Nā Mea Nānā Maʻi - Nā Kiaʻi Mālie o ka Mālama Ola Hou

I loko o ke kaiapuni koʻikoʻi o ka lāʻau lapaʻau hou, lawelawe nā ʻōnaehana nānā maʻi ma ke ʻano he kiaʻi luhi ʻole, e hāʻawi ana i ka nānā mau ʻana i nā hōʻailona koʻikoʻi e hoʻokumu i ke kumu o ka hoʻoholo ʻana i nā hoʻoholo lapaʻau. Ua ulu kēia mau mea hana akamai mai nā hōʻike analog maʻalahi i nā ʻōnaehana ola kikohoʻe piha, e hoʻololi ana i ke ʻano o ka ʻike ʻana a me ka pane ʻana o nā loea olakino i nā loli physiological.

Ka Hoʻomohala Mōʻaukala
Ua kū mai ka mea nānā maʻi mua i hoʻolaʻa ʻia i ka makahiki 1906 i ka wā i hiki ai i ka galvanometer kaula a Einthoven ke nānā ʻana i ka ECG maʻamau. Ua ʻike ʻia nā makahiki 1960 i ka hiki ʻana mai o nā hōʻike oscilloscopic no ka nānā ʻana i ka puʻuwai ma nā ICU. Hoʻohui nā ʻōnaehana hou i nā ʻano like ʻole ma o ka hana hōʻailona kikohoʻe - he ʻokoʻa loa ia mai nā hāmeʻa hoʻokahi-alanui o nā makahiki 1960 i koi ai i ka nānā mau ʻana o ke kahu maʻi.

Nā Palena Koʻikoʻi i Nānā ʻia

1. Ka Nānā ʻana i ka Puʻuwai

• ECG: Ana i ka hana uila o ka puʻuwai ma o 3-12 mau alakaʻi
• ʻIke ka loiloi ʻāpana ST i ka ischemia myocardial
• Hoʻomaopopo nā algorithms ʻike arrhythmia i nā rhythms ma mua o 30+ mau ʻano maʻamau ʻole

2. Kūlana Oxygenation

• ʻO ka pulse oximetry (SpO₂): Hoʻohana i ka photoplethysmography me nā LED 660/940nm
• Hoʻonui ka ʻenehana hoʻokaʻawale hōʻailona a Masimo i ka pololei i ka wā e neʻe ai

3. Ka Nānā ʻana i ka Hemodynamic

• ʻO ka BP invasive ʻole (NIBP): Ke ʻano Oscillometric me ka hoʻopili ʻana o ke aʻa ikaika
• Hāʻawi nā laina arterial invasive i nā ʻano nalu kaomi beat-a-beat

4. Nā Palena Kiʻekiʻe

• ʻEtCO₂: Spectroscopy infrared no ke kalapona ʻokikene hope-kai
• Ka nānā ʻana i ka ICP ma o nā catheters ventricular a i ʻole nā ​​​​​​mea ʻike fiberoptic
• ʻO ka Bispectral Index (BIS) no ka nānā ʻana i ka hohonu o ka anesthesia

Nā Noi Lapaʻau

• ICU: ʻO nā ʻōnaehana multi-parameter e like me Philips IntelliVue MX900 e hahai a hiki i 12 mau parameter i ka manawa like
• A I ʻOLE: Hoʻohui pū nā monitor liʻiliʻi e like me GE Carescape B650 me nā mīkini anesthesia
• Nā mea hiki ke komo: Hāʻawi ʻo Zoll LifeVest i ka nānā ʻana i ka puʻuwai kelepona me ka 98% o ka hopena haʻalulu

Nā Pilikia ʻenehana

• Ka hōʻemi ʻana o ka hana artifact i ka nānā ʻana iā SpO₂
• Nā algorithm ʻike alakaʻi ECG
• Hoʻohuihui multi-parameter no nā helu ʻōlelo aʻo mua (e laʻa, MEWS, NEWS)
• Ka palekana pūnaewele i nā ʻōnaehana pūnaewele (nā alakaʻi FDA no ka IoT lapaʻau)

Nā Kuhikuhi no ka Wā E Hiki Mai Ana

• ʻIkepili wānana i hoʻohana ʻia e AI (e laʻa, wānana sepsis 6 mau hola ma mua)
• Nā mea uila epidermal maʻalahi no ka nānā ʻana i nā keiki hou
• Ua hōʻike nā hoʻonā ICU mamao i hiki iā 5G ke hōʻemi i ka make ma 30% i nā hoʻokolohua
• Nā ʻili hoʻomaʻemaʻe ponoʻī me ka hoʻohana ʻana i nā nanomaterials photocatalytic

ʻO nā holomua hou e pili ana i ka nānā ʻana i nā hōʻailona koʻikoʻi e pili ana i ka radar contactless (hōʻike ʻia he 94% pololei i ka ʻike ʻana i ka helu o ka puʻuwai) a me ke kiʻi ʻokoʻa speckle laser no ka loiloi perfusion microvascular. I ka hui pū ʻana o ka ʻenehana nānā me ka AI a me ka nanotechnology, ke komo nei mākou i kahi au o ka mālama maʻi wānana ma mua o ka reactive.