/localhost\/dev\/capno\/wp-content\/uploads\/2018\/07\/a-gorbe.png\" alt=\"\" width=\"661\" height=\"394\" srcset=\"https:\/\/capno.albacomp.hu\/wp-content\/uploads\/2018\/07\/a-gorbe.png 661w, https:\/\/capno.albacomp.hu\/wp-content\/uploads\/2018\/07\/a-gorbe-300x179.png 300w\" sizes=\"auto, (max-width: 661px) 100vw, 661px\" \/><\/p>\n<p><strong>AB-szakaszban<\/strong> (I. f\u00e1zis) a l\u00e9gz\u00e9si alapvonalat l\u00e1thatjuk. A <strong>BC-szakasz<\/strong> (II. f\u00e1zis): a kil\u00e9gz\u00e9s els\u0151, gyors \u00e1raml\u00e1s\u00fa szakasza. <strong>CD-szakasz<\/strong> (III. f\u00e1zis): a kil\u00e9gz\u00e9si plat\u00f3. A <strong>D-pont<\/strong>: kil\u00e9gz\u00e9s v\u00e9ge. (<em>forr\u00e1s: <a href=\"https:\/\/oktatas.mentok.hu\/mod\/book\/view.php?id=2777&amp;chapterid=132\">https:\/\/oktatas.mentok.hu\/mod\/book\/view.php?id=2777&amp;chapterid=132<\/a><\/em> )<\/p>\n<p>A G\u00f6rbe folyamatos \u00e9rt\u00e9kel\u00e9se inform\u00e1ci\u00f3t ad a tubus malpoz\u00edci\u00f3j\u00e1r\u00f3l, \u00e1tj\u00e1rhat\u00f3s\u00e1g\u00e1r\u00f3l, a l\u00e9g\u00fati keresztmetszetr\u0151l, a ventil\u00e1ci\u00f3 m\u00e9rt\u00e9k\u00e9r\u0151l, indirekt m\u00f3don a kering\u00e9s \u00e9s perif\u00e9ri\u00e1s anyagcsere \u00e1llapot\u00e1r\u00f3l.<\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-211 aligncenter\" src=\"http:\/\/localhost\/dev\/capno\/wp-content\/uploads\/2018\/07\/b-gorbe.png\" alt=\"\" width=\"1200\" height=\"585\" srcset=\"https:\/\/capno.albacomp.hu\/wp-content\/uploads\/2018\/07\/b-gorbe.png 1200w, https:\/\/capno.albacomp.hu\/wp-content\/uploads\/2018\/07\/b-gorbe-300x146.png 300w, https:\/\/capno.albacomp.hu\/wp-content\/uploads\/2018\/07\/b-gorbe-768x374.png 768w, https:\/\/capno.albacomp.hu\/wp-content\/uploads\/2018\/07\/b-gorbe-1024x499.png 1024w\" sizes=\"auto, (max-width: 1200px) 100vw, 1200px\" \/><\/p>\n<p>Az <strong>A<\/strong> g\u00f6rb\u00e9n l\u00e9g\u00fati obstrukci\u00f3 l\u00e1that\u00f3, az I. f\u00e1zis elny\u00fal\u00e1s\u00e1t, a III. f\u00e1zis meredeks\u00e9g\u00e9t okozza. <strong>B<\/strong> \u00e9s <strong>C<\/strong>: kil\u00e9gz\u0151 \u00e9s bel\u00e9gz\u0151 szelep hib\u00e1ja az alapvonal emelked\u00e9s\u00e9t, a CO<sub>2<\/sub> ker\u00fcl visszal\u00e9gz\u00e9sre. <strong>D<\/strong> g\u00f6rbe: terhess\u00e9gben \u00e9szlelhet\u0151 a norm\u00e1l II. f\u00e1zis mellett (nincs l\u00e9g\u00fati obstrukci\u00f3) meredek III. f\u00e1zis. <strong>E<\/strong> g\u00f6rbe: el\u00e9gtelen relax\u00e1ci\u00f3 l\u00e1that\u00f3, a beteg spont\u00e1n l\u00e9gz\u00e9st ind\u00edtott. <strong>F<\/strong> g\u00f6rbe: CO<sub>2<\/sub> visszal\u00e9gz\u00e9s az abszorbens hib\u00e1ja miatt.