CN101890203A - Device for removing debris from the air bag in intubated patients - Google Patents
Device for removing debris from the air bag in intubated patients Download PDFInfo
- Publication number
- CN101890203A CN101890203A CN2010102387538A CN201010238753A CN101890203A CN 101890203 A CN101890203 A CN 101890203A CN 2010102387538 A CN2010102387538 A CN 2010102387538A CN 201010238753 A CN201010238753 A CN 201010238753A CN 101890203 A CN101890203 A CN 101890203A
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- CN
- China
- Prior art keywords
- air bag
- patient
- tube
- airbag
- respirator
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- 238000002627 tracheal intubation Methods 0.000 claims abstract description 20
- 238000003780 insertion Methods 0.000 claims abstract description 5
- 230000037431 insertion Effects 0.000 claims abstract description 5
- 230000014759 maintenance of location Effects 0.000 claims abstract 2
- 239000012465 retentate Substances 0.000 claims description 14
- 239000002131 composite material Substances 0.000 claims description 7
- 238000009423 ventilation Methods 0.000 abstract description 10
- 230000000694 effects Effects 0.000 abstract description 3
- 238000000034 method Methods 0.000 abstract description 3
- 230000028327 secretion Effects 0.000 description 14
- 210000000214 mouth Anatomy 0.000 description 9
- 238000005273 aeration Methods 0.000 description 8
- 206010036790 Productive cough Diseases 0.000 description 6
- 210000003802 sputum Anatomy 0.000 description 6
- 208000024794 sputum Diseases 0.000 description 6
- 206010008501 Cheyne-Stokes respiration Diseases 0.000 description 4
- 206010011224 Cough Diseases 0.000 description 4
- 230000029058 respiratory gaseous exchange Effects 0.000 description 4
- 206010035664 Pneumonia Diseases 0.000 description 2
- 210000004704 glottis Anatomy 0.000 description 2
- 241000894006 Bacteria Species 0.000 description 1
- VYPSYNLAJGMNEJ-UHFFFAOYSA-N Silicium dioxide Chemical compound O=[Si]=O VYPSYNLAJGMNEJ-UHFFFAOYSA-N 0.000 description 1
- 208000009470 Ventilator-Associated Pneumonia Diseases 0.000 description 1
- 230000004888 barrier function Effects 0.000 description 1
- 238000009395 breeding Methods 0.000 description 1
- 230000001488 breeding effect Effects 0.000 description 1
- 239000002775 capsule Substances 0.000 description 1
- 238000007796 conventional method Methods 0.000 description 1
- 230000002124 endocrine Effects 0.000 description 1
- 210000002409 epiglottis Anatomy 0.000 description 1
- 230000003203 everyday effect Effects 0.000 description 1
- 238000002474 experimental method Methods 0.000 description 1
- 208000015181 infectious disease Diseases 0.000 description 1
- 210000003097 mucus Anatomy 0.000 description 1
- 238000011160 research Methods 0.000 description 1
- 239000000741 silica gel Substances 0.000 description 1
- 229910002027 silica gel Inorganic materials 0.000 description 1
- 210000003437 trachea Anatomy 0.000 description 1
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- Respiratory Apparatuses And Protective Means (AREA)
Abstract
本发明公开了清除气管插管患者气囊上滞留物的装置。本发明提供的清除气管插管患者气囊上滞留物的装置，其特征在于：包括带气囊的气管插管(1)、简易呼吸器(2)和注射器(3)；所述带气囊的气管插管由导管(1-1)、气囊(1-2)和充气管(1-3)组成；所述导管具有两个游离端，一端为插入端，另一端为送气端；所述充气管用于给气囊充气，一端与气囊连接，另一端为游离端；所述导管的充气端与所述简易呼吸器连接；所述充气管的游离端与所述注射器连接。本发明提供的装置通过气流冲击法清除气囊上滞留物，采用简易呼吸器辅助通气清除，无需特殊人工气道，可有效清除气囊上滞留物，副作用小，医疗成本低，应用面广，具有实用价值。
The invention discloses a device for clearing the stagnant matter on the air bag of patients with tracheal intubation. The device provided by the present invention for clearing the retention on the air bag of patients with tracheal intubation is characterized in that: it comprises a tracheal intubation tube (1) with an air bag, a simple respirator (2) and a syringe (3); The tube is composed of a catheter (1-1), a balloon (1-2) and an inflatable tube (1-3); the catheter has two free ends, one end is an insertion end and the other end is an air supply end; the inflatable tube is used for To inflate the airbag, one end is connected with the airbag, and the other end is a free end; the inflation end of the catheter is connected with the simple respirator; the free end of the inflation tube is connected with the syringe. The device provided by the present invention removes the residues on the airbag through the airflow impact method, adopts a simple respirator to assist ventilation and removal, does not need a special artificial airway, can effectively remove the residues on the airbag, has small side effects, low medical cost, wide application, and is practical. value.
