CN201082289Y - Trachea cannula with hollow guiding tube core - Google Patents
Trachea cannula with hollow guiding tube core Download PDFInfo
- Publication number
- CN201082289Y CN201082289Y CNU2007200985668U CN200720098566U CN201082289Y CN 201082289 Y CN201082289 Y CN 201082289Y CN U2007200985668 U CNU2007200985668 U CN U2007200985668U CN 200720098566 U CN200720098566 U CN 200720098566U CN 201082289 Y CN201082289 Y CN 201082289Y
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- Prior art keywords
- guiding tube
- hollow guiding
- tube core
- tube
- tracheal intubation
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Abstract
The utility model belongs to a medical appliance, in particular to an endotracheal intubation with a hollow guiding tube core, which is characterized in that: the hollow guiding tube core with flexible memory function is arranged in the chamber of the endotracheal intubation. The utility model has the advantages of overcoming the problem of many complications and bad risk for extubation after the endotracheal intubation operation and effectively improving the security of trachea management after the extubation of difficult endotracheal intubation patients.
Description
Technical field
This utility model belongs to medical apparatus and instruments, relates in particular to a kind of multi-functional tracheal intubation that has hollow guiding tube core that can connect respirator, sputum aspirator, oxygen therapy device.
Background technology
Clinically, difficult tracheal intubation postoperative tube drawing complication is many, have a big risk, and seriously can cause respiratoring palpitating suddenly stopping.Difficult airway management and assessment more and more obtain people's attention, the back neck scar excision patient that especially burns, and mouthful wrapping is fixing tighter due to wound, has limited that patient dehisces and the head and neck layback.Respiratory tract is not smooth when taking place, normally take to hold in the palm down chin, oropharynx or nasopharynx airway to insert processing more, severe patient need be removed and wrap up intubate once more, but various treatment measures are used and all are subjected to a certain degree restricting, if dealing with improperly of difficult trachea tube drawing, serious threat patient life causes huge mental pressure to the Anesthetist again
The utility model content
The purpose of this utility model is to overcome the deficiency of above-mentioned technology, and a kind of tracheal intubation that has hollow guiding tube core is provided, overcome the problem that difficult tracheal intubation postoperative tube drawing complication is many, have a big risk, effectively improved the safety of airway management behind the difficult tracheal intubation patient tube drawing.
This utility model for achieving the above object, by the following technical solutions: a kind of tracheal intubation that has hollow guiding tube core is characterized in that: be equipped with the hollow guiding tube core with elastic memory function in the tracheal intubation tube chamber.
Be arranged with the disperse hole on the sidewall of described hollow guiding tube core fore-end.
Described hollow guiding tube core front end is provided with the guiding groove.
The seal wire of pegging graft and have the elastic memory function in described hollow guiding tube in-core chamber.
The beneficial effects of the utility model: overcome the problem that difficult tracheal intubation postoperative tube drawing complication is many, have a big risk, effectively improved the safety of airway management behind the difficult tracheal intubation patient tube drawing.When endotracheal intubation was used clinically, tracheal intubation: it can realize while ventilating intubate, effectively guarantees patient's oxygen supply, has improved the safety of intubate; Endotracheal tube displacement: partly stop up or overlap capsule and partly come off to wait and in emergency circumstances change endotracheal tube when running into the endotracheal tube official jargon, utilize the capable high frequency ventilation of hollow guiding tube core, guaranteeing to replace conduit under the oxygen confession situation; The trachea tube drawing: patient's unconsciousness after operation, and when being difficult to tolerate tracheal intubation, adopt this utility model capable, endotracheal tube is pulled out in examination, and as in case when needing the circulation of qi promoting cannula, intubate is rapidly and safety again; Foreign body in trachea takes out: the patient that mistake is inhaled foreign body, promptly there is anoxia in various degree before the art, airway resistance increases, lung compliance reduces, trachea microscopy and foreign body take out operation in addition stimulates, serious reflexive breath cycle all standing takes place, use this utility model both can guarantee gas exchange, again the secretions of sucking-off in time and do not influence and observe and operate.
Description of drawings
Fig. 1 is a structural representation of the present utility model;
Fig. 2 is the structural representation that hollow guiding tube core fore-end is provided with the disperse hole among Fig. 1.
