CN1868431A - Medical pillow - Google Patents

Medical pillow Download PDF

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Publication number
CN1868431A
CN1868431A CNA2005100710497A CN200510071049A CN1868431A CN 1868431 A CN1868431 A CN 1868431A CN A2005100710497 A CNA2005100710497 A CN A2005100710497A CN 200510071049 A CN200510071049 A CN 200510071049A CN 1868431 A CN1868431 A CN 1868431A
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China
Prior art keywords
underlay
face
head
patient
pad
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Pending
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CNA2005100710497A
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Chinese (zh)
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皮楷端
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Individual
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Individual
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Priority to CNA2005100710497A priority Critical patent/CN1868431A/en
Publication of CN1868431A publication Critical patent/CN1868431A/en
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Abstract

A medical pillow suitable for neck operation, trachea cannula, and insertion of fibrobronchoscope as it can make the head at sniff position is composed of a lower cushion with an inclined front end face and a concave curved back end face, and an upper cushion with a smooth top surface and a convex curved bottom surface matched with said concave curved back end face of lower cushion. The top surface of upper cushion and the concave curved surface of lower cushion have respectively a hole.

Description

A kind of medical pillow
Technical field
The present invention relates to medical medicated pillow, particularly a kind of simple in structure, with low cost, easy to use and can stablize the medical pillow that keeps head to be the sniff position.
Background technology
Shown in Figure 1A, Figure 1B, Fig. 1 C, not the straight line passage by oral cavity opening to the air flue in glottis crack, the central pathway during its intends thinking (or claiming axis) is constantly changing from one section to another section.In the tracheal intubation process that anaesthetizes sb. generally, need fully appear cavum laryngis opening (being the glottis slight crack), for fullest appears the cavum laryngis opening, oral cavity, curved channel pharyngeal and throat must be become the straight line passage, this is the key through throat's tracheal intubation.Raise head, slightly make head-bent in chest locations (35 degree) and at the atlanto-occipital joint place enough back peaks with heading portion, can be so that axis almost become straight line, above-mentioned head and neck posture is called " through the looking up position of nostril FI " (sniff position is hereinafter to be referred as sniff position).
When in anesthesia, putting into laryngoscope, for realizing above-mentioned sniff position, or keep actual air flue linear axis, must satisfy following two factors.At first, raise patient's head with the underbed that places the headrest subordinate, so just make pharyngeal axle and throat's axle become a straight line (factor a, shown in Figure 1B), then, head is stretched behind the atlanto-occipital joint place and has just been produced from front tooth to the shortest of glottis mouth and approaching collinear distance (factor b is shown in Fig. 1 C).Factor a is easy to realize that will support underbed exactly and be put under patient's head; And factor b is difficult for realizing, even because clear-headed patient, it also is very difficult making him keep its head to stretch backward on underbed, and is in narcose patient after having received the intravenous induced drug for one, its head can be in a kind of naturally before bent tendency.
At present, in clinical use, have that the circle pad with center hole of a kind of being called " head circle " is the most normal to be used in tracheal intubation by anaesthetists; Another kind of supportive cushion is called " basket " (head cradle), uses in some hospitals too.Yet no matter " head circle " still is that " basket " all only can raise patient's head, and the head that can not keep the patient is in the sniff position.
For keeping head behind the atlanto-occipital joint place, to stretch, often anaesthetize the doctor and use the lower jaw that promotes the patient on the other hand upwards to go to push away patient head forward with another hands; Perhaps only with firmly promoting on the other hand patient's lower jaw upwards, stretch after causing head, realize that patient's head is in the stretching, extension backward at atlanto-occipital joint place, i.e. sniff position.Therefore, in most cases, the anesthesia doctor promotes patient's lower jaw upwards with its left hand with the laryngoscope tongue piece, keeps patient's head in the sniff position, and at the same time, with the right hand endotracheal intubation is sent in larynx opening and the trachea.In teaching hospital, this situation is usually arranged, promptly anaesthetize the doctor and keep patient's head in the sniff position with its hands, assist the resident to finish endotracheal intubation.
Can imagine, keep patient's head in the sniff position when mention patient's lower jaw with the laryngoscope tongue piece, how big slight lozenge born load, and the position that directly contacts with the laryngoscope tongue piece is patient's last front tooth and bottleneck throat soft tissue, so just is easy to make front tooth and bottleneck throat soft tissue injury.Even more serious is, if can not well keep the patient to be positioned at the sniff position, and can not clearly appear glottis, then may lose air flue and jeopardizes patient's life.
Summary of the invention
The purpose of this invention is to provide a kind of simple in structure, with low cost, easy to use and can stablize the medical pillow that keeps head to be positioned at the sniff position.
For achieving the above object, the present invention takes following technical scheme: a kind of medical pillow, and include a underlay and and can be placed on upward filling up on the described underlay, the front end face of described underlay is an inclined-plane, rear end face is a concave curved surface; The described upper surface of going up pad is a plane, the convex surface of lower surface for matching with the concave curved surface of described underlay rear end face; Respectively be provided with a hole on the concave curved surface of the upper surface of described upward pad and the rear end face of described underlay.
In practical operation, can also be provided with a shoulder between the concave curved surface of the inclined-plane of described underlay front end face and described underlay rear end face, the middle position on described on the concave curved surface of the rear end face of the upper surface of pad and described underlay respectively is provided with described hole.
In addition, the angle of inclination, inclined-plane of described underlay front end face is between 30 to 70 degree.The described material of going up pad and underlay is plastic foam or latex material.
