Te Whakaora i roto i ngā Uaua, Ngā Pūnaha Tuku Wai mō te Whakaoraora, me ngā Pūrere Whakaora Pūtau
Vanessa G. Henke, Warren S. Sandberg, i roto i te Pukapuka Ako a te MGH mō ngā Taputapu Whakamamae, 2011
He Tirohanga Whānui mō ngā Pūnaha Whakamahana Wai
Ko te kaupapa matua o ngā whakamahana wai IV he whakamahana i ngā wai kua werohia ki te pāmahana tata ki te tinana, ki runga ake rānei i te pāmahana tinana hei ārai i te hypothermia nā te werohanga o ngā wai matao. Ko ngā mōrearea e pā ana ki te whakamahinga o ngā whakamahana wai ko te embolism hau, te hemolysis me te whara o ngā oko toto i puta mai i te wera, te turuturu o te au ki roto i te ara wai, te mate, me te urunga pēhanga.42
Me whakamahi hoki i tētahi whakamahana wai hei whakamahana tere i ngā hua toto matao, nā te mea he tūponotanga ka pā mai te mate ngakau me te arrhythmia (ina koa ka whakamataohia te pona sinoatrial ki raro iho i te 30° C). Kua whakaaturia te mate ngakau ina whiwhi toto, plasma rānei ngā pakeke i ngā tere neke atu i te 100 mL/min mō te 30 meneti.40 He iti rawa te paepae mō te mate ngakau mēnā ka tukuna te whakawhiti toto ki waenganui, ā, i roto i te taupori tamariki.
Ka taea te whakarōpū whānui i ngā whakamahana wai ki ngā taputapu i hangaia hei whakamahana i ngā wai mō ngā take noa me ngā taputapu uaua ake i hangaia mō te whakaora nui. Ahakoa he whakamahana kei roto i ngā whakamahana wai katoa, he mana whakahaere pāmahana, ā, i te nuinga o te wā, he pānui pāmahana, ka arotauhia ngā whakamahana wai whakaora mō ngā rerenga teitei ake, ā, ka mutu te rere ki te tūroro ina kitea he hau nui i roto i te ngongo. Ka tukuna e ngā whakamahana wai ngāwari ngā wai kua whakamahanahia i ngā tere tae atu ki te 150 mL/min (ā, i ētahi wā i ngā tere teitei ake, me ngā huinga tuku motuhake me ngā werohanga pēhanga), he rerekē ki ngā whakamahana wai whakaora e whakamahana ana i ngā wai i ngā tere rere tae atu ki te 750 ki te 1000 mL/min (ka whakakorehia e te whakamahana wai whakaora kotahi te hiahia mō te pēhanga).
Ka taea te whakamahana i ngā wai IV mā te whakawhiti wera maroke, ngā whakawhiti wera ā-aukati, te rumaki wai, mā te whakanoho rānei i tētahi wāhanga o te ara iahiko wai ki te taha o tētahi atu whakamahana (pēnei i tētahi taputapu hau-āwhina, i tētahi moenga wai whakamahana rānei).
Wā tuku: Hanuere-17-2025