CN115137933A - High-frequency jet oxygen supply loop based on anesthesia machine and use method thereof - Google Patents

High-frequency jet oxygen supply loop based on anesthesia machine and use method thereof Download PDF

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CN115137933A
CN115137933A CN202210751192.4A CN202210751192A CN115137933A CN 115137933 A CN115137933 A CN 115137933A CN 202210751192 A CN202210751192 A CN 202210751192A CN 115137933 A CN115137933 A CN 115137933A
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anesthesia machine
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pipe
mouth
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王谦
朱江
嵇富海
苏惠斌
费建
魏嵘
高宏
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Affiliated Childrens Hospital of Soochow University
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M16/00Devices for influencing the respiratory system of patients by gas treatment, e.g. ventilators; Tracheal tubes
    • A61M16/01Devices for influencing the respiratory system of patients by gas treatment, e.g. ventilators; Tracheal tubes specially adapted for anaesthetising
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B1/00Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor
    • A61B1/267Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor for the respiratory tract, e.g. laryngoscopes, bronchoscopes
    • A61B1/2676Bronchoscopes
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods
    • A61B17/50Instruments, other than pincettes or toothpicks, for removing foreign bodies from the human body
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
    • A61B90/10Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges for stereotaxic surgery, e.g. frame-based stereotaxis
    • A61B90/14Fixators for body parts, e.g. skull clamps; Constructional details of fixators, e.g. pins
    • A61B90/16Bite blocks
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M16/00Devices for influencing the respiratory system of patients by gas treatment, e.g. ventilators; Tracheal tubes
    • A61M16/06Respiratory or anaesthetic masks
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M16/00Devices for influencing the respiratory system of patients by gas treatment, e.g. ventilators; Tracheal tubes
    • A61M16/20Valves specially adapted to medical respiratory devices
    • A61M16/208Non-controlled one-way valves, e.g. exhalation, check, pop-off non-rebreathing valves

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Abstract

The invention belongs to the field of medical instruments, and relates to a high-frequency jet oxygen supply loop based on an anesthesia machine and a using method thereof, wherein the high-frequency jet oxygen supply loop comprises an oronasal sealing cover and a ventilation connecting pipe; the mouth and nose sealing cover is provided with a mirror operation opening and an air outlet, and a second sealing part is arranged in the mirror operation opening; one end of the ventilation connecting pipe is communicated with an air outlet pipe and an oxygen supply pipe, the air outlet pipe is connected with an air outlet of the oronasal sealing cover, the oxygen supply pipe is used for being matched and connected with an oxygen supply port of the hard bronchoscope, and the other end of the ventilation connecting pipe is used for being matched and connected with a breathing loop of an anesthesia machine; an air inlet one-way valve is arranged in the oxygen supply pipe, and an air outlet one-way valve is arranged in the air outlet pipe or the air outlet. The invention does not influence the autonomous respiration of the infant, avoids oxygen rich in anesthetic gas from being discharged in an operating room to pollute the operating environment, avoids anesthetic gas from being inhaled by operating doctors, anesthetists and nurses, avoids anesthetic gas waste, and simultaneously ensures that the infant can be continuously anesthetized by inhalation so as to avoid body movement of the infant.

Description

一种基于麻醉机的高频喷射供氧回路及其使用方法A kind of high-frequency jet oxygen supply circuit based on anesthesia machine and using method thereof

技术领域technical field

本发明涉及医疗器械领域,尤其是涉及一种基于麻醉机的高频喷射供氧回路及其使用方法。The invention relates to the field of medical instruments, in particular to a high-frequency jet oxygen supply circuit based on anesthesia machines and a method for using the same.

背景技术Background technique

儿童幼儿会厌保护性反射没有发育健全,在进食时哭闹嬉笑很容易发生食物碎片误入气道,导致窒息,病情十分紧急,需要尽快得到治疗,否则极易导致死亡发生。由于该手术操作风险极大,很少医院愿意承担此类风险,即使在地级市,也仅有一家医院愿意承担此类手术,在县级市甚至没有医院愿意承担。The protective reflex of the epiglottis in children and young children is not fully developed. When crying and laughing while eating, it is easy for food fragments to stray into the airway, resulting in suffocation. The condition is very urgent and needs to be treated as soon as possible, otherwise it will easily lead to death. Due to the high risk of this operation, few hospitals are willing to take such risks. Even in prefecture-level cities, only one hospital is willing to undertake such operations, and no hospitals in county-level cities are even willing to undertake such operations.

小儿主气管异物取出手术常使用硬质支气管镜,手术中呼吸管理极为困难,常伴发患儿氧饱和度严重下降,甚至发生患儿心率严重下降,手术医生及麻醉医生带来极大压力,给患者带来极大风险,甚至发生死亡。Rigid bronchoscopy is often used in the removal of foreign bodies in the main trachea of children. It is extremely difficult to manage breathing during the operation. It is often accompanied by a serious drop in the oxygen saturation of the child, and even a serious drop in the heart rate of the child, which brings great pressure to the surgeon and the anesthesiologist. It brings great risk to patients, even death.