The present invention is owing to take above design, and have the following advantages: 1, headrest of the present invention can stably make head be positioned at the sniff position, and the air flue axis becomes short straight, fully appears glottis, extremely is beneficial to endotracheal intubation, correctly the inserting of laryngeal mask and branchofiberoscope; 2, utilize headrest of the present invention, be very beneficial for the carrying out of operation on neck, as: thyroidectomy, larynx excision etc. (during the sniff position, cervical region protracts and fully exposure); 3, utilize headrest of the present invention, be very beneficial for the face shield ventilation, help cardiopulmonary resuscitation to carry out rapidly and under the effective and efficient manner at one; 4, can be according to different patients' cervical region characteristics, the requirement of different anaesthetists and surgical doctor is moved the curved surface of last pad along underlay backward, thereby is changed the angle that goes up between plane and underlay curved surface, selects best head layback degree; 5, in the present invention, the hole that last pad and underlay middle position are provided with, the headrest portion that can adapt to and hold the patient; Therefore void structure not only makes patient's head steady on pillow, more makes headrest portion avoid external contact pressure, can avoid the phenomenon of the headrest size skin pressurized ischemia that prolonged operations causes; 6, the present invention is simple in structure, and is functional strong, with low cost, easy to use, helps promoting and using.
Description of drawings
The position view of head disclosed the position that head lies low when Figure 1A was traditional endotracheal intubation.
The position view of head when Figure 1B is traditional endotracheal intubation discloses pharynx axle and larynx axle position in alignment.
The position view of head disclosed the sniff position when Fig. 1 C was traditional endotracheal intubation.
Fig. 2 is a structural representation of the present invention.
Fig. 3 is the structural representation of the underlay among the present invention.
Fig. 4 is the structural representation of going up pad among the present invention.
Fig. 5 for use the present invention make head be the sniff position sketch map.
The specific embodiment
As Fig. 2, Fig. 3, shown in Figure 4, be a kind of medical pillow provided by the present invention, it includes a underlay 1 and and can be placed on and go up pad 2 on the underlay 1.The front end face of underlay 1 is an inclined-plane 11, and the rear end face of underlay 1 is a concave curved surface 12; The upper surface 21 of last pad 2 is a plane, on fill up 2 the convex surface 22 of lower surface for matching with the concave curved surface 12 of underlay rear end face.Respectively be provided with a hole 3 on the concave curved surface 12 of the upper surface 21 of last pad 2 and the rear end face of underlay 1, in general, central position on the upper surface 21 that hole 3 is arranged on pad and the concave curved surface 12 of the rear end face of underlay, but also according to actual needs the offset from center position be provided with.
The hole 3 that last pad 1 and underlay 2 middle positions are provided with, it mainly acts on the headrest portion that is to adapt to and hold the patient.Therefore void structure not only makes patient's head steady on pillow, more makes headrest portion avoid external contact pressure, can avoid the phenomenon of the headrest size skin pressurized ischemia that prolonged operations causes.
In the present embodiment, also be provided with a shoulder 13 between the curved surface 12 of the inclined-plane 11 of underlay 1 front end face and underlay 1 rear end face, so just make the lateral section of underlay 1 be similar to trapezoidal (as shown in Figure 3), make patient's cervical region be placed on the comfortable of top ten minutes; Certainly,, also this shoulder 13 can be set, make the lateral section of underlay 1 be similar to triangle (figure does not show) like this according to different use needs.
According to different use crowds, the present invention can be designed to different sizes, with general adult is example, and among the embodiment of medical pillow provided by the present invention, length can be 28cm, 24cm, 12cm respectively, the length on the inclined-plane 11 of underlay front end face is 12cm, and the angle of inclination is the best between 30 to 70, and the width of shoulder 13 is 2cm, and the diameter in hole 3 is 10cm, in addition, the end-to-end distance of curved surface 12 is from the bottom of underlay 4cm; Certainly, also can do corresponding suitable adjustment dimensionally according to the individual practical situation difference.When the present invention is applied to child, only size need be dwindled getting final product, and structure does not need to change.
The material of going up pad and underlay in the foregoing description can be plastic foam or latex.
The present invention when in use, when anesthesia vein induce finish after, the patient is loss of consciousness gradually, at this moment can directly remove pad, patient's head can drop down onto on the concave surface of underlay; And for the comparatively elongated patient of cervical region, then move and go up the pad front portion down backwards, patient's head can drop down onto the concave surface position between last pad and underlay, with avoid head excessively after stretch because head is stretched the visual field that removable thyroid cartilage and throat stop the cavum laryngis opening forward after excessively.The underlay of medical pillow provided by the present invention has been filled the space under the head and neck, and makes head stretch backward at the atlanto-occipital joint place to become the sniff position; When ventilation breath or tracheal intubation, stretch behind patient's head position (sniff position) will be not can displacement before bent position, therefore very being convenient to a people finishes operations such as tracheal intubation, as shown in Figure 5.
After finishing tracheal intubation, for most surgical operations, last pad can be returned on the underlay wholly or in part.Yet for operation on neck such as thyroidectomy or larynx resection operation, last pad will not be returned on the underlay, or will go up being put on the underlay of pad part according to patient's cervical region length flexibility.The present invention will keep patient's cervical region and be the position of protracting completely, stretch the position after being in the then stable hole that falls within the underlay concave surface of patient's headrest portion, fill up on adding from the rear the support of head (if pad is not removed fully), patient's head can not moved, and this will be very beneficial for the operation on neck operation.
In addition, the present invention can also be applied in and rescue critically ill patient and carry out in the cardio-pulmonary resuscitation, and of most critical keeps patient airway unobstructed and effectively ventilate through face shield; Yet, rising head and to make head layback stretch (sniff position) be the first element that makes airway patency.By the present invention, to stretch the position behind patient's head and will keep stable, it is short straight that this will make air flue become, and is very advantageous in the face shield ventilation.Therefore, structure of the present invention and characteristics will help cardiopulmonary resuscitation to carry out rapidly and under the effective and efficient manner at one.