Description
Technical field
The present invention relates to a kind of device of removing residues on balloon of tracheal cannula of patient.
Background technology
At intensive care unit (ICU), the patient often need use respirator, and respirator is given patient's air feed by tracheal intubation.The patient of tracheal intubation, glottis and epiglottis are closed and are obstructed, be difficult to stop that mouth and nose solinocrine thing flows into air flue along conduit, can bring into play barrier effect during supravasal airbag aeration, so secretions forms " mucus paste " above accumulating in air bag, a large amount of bacteria plantings and breeding are when the patient exerts oneself cough or air bag deflation, the merocrine secretion thing is dirty, causes the patient to choke and coughs and increase the risk of infection.Present multinomial research has confirmed retentate on the air bag (secretions under the glottis) and has early sent out respirator dependency pneumonia (Ventilator associated pneumonia, VAP) dependency, VAP takes place will cause ICUH time, hospital stays to prolong, hospitalization cost obviously increases, case fatality rate increases, particularly for immunosuppressed patient, in case VAP takes place, case fatality rate is up to 100%.
Summary of the invention
The purpose of this invention is to provide a kind of device of removing residues on balloon of tracheal cannula of patient.
The device of removing residues on balloon of tracheal cannula of patient provided by the invention is characterized in that: it comprises tracheal intubation 1, simply respirator 2 and the syringe 3 of being with air bag; The tracheal intubation of described band air bag is made up of conduit 1-1, air bag 1-2 and gas tube 1-3; Described conduit has two free-ends, and an end is an insertion end, and the other end is an aspirating end; Described gas tube is used for to airbag aeration, and an end is connected with air bag, and the other end is a free-end; The aspirating end of described conduit is connected with described simply respirator; The free-end of described gas tube is connected with described syringe.
Described device can be made up of the tracheal intubation of described band air bag, described simply respirator and described syringe.
Described device also comprises sputum aspirator tube.Described device can be made up of the tracheal intubation of described band air bag, described simply respirator, described syringe and described sputum aspirator tube.
The present invention also protects a kind of respirator set composite, comprises the respirator body, it is characterized in that: described respirator set composite also comprises the device of described removing residues on balloon of tracheal cannula of patient.Described respirator set composite can be made up of the device and the described respirator of described removing residues on balloon of tracheal cannula of patient.
When using the auxiliary patient of respirator to ventilate, the insertion end of described conduit is inserted from patient's mouth, aspirating end is connected with respirator.When needs are removed on the air bag retentate, with the aspirating end and the respirator disconnection of conduit, change with simply respirator and be connected, the free-end of gas tube is connected with syringe.When air bag was inflated fully, patient's ventilation can only be finished by conduit.If air bag is exitted fully, the air-flow that the patient exhales can also be breathed out around conduit except breathing out in conduit, accumulates in the air-flow that the retentate of air bag top can be breathed out this moment and goes out to the oral cavity; Yet these retentate thickness, the expiratory gas flow of Cheyne-Stokes respiration are not enough to all secretions is gone out, and can cause flowing under a part of secretions air flue and cause the patient to choke to cough and infect.Therefore, simultaneously give one than air flow by simply respirator through conduit again in patient's beginning of exhaling, two strands of air-flows dash common one outside interflow that forms mutually, increase the flow of going out air-flow, simultaneously with air bag deflation, thereby retentate on the air bag is gone out to the oral cavity fully.This moment, available sputum aspirator tube exhausted secretions in the oral cavity; If not sucking-off in time, secretions will flow back to air flue again, so need immediately airbag aeration to be prevented that at the end of supplying gas secretions from flowing into downtake again.
Device provided by the invention is removed retentate on the air bag by air-flow impact method, adopts the simply respirator assisted ventilation to remove, and need not special artificial airway, can effectively remove retentate on the air bag, and side effect is little, and medical treatment cost is low, and wide application has practical value.
Description of drawings
Fig. 1 is the structural representation of the tracheal intubation of air bag unaerated.