<\/p>\n<p><strong>G<\/strong> g\u00f6rbe: Oesophagus (nyel\u0151cs\u0151) intub\u00e1ci\u00f3, kering\u00e9smeg\u00e1ll\u00e1s. <strong>H:<\/strong> Spont\u00e1n tachypnoe. <strong>I:<\/strong> Kett\u0151s kapnogram f\u00e9lt\u00fcd\u0151 transzplant\u00e1lt betegn\u00e9l. AIII. f\u00e1zis els\u0151 cs\u00facsa az eg\u00e9szs\u00e9ges graftb\u00f3l, a m\u00e1sodik az eredeti, de beteg t\u00fcd\u0151b\u0151l sz\u00e1rmazik. <strong>J:<\/strong> Malignus hypertermia okozta t\u00f6bblet CO<sub>2<\/sub> produkci\u00f3. A norm\u00e1l alapvonal jelzi, hogy az abszorber \u00e9s a l\u00e9gk\u00f6ri szelepek j\u00f3l m\u0171k\u00f6dnek. Hasonl\u00f3 k\u00e9p mutatkozik hypoventil\u00e1ci\u00f3 eset\u00e9n is.<\/p>\n<p><strong>K<\/strong> g\u00f6rbe: Fodros g\u00f6rbe a l\u00e9gz\u00e9ssz\u00fcnet alatt, amit jellegzetesen bradypnoe mellett l\u00e1thatunk. A pulzus frekvenci\u00e1val p\u00e1rhuzamosan \u201ecardiogen oszcill\u00e1ci\u00f3\u201d jelentkezik a kil\u00e9gzett g\u00e1zkever\u00e9kben. <strong>L<\/strong> g\u00f6rbe: Az alapvonal \u00e9s az ETCO<sub>2<\/sub> hirtelen emelked\u00e9se a szenzor szennyez\u0151d\u00e9s\u00e9t, m\u00edg a fokozatos emelked\u00e9s a CO<sub>2<\/sub> abszorber kimer\u00fcl\u00e9s\u00e9t jelzi.<\/p>\n<p><strong>M<\/strong> g\u00f6rbe: Spont\u00e1n l\u00e9gz\u00e9saktivit\u00e1ssal b\u00edr\u00f3 beteg SIMV l\u00e9legeztet\u00e9s melletti kapnogramja. <strong>N<\/strong> g\u00f6rbe: Reanim\u00e1ci\u00f3 k\u00f6zben \u00e9szlelt kapnogram effekt\u00edv pulmonalis kering\u00e9st jelez. <strong>O<\/strong> g\u00f6rbe: Bel\u00e9gz\u00e9si f\u00e1zis alatt \u00e9szlelt visszal\u00e9gz\u00e9s, norm\u00e1lis jelens\u00e9g Mapleson D vagy Bain l\u00e9gz\u0151k\u00f6r eset\u00e9n. (<em>forr\u00e1s: <a href=\"https:\/\/oktatas.mentok.hu\/mod\/book\/view.php?id=2777&amp;chapterid=132\">https:\/\/oktatas.mentok.hu\/mod\/book\/view.php?id=2777&amp;chapterid=132<\/a> <\/em>)<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Fizik\u00e1lis vizsg\u00e1latok Az endotrachealis tubus \u00e1tj\u00e1rhat\u00f3s\u00e1g\u00e1t egyszer\u0171 megtekint\u00e9ssel, annak megfelel\u0151 r\u00f6gz\u00edt\u00e9si technik\u00e1j\u00e1val is biztos\u00edtanunk, \u00e9s rendszeresen ellen\u0151rizn\u00fcnk kell. K\u00fcl\u00f6n\u00f6sen igaz ez azokban az esetekben, amikor kil\u00e9gz\u00e9sv\u00e9gi sz\u00e9n-dioxid-nyom\u00e1st nem \u00e1ll m\u00f3dunkban m\u00e9rni. A l\u00e9gz\u00e9ssz\u00e1m m\u00e9r\u00e9s\u00e9vel, a mellkasmozg\u00e1s mint\u00e1zat\u00e1nak megfigyel\u00e9s\u00e9vel, illetve a