The specific embodiment
As shown in the figure, a kind of tracheal intubation that has hollow guiding tube core is equipped with the hollow guiding tube core 2 with elastic memory function in tracheal intubation 1 tube chamber.Be arranged with disperse hole 3 on the sidewall of described hollow guiding tube core fore-end, can enlarge hollow guiding tube core front end and supply gas or inhale contact area such as expectorant, described hollow guiding tube core front end is provided with guiding groove 4, the convenient insertion.The seal wire of pegging graft and have the elastic memory function in described hollow guiding tube in-core chamber 5.
The clinical use-case statistics of this utility model: select neck surface burns scar resection operation patient 30 examples, wherein microstomia 11 examples, chin neck cicatricial adhesion 12 examples, neck breast cicatricial adhesion 7, male's 21 examples, women's 9 examples, year at age 22～50 (36 ± 14), body weight 52～86 (69 ± 17) kg, ASAI～II level, once did 6 examples of tracheotomy, before the art all apnea, circulation, endocrine and psychiatric system and deposit disease.The lab testing content of hemoglobin, the male is all greater than 120g/L, and the women is all greater than 110g/L.Be divided into two groups of A, B at random, every group 15 example, A group are used hollow guiding tube core tube drawing, and B organizes conventional tube drawing.
Manufacture method: select diameter 4.5mm, the hollow guiding tube core 2 of length 75～80cm, 5 one of the copper seal wires of supporting 3mm, 1 of adult's silica gel sputum aspirator tube, connect respirator connect first, a little paraffin oil, lubricate copper wire and sputum aspirator tube outside with paraffin oil before using, seal wire is inserted sputum aspirator tube pull and push repeatedly three times, make the sputum aspirator tube internal lubrication.
Application process general anesthesia postoperative when patient's tidal volume normally reach the cough swallowing reflex recover and exhale can get final product tube drawing at once.The secretions that will remain in before the tube drawing in mouth, nose, throat and the tracheal system attracts clean, the B group is extracted endotracheal tube, to insert the sputum aspirator tube of seal wire during A group tube drawing and insert trachea, left hand is held tube core, the right hand is slowly pulled out conduit, treats that the endotracheal tube front end pulls out to the tooth place, with left hand A/C front end tube core, the right hand is pulled out conduit, and close observation is breathed and SpO behind the tube drawing
2Change, do not have the blood oxygen saturation of appearance as patient and descend or cyanosis, multi-functional hollow guiding tube core can be withdrawed from, also can pull out seal wire in case of necessity earlier sputum aspirator tube is detained in trachea, sputum aspirator tube outer termination Central oxygen-supply, if oxygen flow 3L/min is SpO
2Be lower than 90% and can in time connect high frequency respirator,,, new endotracheal tube is inserted once more through the guiding tube core if airway obstruction need to take place then seal wire slowly to be inserted in the sputum aspirator tube when inferior intubate if expectorant is arranged then in time through the sputum aspirator tube sucking-off in the trachea.Blood oxygen saturation (SpO before and after the two group record tube drawings
2), the variation of mean pressure (MAP), heart rate (HR).
Observation index: omnidistance monitoring blood oxygen saturation (SpO
2), mean pressure (MAP), heart rate (HR), electrocardiogram (ECG).Behind the tube drawing as SpO
2Be lower than 90% and more than the lasting 5s, then think existences that suffocate, hold in the palm lower jaw, ancillary methods such as increasing oxygen flow.
Statistical analysis: adopt the SPSS11.0 statistical package to carry out statistical analysis.Measurement data with mean ± standard deviation (expression of x ± s), adopt the t check organize between and statistical procedures in the group.P＜0.05 is the difference significance.
The result:
Each organizes patient age, body weight and operating time difference nonsignificance, and all patients all finish operation smoothly.See Table 1 in detail.By blood oxygen saturation (SpO
2) contrast, reflect that using multi-functional hollow guiding tube core patient blood oxygen saturation (SpO occurs
2) descend not obviously, hypoxia seldom appears in patient.By the comparison of mean pressure (MAP) and heart rate (HR), it is minimum to cardiovascular circulating effect to use multi-functional hollow guiding tube core.Occur the airway constriction that a routine postoperative wrapping causes when wherein A organizes 15min after surgery, carry out pure oxygen by multi-functional hollow guiding tube core and suck remission.B organizes after surgery 10min and 3 routine patient's blood oxygen saturations occur and drop to (SpO
2) below 93%, giving the oxygen uptake of face shield holder lower jaw, patient symptom is alleviated.