目前,常用的麻醉方式包含以下几种方式:1、按麻的方式,通过两到三个医护人员强行对患儿的身体、四肢、头部进行固定,此方式会导致患者十分痛苦,而且患儿会有剧烈的挣扎,若制动不妥,术中硬质支气管镜可导致气道损伤,甚至导致气管破裂,导致压力性气胸,甚至致死;2、静脉麻醉的方式,对患儿的静脉推注麻醉药(不使用肌松药),然而患儿气道内有异物,呼吸原本已受损,若因静脉麻药导致呼吸抑制,患者缺氧更严重,手术操作中常伴氧饱和度下降严重,甚至多次手术暂停,供氧后继续手术,手术关键时刻,医生不愿中断手术,氧饱和度甚至下降到50%以下,心率跌至50bpm以下,患儿面临风险极大;3、全身麻醉的方式(使用肌松药),此方式是麻醉诱导后气管插管,手术时拔出气管导管,硬质支气管镜尾部连接喷射呼吸机供氧下手术,当发生氧饱和严重下降后,退出硬质支气管镜,重新气管插管供氧,氧合充分后,再拔出气管导管,硬质支气管镜尾部连接喷射呼吸机供氧下手术,操作繁琐,反复插管伴发声门摩擦损伤,术后咽喉疼痛,声音嘶哑,而且手术结束后,需重新气管插管,等肌松药代谢患儿苏醒后拔管,等待时间较长;4、吸入全身麻醉方式,用面罩扣在患者口鼻部位吸入高浓度气体麻药,等患者麻醉深度足够时,脱开面罩,硬质支气管镜尾部连接喷射呼吸机供氧下手术,由于吸入麻醉药不会对呼吸产生抑制,术中氧饱和度很少下降,然而喷射呼吸机一家医院只备有一台,喷射呼吸机实施喷射呼吸时吸入麻醉无法继续维持,吸入全身麻醉可维持时间极短(仅有2-3mi n),若手术时间稍长,患儿苏醒后会体动,手术时医护人员需采用按麻的方式对患儿制动,这样就对手术医生要求极高,需快速精准操作,非常娴熟的完成取出操作,否则会陷入极为被动的境地。At present, the commonly used methods of anesthesia include the following methods: 1. According to the method of anesthesia, two to three medical staff are used to forcibly immobilize the body, limbs and head of the child. The child will struggle violently. If the braking is not appropriate, the rigid bronchoscope can cause airway damage or even rupture of the trachea, resulting in pressure pneumothorax and even death. bolus injection of anesthetics (without muscle relaxants), however, there is a foreign body in the airway of the child, and the breathing is already impaired. If the respiratory depression is caused by the intravenous anesthetic, the patient’s hypoxia will be more serious, and the oxygen saturation is often accompanied by a serious drop in the surgical operation. Even if the operation is suspended for many times, and the operation is continued after the oxygen supply, the doctor is unwilling to interrupt the operation at the critical moment of the operation, the oxygen saturation even drops below 50%, and the heart rate drops below 50bpm, the child is at great risk; 3. General anesthesia Method (using muscle relaxants), this method is to intubate the trachea after induction of anesthesia, pull out the tracheal tube during the operation, connect the rear of the rigid bronchoscope to a jet ventilator for oxygen supply, and withdraw from the rigid bronchoscope when the oxygen saturation is severely reduced Bronchoscopy, re-tracheal intubation to supply oxygen, after sufficient oxygenation, the endotracheal tube is pulled out, and the end of the rigid bronchoscope is connected to a jet ventilator for oxygen supply. The operation is tedious, and the operation is tedious. Repeated intubation is accompanied by glottis friction injury. Pain, hoarseness, and after the operation, the tracheal intubation needs to be re-intubated, and the child will be extubated after the muscle relaxant is metabolized, and the waiting time will be long; 4. Inhalation general anesthesia, use the mask to buckle the patient's mouth and nose to inhale high blood pressure. Concentrated gas anesthesia. When the depth of anesthesia is sufficient, the mask is removed, and the rigid bronchoscope is connected to a jet ventilator for oxygen supply. Since inhalation anesthetics will not inhibit breathing, the oxygen saturation during the operation is rarely decreased. There is only one jet ventilator in one hospital. Inhalation anesthesia cannot be maintained when jet breathing is performed by jet ventilator. Inhalation general anesthesia can be maintained for a very short time (only 2-3 min n). During the operation, the medical staff need to use anesthesia method to brake the child, which requires extremely high requirements for the surgeon, requires fast and precise operation, and completes the removal operation very skillfully, otherwise it will fall into a very passive situation.

发明内容SUMMARY OF THE INVENTION

本发明要解决的技术问题是:为了解决如何确保患儿在手术中无体动不挣扎、自主呼吸正常,手术后还能够快速苏醒的问题,本发明提供了一种基于麻醉机的高频喷射供氧回路及其使用方法。The technical problem to be solved by the present invention is: in order to solve the problem of how to ensure that the child does not move or struggle during the operation, breathe normally, and can quickly wake up after the operation, the present invention provides a high-frequency injection based on an anesthesia machine. Oxygen supply circuit and method of use thereof.

本发明提供一种基于麻醉机的高频喷射供氧回路及其使用方法,包括用于固定密封在患者口鼻外围的口鼻密封罩和用于连接呼吸回路与麻醉机呼吸端口的通气连接管;所述口鼻密封罩上设有用于硬质支气管镜置入的镜操作口和用于与通气连接管连通的出气口,所述镜操作口内设有用于保证硬质支气管镜置入密封性的第二密封部;所述通气连接管一端连通设置出气管和供氧管,所述出气管与口鼻密封罩的出气口连接,所述供氧管用于和硬质支气管镜的供氧口匹配连接,所述通气连接管另一端用于和麻醉机呼吸回路匹配连接;所述供氧管内设有进气单向阀,所述出气管或出气口内设有出气单向阀;采用了通气连接管直接连接到麻醉机上,直接连通呼吸回路,使得患儿能够持续被麻痹,且还不影响患儿的自主呼吸。The present invention provides a high-frequency jet oxygen supply circuit based on anesthesia machine and a method for using the same, comprising a mouth-nose sealing cover for fixing and sealing the periphery of a patient's mouth and nose and a ventilation connecting pipe for connecting a breathing circuit and a breathing port of an anesthesia machine The mouth-nose sealing cover is provided with a mirror operation port for the placement of a rigid bronchoscope and an air outlet for communicating with the ventilation connecting pipe, and the mirror operation port is provided with a seal for ensuring that the rigid bronchoscope is placed in The second sealing part is a flexible second sealing part; one end of the ventilation connecting pipe is connected with an outlet pipe and an oxygen supply pipe, the air outlet pipe is connected with the air outlet of the mouth-nose sealing mask, and the oxygen supply pipe is used for oxygen supply with the rigid bronchoscope. The other end of the ventilation connection pipe is used for matching connection with the breathing circuit of the anesthesia machine; the oxygen supply pipe is provided with an air inlet one-way valve, and the air outlet pipe or the air outlet is provided with an air outlet one-way valve; using The ventilation connection tube is directly connected to the anesthesia machine and directly connected to the breathing circuit, so that the child can be continuously paralyzed without affecting the child's spontaneous breathing.

在一些实施例中,本发明还包括用于密封套设在硬质支气管镜操作端口的透明弹性密封帽,所述密封帽开设用于异物取出钳置入的钳操作口,所述钳操作口内设有用于保证异物取出钳置入密封性的第一密封部;保证了异物取出钳在置物时具有良好的密封性In some embodiments, the present invention further includes a transparent elastic sealing cap for sealing the operating port of the rigid bronchoscope, the sealing cap defines a forceps operating port for foreign body extraction forceps placement, the forceps operating port There is a first sealing part inside to ensure the sealing performance of the foreign body removal forceps; it ensures that the foreign body removal forceps have good sealing performance when the foreign body removal forceps are placed.