l\u00e9gz\u00e9si \u00e9s l\u00e9legeztet\u00e9si hangok hallgat\u00f3z\u00e1s\u00e1val egyszer\u0171 \u00faton kaphatunk inform\u00e1ci\u00f3t a l\u00e9gz\u00e9s el\u00e9gtelens\u00e9g\u00e9r\u0151l, esetleges sziv\u00e1rg\u00e1sr\u00f3l. Eszk\u00f6z\u00f6s [&hellip;]<\/p>\n","protected":false},"author":2,"featured_media":211,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[4],"tags":[],"class_list":["post-210","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-kapnografia"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v22.0 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>L\u00e9g\u00fat \u00e9s l\u00e9gz\u00e9s monitoriz\u00e1l\u00e1sa - CAPNO cloud-based diagnostic and condition tracking system<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/capno.albacomp.hu\/index.php\/legut-es-legzes-monitorizalasa\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:locale:alternate\" content=\"hu_HU\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"L\u00e9g\u00fat \u00e9s l\u00e9gz\u00e9s monitoriz\u00e1l\u00e1sa - CAPNO cloud-based diagnostic and condition tracking system\" \/>\n<meta property=\"og:description\" content=\"Fizik\u00e1lis vizsg\u00e1latok Az endotrachealis tubus \u00e1tj\u00e1rhat\u00f3s\u00e1g\u00e1t egyszer\u0171 megtekint\u00e9ssel, annak megfelel\u0151 r\u00f6gz\u00edt\u00e9si technik\u00e1j\u00e1val is biztos\u00edtanunk, \u00e9s rendszeresen ellen\u0151rizn\u00fcnk kell. K\u00fcl\u00f6n\u00f6sen igaz ez azokban az esetekben, amikor kil\u00e9gz\u00e9sv\u00e9gi sz\u00e9n-dioxid-nyom\u00e1st nem \u00e1ll m\u00f3dunkban m\u00e9rni. A l\u00e9gz\u00e9ssz\u00e1m m\u00e9r\u00e9s\u00e9vel, a mellkasmozg\u00e1s mint\u00e1zat\u00e1nak megfigyel\u00e9s\u00e9vel, illetve a l\u00e9gz\u00e9si \u00e9s l\u00e9legeztet\u00e9si hangok hallgat\u00f3z\u00e1s\u00e1val egyszer\u0171 \u00faton kaphatunk inform\u00e1ci\u00f3t a l\u00e9gz\u00e9s el\u00e9gtelens\u00e9g\u00e9r\u0151l, esetleges sziv\u00e1rg\u00e1sr\u00f3l. 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K\u00fcl\u00f6n\u00f6sen igaz ez azokban az esetekben, amikor kil\u00e9gz\u00e9sv\u00e9gi sz\u00e9n-dioxid-nyom\u00e1st nem \u00e1ll m\u00f3dunkban m\u00e9rni. A l\u00e9gz\u00e9ssz\u00e1m m\u00e9r\u00e9s\u00e9vel, a mellkasmozg\u00e1s mint\u00e1zat\u00e1nak megfigyel\u00e9s\u00e9vel, illetve a l\u00e9gz\u00e9si \u00e9s l\u00e9legeztet\u00e9si hangok hallgat\u00f3z\u00e1s\u00e1val egyszer\u0171 \u00faton kaphatunk inform\u00e1ci\u00f3t a l\u00e9gz\u00e9s el\u00e9gtelens\u00e9g\u00e9r\u0151l, esetleges sziv\u00e1rg\u00e1sr\u00f3l. 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