SpO before and after the table 1 patient general anesthesia postoperative tube drawing
2, MAP, HR variation (x ± s, n=30)
| Index | Group | The example number | Before the tube drawing | Postoperative 10min | Postoperative 15min |
| SpO 2(%) MAP (mmHg) HR (inferior/minute) | A group B group A group B group A group B group | 15 15 15 15 15 15 | 100±0 100±0 84.1± 10.7 81.5± 10.0 81.9± 12.4 83.3± 10.1 | 98.1± 1.3 ★ 94.5± 2.1 ▲ 66.3± 10.1 * 84.2± 11.0 70.8± 9.2 * 82.0± 14.5 | 99.5± 1.0 99.3± 1.3 64.± 11.8 * 80.8± 14.0 68.6± 7.6 71.0± 8.0 |
With ratio before this group tube drawing,
★P＞0.05,
▲P＜0.05.With the contrast same period of B group,
*P＜0.05
The above only is preferred embodiment of the present utility model, is not structure of the present utility model is done any pro forma restriction.Every foundation technical spirit of the present utility model all still belongs in the scope of the technical solution of the utility model any simple modification, equivalent variations and modification that above embodiment did.
Claims (4)
1. a tracheal intubation that has hollow guiding tube core is characterized in that: be equipped with the hollow guiding tube core with elastic memory function in the tracheal intubation tube chamber.
2. the tracheal intubation that has hollow guiding tube core according to claim 1 is characterized in that: be arranged with the disperse hole on the sidewall of described hollow guiding tube core fore-end.
3. the tracheal intubation that has hollow guiding tube core according to claim 1 is characterized in that: described hollow guiding tube core front end is provided with the guiding groove.
4. the tracheal intubation that has hollow guiding tube core according to claim 1 is characterized in that: the seal wire of pegging graft and have the elastic memory function in described hollow guiding tube in-core chamber.
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CNU2007200985668U CN201082289Y (en) | 2007-09-18 | 2007-09-18 | Trachea cannula with hollow guiding tube core |
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CNU2007200985668U CN201082289Y (en) | 2007-09-18 | 2007-09-18 | Trachea cannula with hollow guiding tube core |
Publications (1)
| Publication Number | Publication Date |
|---|---|
| CN201082289Y true CN201082289Y (en) | 2008-07-09 |
Family
ID=39624751
Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| CNU2007200985668U Expired - Fee Related CN201082289Y (en) | 2007-09-18 | 2007-09-18 | Trachea cannula with hollow guiding tube core |
Country Status (1)
| Country | Link |
|---|---|
| CN (1) | CN201082289Y (en) |
Cited By (3)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN102202715B (en) * | 2008-10-31 | 2014-08-13 | 安全气管有限公司 | Device and method for tracheotomy |
| CN106413787A (en) * | 2014-02-10 | 2017-02-15 | R·C·怀特 | An airway management device and method of manufacture |
| CN110214037A (en) * | 2017-01-23 | 2019-09-06 | 学校法人帝京大学 | Tracheal catheter insertion auxiliary external member |
-
2007
- 2007-09-18 CN CNU2007200985668U patent/CN201082289Y/en not_active Expired - Fee Related
Cited By (7)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN102202715B (en) * | 2008-10-31 | 2014-08-13 | 安全气管有限公司 | Device and method for tracheotomy |
| CN106413787A (en) * | 2014-02-10 | 2017-02-15 | R·C·怀特 | An airway management device and method of manufacture |
| CN106413787B (en) * | 2014-02-10 | 2022-08-19 | R·C·怀特 | Airway management device and manufacturing method |
| US11471629B2 (en) | 2014-02-10 | 2022-10-18 | Ronald Craig WIGHT | Airway management device and method of manufacture |
| CN110214037A (en) * | 2017-01-23 | 2019-09-06 | 学校法人帝京大学 | Tracheal catheter insertion auxiliary external member |
| CN110214037B (en) * | 2017-01-23 | 2022-07-05 | 学校法人帝京大学 | Auxiliary kit for inserting tracheal catheter |
| US11464403B2 (en) | 2017-01-23 | 2022-10-11 | Teikyo University | Tracheal tube insertion aid kit |
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Legal Events
| Date | Code | Title | Description |
|---|---|---|---|
| C14 | Grant of patent or utility model | ||
| GR01 | Patent grant | ||
| C17 | Cessation of patent right | ||
| CF01 | Termination of patent right due to non-payment of annual fee |
Granted publication date: 20080709 Termination date: 20100918 |