在一些实施例中,所述第一密封部整体呈扁平状,所述第一密封部包括若干个第一弹性活瓣,所述第一弹性活瓣的尾端与钳操作口的内壁固定连接,所述第二密封部与第一密封部的结构相同;第一弹性活瓣受到硬质支气管镜或异物取出钳挤压后能够利用自身弹性紧紧贴附在硬质支气管镜或异物取出钳上,从而保证了硬质支气管镜或口鼻密封罩在使用时的密封性。In some embodiments, the first sealing portion is flat as a whole, and the first sealing portion includes a plurality of first elastic flaps, and the tail ends of the first elastic flaps are fixedly connected to the inner wall of the forceps operating port. , the structure of the second sealing part is the same as that of the first sealing part; the first elastic valve can be tightly attached to the rigid bronchoscope or foreign body extraction forceps by its own elasticity after being squeezed by the rigid bronchoscope or foreign body extraction forceps so as to ensure the tightness of the rigid bronchoscope or the mouth-nose sealing mask during use.

在一些实施例中,所述第一密封部整体呈锥状,所述第一密封部包括若干个第二弹性活瓣,所述第二弹性活瓣的尾端与钳操作口的内壁固定连接,所述第二密封部与第一密封部的结构相同;第二弹性活瓣受到硬质支气管镜或异物取出钳挤压后能够利用自身弹性紧紧贴附在硬质支气管镜或异物取出钳上从而保证了硬质支气管镜或口鼻密封罩在使用时的密封性。In some embodiments, the first sealing portion is in the shape of a cone as a whole, and the first sealing portion includes a plurality of second elastic flaps, and the tail ends of the second elastic flaps are fixedly connected to the inner wall of the forceps operating port. , the structure of the second sealing part is the same as that of the first sealing part; the second elastic valve can be tightly attached to the rigid bronchoscope or foreign body extraction forceps by its own elasticity after being squeezed by the rigid bronchoscope or foreign body extraction forceps This ensures the tightness of the rigid bronchoscope or the mouth-nose sealing mask during use.

在一些实施例中,所述通气连接管上连通设置两个用于和麻醉机吸气端口以及呼气端口匹配连接的麻醉呼吸管;所述两个麻醉呼吸管、出气管和供氧管通过通气连接管互相连通;两个麻醉呼吸管无需选择插入位置,可随意接插入到呼出端口或插入到呼入端口。In some embodiments, two anesthesia breathing tubes for matching connection with the inhalation port and the exhalation port of the anesthesia machine are communicated on the ventilation connection tube; the two anesthesia breathing tubes, the outlet tube and the oxygen supply tube pass through The ventilation connecting tubes are connected to each other; the two anesthesia breathing tubes can be inserted into the exhalation port or the inhalation port at will without selecting the insertion position.

在一些实施例中,所述口鼻密封罩上设有用于将口鼻密封罩固定在患者口鼻外围的固定束带;便于将口鼻密封罩快速固定在患儿头部上In some embodiments, the oronasal seal is provided with a fixing strap for fixing the oronasal seal on the periphery of the patient's mouth and nose; it is convenient to quickly fix the oronasal seal on the head of the patient

在一些实施例中,本发明还包括压舌开口器,所述压舌开口器包括上牙支撑体、下压支撑体、弹性支撑体和挡舌片,所述弹性支撑体用于撑开上牙支撑体和下牙支撑体,所述上牙支撑体和下牙支撑体呈上下间隔分布,所述弹性支撑体位于上牙支撑体和下牙支撑体之间,且上牙支撑体和下牙支撑体均与弹性支撑体固定连接,所述挡舌片可拆卸的连接在下牙支撑体上;利用弹性支撑体让上牙支撑体和下牙支撑体分别紧紧支撑在上牙列牙冠面以及下牙列牙冠面上,利用挡舌片能够挡住患儿舌体。In some embodiments, the present invention further includes a tongue depressor opening device, the tongue depressor opening device includes an upper tooth support body, a lower pressure support body, an elastic support body and a tongue blocking piece, and the elastic support body is used to stretch the upper teeth A tooth support body and a lower tooth support body, the upper tooth support body and the lower tooth support body are distributed at an upper and lower interval, the elastic support body is located between the upper tooth support body and the lower tooth support body, and the upper tooth support body and the lower tooth support body are arranged. The dental support body is fixedly connected with the elastic support body, and the tongue blocking piece is detachably connected to the lower tooth support body; the elastic support body is used to make the upper tooth support body and the lower tooth support body tightly supported on the upper dentition crown respectively. The tongue block can be used to block the tongue of the child on the surface of the lower dentition and the crown surface of the lower dentition.

在一些实施例中,所述挡舌片底部的尾端设有至少两个固定插杆,所述下压支撑体的尾端设有与固定插杆插接配合的固定插座;挡舌片能够快速拆卸,而且还能够口腔的实际情况适当调节挡舌片伸入口腔内的深度。In some embodiments, the rear end of the bottom of the blocking tongue is provided with at least two fixed insertion rods, and the rear end of the pressing support body is provided with a fixed socket that is inserted and matched with the fixed insertion rod; the blocking tongue can be It can be disassembled quickly, and the depth of the tongue blocking plate extending into the oral cavity can be properly adjusted according to the actual situation of the oral cavity.

在一些实施例中,所述固定插杆呈水平设置,且固定插杆的轴线方向与挡舌片的长度方向垂直,所述固定插杆的截面呈正多边形;这样使得挡舌片能够适当调节固定角度,灵活性提高。In some embodiments, the fixed insertion rod is arranged horizontally, and the axial direction of the fixed insertion rod is perpendicular to the length direction of the blocking tongue piece, and the cross section of the fixed insertion rod is a regular polygon; thus, the blocking tongue piece can be properly adjusted and fixed. Angle, flexibility improved.

基于麻醉机的高频喷射供氧回路的使用方法步骤包括:The steps of using the high-frequency jet oxygen supply circuit based on anesthesia machine include:

S1:打开麻醉机,将通气连接管连接到麻醉机上;S1: Turn on the anesthesia machine and connect the ventilation connection tube to the anesthesia machine;

S2:先通过固定束带将口鼻密封罩固定在患儿的口鼻外圈;S2: First, fix the mouth and nose seal on the outer ring of the child's mouth and nose through the fixing strap;

S3:打开麻醉机麻醉气体挥发罐,患儿吸入麻醉气体后能够快速进入全凭吸入麻醉状态;S3: Open the anesthetic gas vaporizer of the anesthesia machine, and the child can quickly enter the state of total inhalation anesthesia after inhaling the anesthetic gas;

S4:打开口鼻密封罩,将压舌开口器置入到患儿的口腔中,使患儿的口腔处于完全打开状态,之后再次将口鼻密封罩固定在患儿的口鼻外圈,将通气连接管的供氧管连接在硬质支气管镜供氧口,将硬质支气管镜穿过口鼻密封罩的镜操作口,将硬质支气管镜置入到患儿的气道,直至找到异物;S4: Open the mouth and nose seal, insert the tongue depressor into the child's mouth, so that the child's mouth is completely open, then fix the mouth and nose seal on the child's mouth and nose again, The oxygen supply tube of the ventilation connection tube is connected to the oxygen supply port of the rigid bronchoscope. The rigid bronchoscope is passed through the endoscope operation port of the mouth-nose sealing mask, and the rigid bronchoscope is inserted into the airway of the child until the foreign body is found. ;