The structural representation of the tracheal intubation that Fig. 2 has inflated for air bag.
Fig. 3 is the structural representation (air bag unaerated) of the device of removing residues on balloon of tracheal cannula of patient.
Fig. 4 is the structural representation (air bag is inflated) of the device of removing residues on balloon of tracheal cannula of patient.
Fig. 5 is the operation principle sketch map of the device of removing residues on balloon of tracheal cannula of patient; The black region of air bag top is represented retentate on the air bag.
The specific embodiment
Following embodiment is convenient to understand better the present invention, but does not limit the present invention.Experimental technique among the following embodiment if no special instructions, is conventional method.
Each assembly and the model thereof of the device of removing residues on balloon of tracheal cannula of patient are as follows:
The tracheal intubation of band air bag: adopt among the embodiment for available from the band capsule tracheal intubation conduit of Irish Wan Lingke company (Mallinckrodt); The structural representation of the tracheal intubation of air bag unaerated is seen Fig. 1, and the structural representation of the tracheal intubation that air bag has been inflated is seen Fig. 2.
Simply respirator (claim the first aid breathing bag again, the ball of reviving, artificial resuscitation sacculus or resuscitator): that adopts among the embodiment is the silica gel first aid breathing bag available from Taiwan man of virtue and ability major company.
10 milliliters of syringes.
Sputum aspirator tube.
The structural representation of the device of removing residues on balloon of tracheal cannula of patient provided by the invention is seen Fig. 3 and Fig. 4.The device of removing residues on balloon of tracheal cannula of patient provided by the invention is made up of tracheal intubation 1, simply respirator 2 and the syringe 3 of band air bag.The tracheal intubation of band air bag is made up of conduit 1-1, air bag 1-2 and gas tube 1-3.Conduit has two free-ends, and an end is an insertion end, and the other end is an aspirating end.Gas tube is used for to airbag aeration, and an end is connected with air bag, and the other end is free-end (snap switch that carries is arranged on the free-end, back down spring with syringe then can or bleed to airbag aeration).The aspirating end of conduit is connected with simply respirator; The free-end of gas tube is connected with syringe.
The operation principle sketch map of the device of removing residues on balloon of tracheal cannula of patient provided by the invention is seen Fig. 5.For the patient who uses respirator, when needs are removed on the air bag retentate, can adopt device of the present invention, promptly the patient is flat crouches, and the respirator of conduit aspirating end is disconnected, and changes with simply respirator to be connected, and the free-end of gas tube is connected with syringe.Exhaling and just push the simply respirator ventilation in the air-breathing end of patient's Cheyne-Stokes respiration, simultaneously, air bag is exitted fully, supplies gas the end with airbag aeration at simply respirator.When air bag was inflated fully, patient's ventilation can only be finished by conduit.If air bag is exitted fully, the air-flow that the patient exhales can also be breathed out around conduit except breathing out in conduit, accumulates in the air-flow that the retentate of air bag top can be breathed out this moment and goes out to the oral cavity; Yet these retentate thickness, the expiratory gas flow of Cheyne-Stokes respiration are not enough to all secretions is gone out, and can cause flowing under a part of secretions air flue and cause the patient to choke to cough and infect.Therefore, simultaneously give one than air flow by simply respirator through conduit again in patient's beginning of exhaling, two strands of air-flows dash common one outside interflow that forms mutually, increase the flow of going out air-flow, simultaneously with air bag deflation, thereby retentate on the air bag is gone out to the oral cavity fully.This moment, available sputum aspirator tube exhausted secretions in the oral cavity; If not sucking-off in time, secretions will flow back to air flue again, so need immediately airbag aeration to be prevented that at the end of supplying gas secretions from flowing into downtake again.The operation key point is: 1) exhale at the air-breathing end of patient and just firmly push the big ventilation ventilation of simply respirator generation high flow rate; 2) air bag is exitted simultaneously, and inflate again at the end supplying gas.
The concrete using method of the device of removing residues on balloon of tracheal cannula of patient provided by the invention is as follows:
1, the patient prepares
Operate preceding 30 minutes patients and stop nasal feeding, fully attract in patient's trachea and mouthful, nasal secretion, patient's clinostatism of making even.