Claims (7)

1, a kind of medical pillow includes a underlay and and can be placed on upward filling up on the described underlay, and it is characterized in that: the front end face of described underlay is an inclined-plane, and rear end face is a concave curved surface; The described upper surface of going up pad is a plane, the convex surface of lower surface for matching with the curved surface of described underlay rear end face; Respectively be provided with a hole on the concave curved surface of the upper surface of described upward pad and the rear end face of described underlay.
2, medical pillow according to claim 1 is characterized in that: be provided with a shoulder between the concave curved surface of the inclined-plane of described underlay front end face and described underlay rear end face.
3, medical pillow according to claim 1 is characterized in that: the middle position on the concave curved surface of the upper surface of described upward pad and the rear end face of described underlay respectively is provided with a hole.
4, medical pillow according to claim 2 is characterized in that: the middle position on the concave curved surface of the upper surface of described upward pad and the rear end face of described underlay respectively is provided with a hole.
5, according to claim 1 or 2 or 3 or 4 described medical pillows, it is characterized in that: the angle of inclination, inclined-plane of described underlay front end face is between 30 to 70 degree.
6, according to claim 1 or 2 or 3 or 4 or 7 described medical pillows, it is characterized in that: the described material of going up pad and underlay is plastic foam or latex material.
7, medical pillow according to claim 5 is characterized in that: the described material of going up pad and underlay is plastic foam or latex material.
CNA2005100710497A 2005-05-23 2005-05-23 Medical pillow Pending CN1868431A (en)

Priority Applications (1)

Application Number Priority Date Filing Date Title
CNA2005100710497A CN1868431A (en) 2005-05-23 2005-05-23 Medical pillow

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
CNA2005100710497A CN1868431A (en) 2005-05-23 2005-05-23 Medical pillow

Publications (1)

Publication Number Publication Date
CN1868431A true CN1868431A (en) 2006-11-29

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Family Applications (1)

Application Number Title Priority Date Filing Date
CNA2005100710497A Pending CN1868431A (en) 2005-05-23 2005-05-23 Medical pillow

Country Status (1)

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CN (1) CN1868431A (en)

Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN105411791A (en) * 2016-01-05 2016-03-23 苏中英 Multi-surface pillow specially used for endoscopic retrograde cholangiopancreatography

Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN105411791A (en) * 2016-01-05 2016-03-23 苏中英 Multi-surface pillow specially used for endoscopic retrograde cholangiopancreatography

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Open date: 20061129