S5:将麻醉呼吸频率调节到最大限度,潮气量设置为3-5ml/kg;S5: Adjust the breathing frequency of anesthesia to the maximum, and set the tidal volume to 3-5ml/kg;

S6:将异物取出钳穿过钳操作口使得异物取出钳能够进入到硬质支气管镜内,医生进行异物取出手术;S6: Pass the foreign body extraction forceps through the operation port of the forceps so that the foreign body extraction forceps can enter the rigid bronchoscope, and the doctor performs the foreign body extraction operation;

S7:异物取出结束后,关闭麻醉机挥发罐,继续对患儿供氧;待患儿苏醒,脱开口鼻密封罩,麻醉结束。S7: After the removal of the foreign body, close the vaporizer of the anesthesia machine and continue to supply oxygen to the child; when the child wakes up, take off the mouth and nose seal, and the anesthesia ends.

镜本发明的有益效果在于:The beneficial effects of the present invention are:

其一,本发明的一种基于麻醉机的高频喷射供氧回路及其使用方法,不影响患儿的自主呼吸,也避免富含麻醉气体的氧气排出在手术室,污染手术环境,避免手术医师、麻醉医师及护士吸入麻醉气体,也避免麻醉气体浪费,同时也使得患儿能够被持续全凭吸入麻醉,避免患儿体动。First, the present invention provides a high-frequency jet oxygen supply circuit based on anesthesia machine and its use method, which does not affect the spontaneous breathing of children, and also prevents oxygen rich in anesthetic gas from being discharged into the operating room, pollutes the operating environment, and avoids surgery. Physicians, anesthesiologists and nurses inhale the anesthetic gas, which also avoids the waste of anesthetic gas, and also enables the child to be continuously under inhalation anesthesia, avoiding the child's physical movement.

其二,本发明的一种基于麻醉机的高频喷射供氧回路及其使用方法,采用第一密封部、第二密封部来保证在手术时,整个供氧回路的密封性。Second, a high-frequency jet oxygen supply circuit based on anesthesia machine and its using method of the present invention adopts a first sealing part and a second sealing part to ensure the airtightness of the entire oxygen supply circuit during operation.

其三,本发明的一种基于麻醉机的高频喷射供氧回路及其使用方法,设置了压舌开口器,利用压舌开口器让患儿口腔张开到最大,且避免了舌体遮挡视线。Third, a high-frequency jet oxygen supply circuit based on anesthesia machine of the present invention and a method of using the same are provided with a tongue depressor, and the tongue depressor is used to open the mouth of the child to the maximum and avoid the blocking of the tongue. sight.

附图说明Description of drawings

为了更清楚地说明本发明具体实施方式或现有技术中的技术方案,下面将对具体实施方式或现有技术描述中所需要使用的附图作简单地介绍,显而易见地,下面描述中的附图是本发明的一些实施方式,对于本领域普通技术人员来讲,在不付出创造性劳动的前提下,还可以根据这些附图获得其他的附图。In order to illustrate the specific embodiments of the present invention or the technical solutions in the prior art more clearly, the following briefly introduces the accompanying drawings that need to be used in the description of the specific embodiments or the prior art. Obviously, the accompanying drawings in the following description The drawings are some embodiments of the present invention. For those of ordinary skill in the art, other drawings can also be obtained based on these drawings without creative efforts.

图1为本发明的基于麻醉机的高频喷射供氧回路及其使用方法的第一种实施例结构示意图;1 is a schematic structural diagram of the first embodiment of a high-frequency jet oxygen supply circuit based on an anesthesia machine and a method of using the same;

图2为硬质支气管镜的结构示意图;Fig. 2 is the structural representation of rigid bronchoscope;

图3为硬质支气管镜的剖面结构示意图;Figure 3 is a schematic cross-sectional structure diagram of a rigid bronchoscope;

图4为口鼻密封罩的结构示意图;Fig. 4 is the structural representation of the mouth-nose sealing cover;

图5为压舌开口器的结构示意图;Fig. 5 is the structural representation of tongue depressor;

图6为压舌开口器的局部拆分示意图;Figure 6 is a partial disassembly schematic diagram of the tongue depressor;

图7为本发明的基于麻醉机的高频喷射供氧回路及其使用方法的第二种实施例结构示意图。7 is a schematic structural diagram of the second embodiment of the high-frequency jet oxygen supply circuit based on anesthesia machine and its using method according to the present invention.

附图标记:1、口鼻密封罩;11、镜操作口;12、出气口;2、通气连接管;21、出气管;22、供氧管;23、麻醉呼吸管;3、硬质支气管镜;31、供氧口;4、第二密封部;5、透明弹性密封帽;51、钳操作口;6、第一密封部;61、第一弹性活瓣;62、第二弹性活瓣;7、压舌开口器;71、上牙支撑体;72、下压支撑体;721、固定插座;73、弹性支撑体;74、挡舌片;741、固定插杆。Reference numerals: 1, mouth and nose sealing cover; 11, mirror operation port; 12, air outlet; 2, ventilation connecting pipe; 21, trachea; 22, oxygen supply pipe; 23, anesthesia breathing tube; 3, rigid bronchus Mirror; 31, oxygen supply port; 4, second sealing part; 5, transparent elastic sealing cap; 51, forceps operation port; 6, first sealing part; 61, first elastic valve; 62, second elastic valve 7, the tongue depressor; 71, the upper teeth support body; 72, the lower pressure support body; 721, the fixed socket; 73, the elastic support body; 74, the tongue block;

具体实施方式Detailed ways

下面将结合附图对本发明的技术方案进行清楚、完整地描述,显然,所描述的实施例是本发明一部分实施例,而不是全部的实施例。The technical solutions of the present invention will be clearly and completely described below with reference to the accompanying drawings. Obviously, the described embodiments are a part of the embodiments of the present invention, but not all of the embodiments.