2, remove residues on balloon of tracheal cannula of patient
Cooperated by two medical care personnel (medical personnel's first and medical personnel's second): medical personnel's first links to each other simply respirator with the conduit aspirating end, auxiliary patient's ventilation; Simply respirator ventilation (supplying gas with patient's tidal volume 2-3 ventilation doubly) is firmly pushed in patient's Cheyne-Stokes respiration for the second time air-breathing end expiration just medical personnel's first, and simultaneously, medical personnel's second is exitted air bag fully, supplies gas the end with airbag aeration at simply respirator; Attract the mouth and nose endocrine with sputum aspirator tube; The patient body position is returned to 30 degree, measure and keep air bag and be pressed on 30cmH
2O.
Every day 4 times: respectively at 1 o'clock, 7 o'clock, 13 o'clock and 19 o'clock.
Claims (6)
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN2010102387538A CN101890203A (en) | 2010-07-26 | 2010-07-26 | Device for removing debris from the air bag in intubated patients |
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN2010102387538A CN101890203A (en) | 2010-07-26 | 2010-07-26 | Device for removing debris from the air bag in intubated patients |
Publications (1)
| Publication Number | Publication Date |
|---|---|
| CN101890203A true CN101890203A (en) | 2010-11-24 |
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Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| CN2010102387538A Pending CN101890203A (en) | 2010-07-26 | 2010-07-26 | Device for removing debris from the air bag in intubated patients |
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| Country | Link |
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| CN (1) | CN101890203A (en) |
Cited By (5)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN104800958A (en) * | 2015-04-29 | 2015-07-29 | 金成梅 | Tracheal catheter inner wall cleaning oxygen tube |
| CN105206130A (en) * | 2015-10-14 | 2015-12-30 | 首都医科大学附属北京朝阳医院 | Airbag clearing teaching model and using method thereof |
| CN107889465A (en) * | 2015-05-25 | 2018-04-06 | 米兰比可卡大学 | Control the method for pressure of tracheal tampon, positive pressure respirator and manage intubated patient secretion method |
| CN107952151A (en) * | 2017-12-16 | 2018-04-24 | 葛新 | Trachea cannula |
| CN113521469A (en) * | 2021-07-16 | 2021-10-22 | 丽水市中医院 | A device and method of use for removing retentate on endotracheal intubation balloon |
Citations (3)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN101065160A (en) * | 2004-09-27 | 2007-10-31 | 株式会社高研 | Tracheal cannula |
| CN101342399A (en) * | 2008-07-24 | 2009-01-14 | 陈丽华 | Trachea catheter |
| CN201888977U (en) * | 2010-07-26 | 2011-07-06 | 首都医科大学附属北京朝阳医院 | Device for removing retentates on air bags of trachea cannula patients |
-
2010
- 2010-07-26 CN CN2010102387538A patent/CN101890203A/en active Pending
Patent Citations (3)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN101065160A (en) * | 2004-09-27 | 2007-10-31 | 株式会社高研 | Tracheal cannula |
| CN101342399A (en) * | 2008-07-24 | 2009-01-14 | 陈丽华 | Trachea catheter |
| CN201888977U (en) * | 2010-07-26 | 2011-07-06 | 首都医科大学附属北京朝阳医院 | Device for removing retentates on air bags of trachea cannula patients |
Non-Patent Citations (2)
| Title |
|---|
| 《临床医学》 20091031 李秋莲等 "应用简易呼吸器清除气囊上滞留物对呼吸机相关下呼吸道感染的影响" 第124-125页 1 第29卷, 第10期 * |
| 李秋莲等: ""应用简易呼吸器清除气囊上滞留物对呼吸机相关下呼吸道感染的影响"", 《临床医学》 * |
Cited By (6)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN104800958A (en) * | 2015-04-29 | 2015-07-29 | 金成梅 | Tracheal catheter inner wall cleaning oxygen tube |
| CN107889465A (en) * | 2015-05-25 | 2018-04-06 | 米兰比可卡大学 | Control the method for pressure of tracheal tampon, positive pressure respirator and manage intubated patient secretion method |
| CN105206130A (en) * | 2015-10-14 | 2015-12-30 | 首都医科大学附属北京朝阳医院 | Airbag clearing teaching model and using method thereof |
| CN107952151A (en) * | 2017-12-16 | 2018-04-24 | 葛新 | Trachea cannula |
| CN113521469A (en) * | 2021-07-16 | 2021-10-22 | 丽水市中医院 | A device and method of use for removing retentate on endotracheal intubation balloon |
| CN113521469B (en) * | 2021-07-16 | 2023-10-13 | 丽水市中医院 | Device for removing retentate on trachea cannula air bag |
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Application publication date: 20101124 |