在本实施方式中,如图1至图7所示,一种基于麻醉机的高频喷射供氧回路及其使用方法,包括用于固定密封在患者口鼻外围的口鼻密封罩1和用于连接呼吸回路与麻醉机呼吸端口的通气连接管2;为了让口鼻密封罩1能够便捷的固定在患儿头部上,因此在口鼻密封罩1上设置了固定束带,口鼻密封罩1上设有用于硬质支气管镜3置入的镜操作口11和用于与通气连接管2连通的出气口12,镜操作口11内设有用于保证硬质支气管镜3置入密封性的第二密封部4;通气连接管2一端连通设置出气管21和供氧管22,出气管21与口鼻密封罩1的出气口12连接,供氧管22用于和硬质支气管镜3的供氧口31匹配连接,通气连接管2另一端用于和麻醉机呼吸回路匹配连接;供氧管22内设有进气单向阀,出气管21或出气口12内设有出气单向阀,进气单向阀和出气单向阀的设置能够使得氧气只能够进入到供氧管22内,让呼出的气体只能够进入到出气管21或出气口12内,进入的氧气和呼出的气体互不干扰。麻醉机直接通过与其连接的麻醉螺纹管的呼气管路,再通过通气连接管2能够将富含麻醉气体的氧气持续通入到供氧管22内,然后进入到硬质支气管镜3内并通入到患儿体内,患儿呼出的气体能够通过通气连接管2的出气管21,再通过麻醉螺纹管路的吸气管路返回麻醉机内,不影响患儿的自主呼吸,也避免富含麻醉气体的氧气排出在手术室,污染手术环境,避免手术医师、麻醉医师及护士吸入麻醉气体,也避免麻醉气体浪费,同时也使得患儿能够被持续全凭吸入麻醉,避免患儿体动。In this embodiment, as shown in FIGS. 1 to 7 , a high-frequency jet oxygen supply circuit based on anesthesia machine and a method of using the same, including an oronasal sealing cover 1 for fixing and sealing around the periphery of a patient’s mouth and nose, and a In order to connect the breathing circuit and the breathing port of the anesthesia machine, the ventilation connection pipe 2; in order to allow the mouth and nose sealing cover 1 to be easily fixed on the head of the child, a fixed belt is set on the mouth and nose sealing cover 1 to seal the mouth and nose. The cover 1 is provided with a scope operation port 11 for the placement of the rigid bronchoscope 3 and an air outlet 12 for communicating with the ventilation connecting tube 2, and the scope operation port 11 is provided with a seal for ensuring the placement of the rigid bronchoscope 3. The second sealing part 4; one end of the ventilation connecting pipe 2 is connected with an outlet pipe 21 and an oxygen supply pipe 22, and the air outlet pipe 21 is connected with the air outlet 12 of the mouth-nose sealing cover 1, and the oxygen supply pipe 22 is used with the rigid bronchoscope 3 The oxygen supply port 31 is matched and connected, and the other end of the ventilation connection pipe 2 is used for matching connection with the breathing circuit of the anesthesia machine; the oxygen supply pipe 22 is provided with an air intake check valve, and the air outlet pipe 21 or the air outlet 12 is provided with an air outlet one-way valve. The setting of the valve, the inlet check valve and the outlet check valve can make the oxygen only enter the oxygen supply pipe 22, so that the exhaled gas can only enter the outlet pipe 21 or the air outlet 12, and the incoming oxygen and the exhaled gas can only enter the oxygen supply pipe 22. Gases do not interfere with each other. The anesthesia machine directly passes through the exhalation pipeline of the anesthesia threaded pipe connected to it, and then through the ventilation connection pipe 2, the oxygen rich in anesthetic gas can be continuously introduced into the oxygen supply pipe 22, and then into the rigid bronchoscope 3 and then into the rigid bronchoscope 3. Into the body of the child, the breath exhaled by the child can pass through the outlet pipe 21 of the ventilation connecting pipe 2, and then return to the anesthesia machine through the inspiratory pipe of the anesthesia threaded pipe, which does not affect the child's spontaneous breathing and avoids richness. Oxygen containing anesthetic gas is discharged in the operating room, polluting the operating environment, avoiding the inhalation of anesthetic gas by surgeons, anesthesiologists and nurses, and avoiding the waste of anesthetic gas. At the same time, it also enables children to be continuously anesthetized by inhalation and avoid physical movement of children. .

由于异物取出钳是需要进入硬质支气管镜3内来进行手术,因此异物取出钳进入到硬质支气管镜3内需要具有良好的密封性才能够不影响呼吸回路,因此本发明还设置了用于密封套设在硬质支气管镜3操作端口的透明弹性密封帽5,透明弹性密封帽5开设用于异物取出钳置入的钳操作口51,钳操作口51内设有用于保证异物取出钳置入密封性的第一密封部6。Since the foreign body removal forceps needs to enter the rigid bronchoscope 3 to perform the operation, the foreign body removal forceps must have good sealing when entering the rigid bronchoscope 3 so as not to affect the breathing circuit. Therefore, the present invention also provides a device for The sealing sleeve is provided with a transparent elastic sealing cap 5 on the operation port of the rigid bronchoscope 3. The transparent elastic sealing cap 5 is provided with a clamp operation port 51 for inserting foreign body extraction forceps. into the airtight first sealing portion 6 .

第一密封部6和第二密封部4是保证整个供氧回路密封性的重要部件,第一密封部6和第二密封部4采用了两种实施例:The first sealing part 6 and the second sealing part 4 are important components to ensure the tightness of the entire oxygen supply circuit. The first sealing part 6 and the second sealing part 4 adopt two embodiments:

第一种,第一密封部6整体呈扁平状,第一密封部6包括若干个第一弹性活瓣61,第一弹性活瓣61的尾端与钳操作口51的内壁固定连接,第二密封部4与第一密封部63的结构相同,无论是硬质支气管镜3还是异物取出钳在抵压到第一弹性活瓣61上,第一弹性活瓣61能够利用自身弹力紧紧贴附在硬质支气管镜3或异物取出钳上,避免产生缝隙,此方式占用空间较小。The first type is that the first sealing portion 6 is flat as a whole, and the first sealing portion 6 includes a plurality of first elastic flaps 61 . The structure of the sealing part 4 is the same as that of the first sealing part 63. Whether the rigid bronchoscope 3 or the foreign body extraction forceps is pressed against the first elastic valve 61, the first elastic valve 61 can be tightly attached by its own elastic force. On the rigid bronchoscope 3 or the foreign body removal forceps, to avoid creating gaps, this method takes up less space.

第二种,第一密封部6整体呈锥状,第一密封部6包括若干个第二弹性活瓣62,第二弹性活瓣62的尾端与钳操作口51的内壁固定连接,第二密封部4与第一密封部6的结构相同,与第一种的区别在于第二弹性活瓣62是倾斜设置的,这样贴附在硬质支气管镜3或异物取出钳上的面积能够增大,即密封效果更佳。The second type is that the first sealing portion 6 is in the shape of a cone as a whole. The first sealing portion 6 includes a plurality of second elastic flaps 62. The structure of the sealing part 4 is the same as that of the first sealing part 6, and the difference from the first one is that the second elastic valve 62 is arranged obliquely, so that the area attached to the rigid bronchoscope 3 or the foreign body extraction forceps can be enlarged. , that is, the sealing effect is better.

由于安装整个供氧回路时,需要根据麻醉机呼出端口和呼入端口的位置来选择安装对应的管路,这样操作具有一定的局限性,因此在通气连接管2上连通设置两个用于和麻醉机呼出端口以及呼入端口匹配连接的麻醉呼吸管23;两个麻醉呼吸管23、出气管21和供氧管22通过通气连接管2互相连通,这样设计就能够使得两个麻醉呼吸管23无需选择插入位置,可随意接连接到麻醉机呼出端口或呼入端口。吸入或呼出气体通过通气连接管2互相连通后能自动选择流通管路,在出气管21和供氧管22下实现单向流通,避免两个麻醉呼吸管23与麻醉机呼出端口或呼入端口连接的定向连接,避免连接错误后导致的严重后果。When installing the entire oxygen supply circuit, it is necessary to select and install the corresponding pipeline according to the position of the exhalation port and the inhalation port of the anesthesia machine, which has certain limitations. The anesthesia breathing tube 23 matched with the exhalation port and the inhalation port of the anesthesia machine; the two anesthesia breathing tubes 23, the outlet tube 21 and the oxygen supply tube 22 are communicated with each other through the ventilation connection tube 2, so that the design can make the two anesthesia breathing tubes 23 There is no need to select the insertion position, and it can be connected to the outgoing port or incoming port of the anesthesia machine at will. After the inhaled or exhaled gas is connected to each other through the ventilation connection pipe 2, the circulation pipeline can be automatically selected, and one-way circulation is realized under the air outlet pipe 21 and the oxygen supply pipe 22, so as to avoid the two anesthesia breathing pipes 23 and the exhalation port or inhalation port of the anesthesia machine. The directional connection of the connection avoids the serious consequences caused by the connection error.

由于硬质支气管镜31是要通过患儿的口腔内插入到气道内,口腔内舌体是阻碍观察取物视线的最大因素,因此还设置了压舌开口器7,压舌开口器7包括上牙支撑体71、下压支撑体72、弹性支撑体73和挡舌片74,弹性支撑体73用于撑开上牙支撑体71和下牙支撑体,上牙支撑体71和下牙支撑体呈上下间隔分布,上牙支撑体71抵压在上牙列的牙冠面上,下牙支撑体抵压在下牙列的牙冠面上,弹性支撑体73位于上牙支撑体71和下牙支撑体之间,且上牙支撑体71和下牙支撑体均与弹性支撑体73固定连接,利用弹性支撑体73将上牙支撑体71和下牙支撑体支撑住,使得上牙支撑体71能够紧贴上牙列的牙冠面以及让下压支撑体72能够紧贴下牙列的牙冠面,挡舌片74可拆卸的连接在下牙支撑体上,由于不同人的舌体长度是不同,因此将挡舌片74底部的尾端设有至少两个固定插杆741,下压支撑体72的尾端设有与固定插杆741插接配合的固定插座721,利用固定插杆741和固定插座721的插接配合使得整个挡舌片74能够拆卸,改变与固定插座721插接的固定插杆741能够改变挡舌片74伸入口腔内的深度,即无论舌体长还是短,挡舌片74均能够在适宜的位置对舌体进行挡舌,提高使用舒适度。Since the rigid bronchoscope 31 is to be inserted into the airway through the oral cavity of the child, the tongue in the oral cavity is the biggest factor that hinders the sight of objects, so a tongue depressor 7 is also provided. The tongue depressor 7 includes the upper The tooth support 71, the lower pressure support 72, the elastic support 73 and the tongue blocking piece 74, the elastic support 73 is used to stretch the upper tooth support 71 and the lower tooth support, the upper tooth support 71 and the lower tooth support The upper teeth support body 71 presses against the crown surface of the upper teeth row, the lower teeth support body presses against the dental crown surface of the lower teeth row, and the elastic support body 73 is located between the upper teeth support body 71 and the lower teeth between the supports, and both the upper support 71 and the lower support are fixedly connected to the elastic support 73, and the elastic support 73 is used to support the upper support 71 and the lower support, so that the upper support 71 The tongue blocking piece 74 can be detachably connected to the lower tooth support body, because the tongue length of different people is different. Therefore, at least two fixed insertion rods 741 are provided at the rear end of the bottom of the blocking tongue 74, and the rear end of the pressing support body 72 is provided with a fixed socket 721 that is inserted and matched with the fixed insertion rods 741. The fixed insertion rods 741 The plug-in cooperation with the fixed socket 721 enables the entire blocking tongue 74 to be disassembled, and changing the fixed insertion rod 741 plugged with the fixed socket 721 can change the depth of the blocking tongue 74 extending into the oral cavity, that is, no matter whether the tongue is long or short, All of the tongue blocking pieces 74 can block the tongue body at a suitable position, so as to improve the comfort of use.

进一步的,固定插杆741呈水平设置,且固定插杆741的轴线方向与挡舌片74的长度方向垂直,固定插杆741的截面呈正多边形,这样使得挡舌片74能够适当调节固定角度,灵活性也得到提高,进一步提高使用舒适度。Further, the fixed insertion rod 741 is arranged horizontally, and the axial direction of the fixed insertion rod 741 is perpendicular to the length direction of the blocking tongue piece 74, and the cross section of the fixed insertion rod 741 is a regular polygon, so that the blocking tongue piece 74 can be properly adjusted. Flexibility has also been improved, further enhancing the comfort of use.

作为优选,弹性支撑体73可为一个,也可为两个,形状可设置为圆环状,此形状效果最佳。Preferably, the elastic support body 73 can be one or two, and the shape can be set as a circular ring, which has the best effect.

本发明的使用方法:Using method of the present invention:

S1:打开麻醉机,将通气连接管2连接到麻醉机上;S1: Turn on the anesthesia machine, and connect the ventilation connecting pipe 2 to the anesthesia machine;

S2:先通过固定束带将口鼻密封罩1固定在患儿的口鼻外圈;S2: First, fix the mouth-nose sealing cover 1 on the outer ring of the child's mouth and nose through a fixing strap;

S3:打开麻醉机麻醉气体挥发罐,患儿吸入麻醉气体后能够快速进入全凭吸入麻醉状态;S3: Open the anesthetic gas vaporizer of the anesthesia machine, and the child can quickly enter the state of total inhalation anesthesia after inhaling the anesthetic gas;

S4:打开口鼻密封罩1,将压舌开口器7置入到患儿的口腔中,使患儿的口腔处于完全打开状态,之后再次将口鼻密封罩1固定在患儿的口鼻外圈,将通气连接管2的供氧管22连接在硬质支气管镜3的供氧口31,将硬质支气管镜3穿过口鼻密封罩1的镜操作口11,将硬质支气管镜3置入到患儿的气道,直至找到异物;S4: Open the mouth and nose sealing cover 1, insert the tongue depressor 7 into the mouth of the child, so that the mouth of the child is in a fully open state, and then fix the mouth and nose sealing cover 1 outside the mouth and nose of the child again Connect the oxygen supply pipe 22 of the ventilation connecting pipe 2 to the oxygen supply port 31 of the rigid bronchoscope 3, pass the rigid bronchoscope 3 through the mirror operation port 11 of the mouth-nose sealing cover 1, and connect the rigid bronchoscope 3 into the child's airway until the foreign body is found;

S5:将麻醉呼吸频率调节到最大限度,潮气量设置为3-5ml/kg;S5: Adjust the breathing frequency of anesthesia to the maximum, and set the tidal volume to 3-5ml/kg;

S6:将异物取出钳穿过钳操作口51使得异物取出钳能够进入到硬质支气管镜3内,医生进行异物取出手术;S6: Pass the foreign body extraction forceps through the forceps operation port 51 so that the foreign body extraction forceps can enter the rigid bronchoscope 3, and the doctor performs the foreign body extraction operation;

S7:异物取出结束后,关闭麻醉机挥发罐,继续对患儿供氧,待患儿苏醒,脱开口鼻密封罩1,麻醉结束。S7: After the removal of the foreign body is completed, turn off the vaporizer of the anesthesia machine, continue to supply oxygen to the child, and when the child wakes up, take off the mouth and nose sealing cover 1, and the anesthesia ends.

最后应说明的是:以上各实施例仅用以说明本发明的技术方案,而非对其限制;尽管参照前述各实施例对本发明进行了详细的说明,本领域的普通技术人员应当理解:其依然可以对前述各实施例所记载的技术方案进行修改,或者对其中部分或者全部技术特征进行等同替换;而这些修改或者替换,并不使相应技术方案的本质脱离本发明各实施例技术方案的范围。Finally, it should be noted that the above embodiments are only used to illustrate the technical solutions of the present invention, but not to limit them; although the present invention has been described in detail with reference to the foregoing embodiments, those of ordinary skill in the art should understand that: The technical solutions described in the foregoing embodiments can still be modified, or some or all of the technical features thereof can be equivalently replaced; and these modifications or replacements do not make the essence of the corresponding technical solutions deviate from the technical solutions of the embodiments of the present invention. scope.

Claims (10)

1. A high-frequency injection oxygen supply loop based on an anesthesia machine is characterized by comprising an oral-nasal sealing cover (1) which is fixedly sealed at the periphery of the oral nose of a patient and a ventilation connecting pipe (2) which is used for connecting a breathing loop and a breathing port of the anesthesia machine; a mirror operation opening (11) for placing the hard bronchoscope (3) and an air outlet (12) communicated with the ventilation connecting pipe (2) are formed in the mouth-nose sealing cover (1), and a second sealing part (4) for ensuring the sealing performance of the hard bronchoscope (3) is arranged in the mirror operation opening (11); one end of the ventilation connecting pipe (2) is communicated with an air outlet pipe (21) and an oxygen supply pipe (22), the air outlet pipe (21) is connected with an air outlet (12) of the oronasal sealing cover (1), the oxygen supply pipe (22) is used for being matched and connected with an oxygen supply port (31) of the hard bronchoscope (3), and the other end of the ventilation connecting pipe (2) is used for being matched and connected with a breathing loop of an anesthesia machine; an air inlet one-way valve is arranged in the oxygen supply pipe (22), and an air outlet one-way valve is arranged in the air outlet pipe (21) or the air outlet (12).
2. The high-frequency jet oxygen supply loop based on the anesthesia machine of claim 1, characterized in that: still establish transparent elastic seal cap (5) at stereoplasm bronchoscope (3) operation port including being used for the sealed cover, transparent elastic seal cap (5) are seted up and are used for the foreign matter to take out pincers operation mouth (51) of putting into, be equipped with in pincers operation mouth (51) and be used for guaranteeing that the foreign matter takes out pincers and puts into first sealing (6) of leakproofness.
3. The high-frequency jet oxygen supply loop based on the anesthesia machine of claim 2, characterized in that: the whole first sealing part (6) is flat, the first sealing part (6) comprises a plurality of first elastic valves (61), the tail ends of the first elastic valves (61) are fixedly connected with the inner wall of the forceps operation opening (51), and the second sealing part (4) and the first sealing part (6) are identical in structure.
4. The high-frequency jet oxygen supply loop based on the anesthesia machine of claim 2, characterized in that: the whole first sealing part (6) is conical, the first sealing part (6) comprises a plurality of second elastic valves (62), the tail ends of the second elastic valves (62) are fixedly connected with the inner wall of the forceps operation opening (51), and the second sealing part (4) is identical to the first sealing part (6) in structure.
5. The high-frequency jet oxygen supply loop based on the anesthesia machine of claim 1, characterized in that: the ventilation connecting pipe (2) is communicated with two anesthesia breathing pipes (23) which are used for being matched and connected with an inhalation port and an exhalation port of an anesthesia machine; the two anesthetic breathing tubes (23), the air outlet tube (21) and the oxygen supply tube (22) are communicated with each other through the ventilation connecting tube (2).
6. The high-frequency jet oxygen supply loop based on the anesthesia machine of claim 1, characterized in that: the mouth and nose sealing cover (1) is provided with a fixing belt used for fixing the mouth and nose sealing cover (1) at the periphery of the mouth and nose of a patient.
7. The high-frequency injection oxygen supply loop based on the anesthesia machine as claimed in claim 1, wherein: still include tongue pressing mouth gag (7), tongue pressing mouth gag (7) include upper teeth supporter (71), push down supporter (72), elastic support body (73) and keep off tongue piece (74), elastic support body (73) are used for strutting upper teeth supporter (71) and lower teeth supporter, upper teeth supporter (71) and lower teeth supporter are interval distribution from top to bottom, elastic support body (73) are located upper teeth supporter (71) and between the lower teeth supporter, and upper teeth supporter (71) and lower teeth supporter all with elastic support body (73) fixed connection, it connects on lower teeth supporter to keep off tongue piece (74) detachable.
8. The high frequency jet oxygen supply loop based on anesthesia machine of claim 7, characterized in that: the tail end of the bottom of the tongue piece (74) is provided with at least two fixed insertion rods (741), and the tail end of the downward pressing support body (72) is provided with a fixed socket (721) which is in insertion fit with the fixed insertion rods (741).
9. The high frequency jet oxygen supply loop based on anesthesia machine of claim 8, characterized in that: the fixed insertion rod (741) is horizontally arranged, the axial direction of the fixed insertion rod (741) is perpendicular to the length direction of the tongue blocking piece (74), and the cross section of the fixed insertion rod (741) is in a regular polygon shape.
10. The use method of the high-frequency injection oxygen supply loop based on the anesthesia machine as claimed in claims 1-9, which comprises the steps of:
s1: opening the anesthesia machine, and connecting the ventilation connecting pipe (2) to the anesthesia machine;
s2: firstly, fixing an oronasal sealing cover (1) on the oronasal outer ring of a child patient by a fixing bridle;
s3: the anesthetic gas volatilization tank of the anesthesia machine is opened, and the infant can rapidly enter an inhalation anesthesia state after inhaling the anesthetic gas;
s4: opening the oronasal sealing cover (1), placing the tongue-pressing mouth gag (7) into the oral cavity of the infant, enabling the oral cavity of the infant to be in a completely opened state, then fixing the oronasal sealing cover (1) on the outer ring of the oronasal of the infant again, connecting an oxygen supply pipe (22) of the ventilation connecting pipe (2) to an oxygen supply port (31) of the hard bronchoscope (3), penetrating the hard bronchoscope (3) through a scope operation port (11) of the oronasal sealing cover (1), and placing the hard bronchoscope (3) into the airway of the infant until a foreign body is found;
s5: adjusting the anesthetic breathing frequency to the maximum, and setting the tidal volume to be 3-5ml/kg;
s6: the foreign matter taking-out forceps are passed through the forceps operation opening (51) so that the foreign matter taking-out forceps can enter the hard bronchoscope (3), and a doctor performs a foreign matter taking-out operation;
s7: after the foreign matter is taken out, the volatilization tank of the anesthesia machine is closed, and oxygen supply is continued to the infant patient; when the infant awakens, the mouth and nose sealing cover (1) is separated, and the anesthesia is finished.
CN202210751192.4A 2022-06-28 2022-06-28 High-frequency jet oxygen supply loop based on anesthesia machine and use method thereof Pending CN115137933A (en)

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Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN115957414A (en) * 2023-03-15 2023-04-14 四川省医学科学院·四川省人民医院 Bronchoscope protective mask

Citations (14)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN201356891Y (en) * 2009-03-06 2009-12-09 中国人民解放军第四军医大学 Gas anesthesia pipeline device
CN110464952A (en) * 2019-08-13 2019-11-19 娄保锋 A kind of multi-functional suction-type general anesthesia device of department of anesthesia
CN210009478U (en) * 2019-04-04 2020-02-04 石河子大学 Inhalation anesthesia device with good tightness
CN211050633U (en) * 2019-09-27 2020-07-21 江苏医尔健康管理有限公司 Carbon dioxide absorbing breathing pipeline for anesthesia machine and respirator
CN211751631U (en) * 2020-01-09 2020-10-27 党焱 Improved oxygen supply device for bronchoscopy
CN211935095U (en) * 2019-12-06 2020-11-17 中山大学附属第一医院 Anesthesia breathing loop pipe and anesthesia breathing device
CN213312636U (en) * 2020-05-29 2021-06-01 重庆医科大学附属儿童医院 Prevent anesthetic breathing circuit of rebreathing
CN213554543U (en) * 2020-05-29 2021-06-29 彭建良 Multifunctional joint for ventilation and examination of high-frequency jet breathing machine and anesthesia machine
CN214632465U (en) * 2021-01-21 2021-11-09 潘明 Tongue ware is kept off in oral cavity restoration
CN214633312U (en) * 2020-11-26 2021-11-09 杨瑞 Fiberoptic bronchoscopy ventilation aids, special laryngeal masks and safety anesthesia masks
CN214970579U (en) * 2021-04-20 2021-12-03 江苏奥凯医疗设备有限公司 Gas conduit for respiratory anesthesia machine
CN215019345U (en) * 2021-04-25 2021-12-07 重庆医科大学附属口腔医院 An oral prosthetic tongue blocking device
CN215273461U (en) * 2021-06-28 2021-12-24 李园 Adjustable oral cavity repairing tongue blocking device
CN216602827U (en) * 2021-09-15 2022-05-27 王翠 Tongue depressor for children in department of respiration

Patent Citations (14)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN201356891Y (en) * 2009-03-06 2009-12-09 中国人民解放军第四军医大学 Gas anesthesia pipeline device
CN210009478U (en) * 2019-04-04 2020-02-04 石河子大学 Inhalation anesthesia device with good tightness
CN110464952A (en) * 2019-08-13 2019-11-19 娄保锋 A kind of multi-functional suction-type general anesthesia device of department of anesthesia
CN211050633U (en) * 2019-09-27 2020-07-21 江苏医尔健康管理有限公司 Carbon dioxide absorbing breathing pipeline for anesthesia machine and respirator
CN211935095U (en) * 2019-12-06 2020-11-17 中山大学附属第一医院 Anesthesia breathing loop pipe and anesthesia breathing device
CN211751631U (en) * 2020-01-09 2020-10-27 党焱 Improved oxygen supply device for bronchoscopy
CN213312636U (en) * 2020-05-29 2021-06-01 重庆医科大学附属儿童医院 Prevent anesthetic breathing circuit of rebreathing
CN213554543U (en) * 2020-05-29 2021-06-29 彭建良 Multifunctional joint for ventilation and examination of high-frequency jet breathing machine and anesthesia machine
CN214633312U (en) * 2020-11-26 2021-11-09 杨瑞 Fiberoptic bronchoscopy ventilation aids, special laryngeal masks and safety anesthesia masks
CN214632465U (en) * 2021-01-21 2021-11-09 潘明 Tongue ware is kept off in oral cavity restoration
CN214970579U (en) * 2021-04-20 2021-12-03 江苏奥凯医疗设备有限公司 Gas conduit for respiratory anesthesia machine
CN215019345U (en) * 2021-04-25 2021-12-07 重庆医科大学附属口腔医院 An oral prosthetic tongue blocking device
CN215273461U (en) * 2021-06-28 2021-12-24 李园 Adjustable oral cavity repairing tongue blocking device
CN216602827U (en) * 2021-09-15 2022-05-27 王翠 Tongue depressor for children in department of respiration

Cited By (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN115957414A (en) * 2023-03-15 2023-04-14 四川省医学科学院·四川省人民医院 Bronchoscope protective mask
CN115957414B (en) * 2023-03-15 2023-06-09 四川省医学科学院·四川省人民医院 A kind of tracheoscope protective mask

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