CN210301513U - Prone position is ventilated and is prevented pressing sore strutting arrangement - Google Patents

Abstract

The utility model discloses a prone position is ventilated and is prevented pressing sore strutting arrangement, including head support module, the head support module includes base, guide bar and altitude mixture control pole, sets up the annular tray on guide bar and high-end regulation pole and the silica gel face is lain prone, and the middle part that the silica gel face was lain prone is provided with the fretwork trompil, and the top surface of base is the inclined plane. The utility model discloses well silica gel face lies prone and is good with the contact travelling comfort of people's face, and the silica gel face lies prone the fretwork trompil that the middle part set up for facial more skin exposes in the air, can make skin keep clean dry, can prevent facial pressure nature damage and take place. The hollowed-out open holes are also used for placing artificial air passages, so that the air passages are normal, the safety is guaranteed, and the artificial air passages can be conveniently observed. Meanwhile, the hollowed-out opening is also used for facilitating drainage of the secretion of the mouth and the nasal cavity to the base, and the top surface of the base is an inclined surface, so that the secretion of the mouth and the nasal cavity can be converged into the dirt collecting tank along the inclined surface, and the cleaning is facilitated.

Description

Prone position is ventilated and is prevented pressing sore strutting arrangement

Technical Field

The utility model relates to a medical equipment, in particular to a prone position supporting device that ventilates.

Background

The Prone Position Ventilation (PPV) is to place the patient in a prone position to dilate the lungs in the area with prolapse and improve the ventilation and perfusion rate when mechanical ventilation is performed. Years of clinical research proves that the prone position ventilation can improve the oxygen partial pressure of patients with acute lung injury/acute respiratory distress syndrome and improve oxygenation, the effective rate of treatment reaches 64-78%, and the oxygenation effect of at least 75% of patients in the prone position is obviously improved. Therefore, for these patients, prone position ventilation becomes a treatment option when the protective mechanical ventilation is not effective, and currently there is much acceptance to ensure at least a 12h daily prone position, i.e. a single long-time prone position ventilation, with conditional licensing suggesting continuous prone position ventilation.

Although prone position ventilation has more advantages, the incidence rate of pressure injury of patients with prone position ventilation is high, and nursing complications are more. For example, aspiration, conjunctival edema and skin mucosa injury caused by reflux of gastric contents easily occur, and blood pressure fluctuation, tracheal catheter prolapse and self-extubation caused by posture change, and compression, distortion, displacement, prolapse and the like of various drainage tubes and central and peripheral arteriovenous catheters are easily caused; the posture change can cause dysphoria and uncooperative disorder of the patient, and needs to increase the dosage of patient sedation and muscle relaxation agents, thereby bringing certain risks; rare complications such as nerve compression, muscle crush, venous congestion and the like can occur in a very small number of patients. Research also indicates that the risk of pressure sores in the prone position is greater than that in the supine position, the longer the prone position, the greater the risk of skin problems, especially the forehead, eyes, cheeks, nose and mandible, bilateral auricles, bilateral anterior sides of shoulder peaks, bilateral ribs, breast, bilateral anterior superior iliac spines, double elbow joints, knee joint patella surfaces, perineum and toes, and the like, the occurrence rate of pressure sores is as high as 46.1%, and the pressure sores and trachea cannula blockage are mostly multiple (more than 2), and research indicates that the pressure sores and trachea cannula blockage are the most common complications of patients with prone position ventilation. In addition, studies attempt to reduce the occurrence of skin pressure injury by increasing the number of times of turning over during prone position ventilation, and the results of the studies suggest that the occurrence rate of skin pressure injury is reduced, but the occurrence rate of complications such as blood pressure fluctuation caused by turning over, unplanned tube drawing, and reflux of nasal feeding patients is increased.

At present, a soft pillow is mostly adopted for clinical ventilation in prone position to prevent skin pressure injury from occurring by cushioning under the body, the soft pillow has a certain pressure reduction effect on pressed skin and reduces the skin pressure injury to a certain extent, but the soft pillow has the limitations that ① soft pillow inner filling materials are mostly cotton wool, are easy to absorb water and not beneficial to drainage, are easy to cause skin moisture, and increase pressure injury occurrence factors, ② soft materials are easy to extrude and deform, have insufficient supporting strength on a patient ventilating in long prone position, are easy to cause nursing risks such as artificial airway catheter folding, displacement, slippage and the like, ③ has no reserved artificial airway placing space, is inconvenient for sputum suction, oral and nasal secretion drainage and artificial airway observation, and is easy to suffocate.

SUMMERY OF THE UTILITY MODEL

In view of this, the utility model aims at providing a prone position is ventilated and is prevented pressing sore strutting arrangement to adopt soft pillow to support among the solution prior art and carry out that prone position ventilates the existence do not have artifical air flue and place the space, inconvenient phlegm, the drainage of oral nasal cavity secretion and artifical air flue of inhaling observe, the problem of easily taking place to suffocate, and the easy extrusion deformation of soft pillow, support the not enough scheduling problem of intensity to the patient.

The utility model discloses prone position is ventilated and is prevented pressing sore strutting arrangement, including head support module, head support module includes that guide bar and altitude mixture control pole, the setting of base, vertical setting on the base are adjusted the pole upper end at guide bar and high-end and the silica gel face of setting on annular tray lies prone, the middle part that the silica gel face lies prone is provided with the fretwork trompil, the top surface of base is the inclined plane.

Furthermore, the prone position ventilation pressure sore prevention supporting device further comprises a dirt collecting tank for placing the base.

Furthermore, prone position ventilate and prevent pressing sore strutting arrangement still include trunk supporting module, trunk supporting module includes half left side cushion and half right side cushion, half left side cushion and half right side cushion constitute by interior filling block and overcoat, and be formed with on the limit portion of the interior filling block of half left side cushion and half right side cushion with the spacing flange of trunk side complex.

Furthermore, prone position ventilate and prevent pressing sore strutting arrangement still include upper limbs supporting shoe and low limbs supporting shoe, upper limbs supporting shoe and low limbs supporting shoe constitute by interior filling piece and overcoat, be provided with the arc recess that is used for placing the upper limbs on the interior filling piece of upper limbs supporting shoe, be provided with the arc recess that is used for placing the low limbs on the interior filling piece of low limbs supporting shoe.

Furthermore, a plurality of arc-shaped supporting strips are formed in the arc-shaped grooves.

Further, the coat is a silk coat.

The utility model has the advantages that:

1. the utility model discloses prone position is ventilated and is prevented pressing sore strutting arrangement, its silica gel face lie prone with the contact travelling comfort of people's face good, and the silica gel face middle part of lying prone sets up the fretwork trompil for facial more skin exposes in the air, can make skin keep clean dry, can prevent facial pressure nature damage and take place. The hollowed-out open holes are also used for placing artificial air passages, so that the air passages are normal, the safety is guaranteed, and the artificial air passages can be conveniently observed. Meanwhile, the hollowed-out opening is also used for facilitating drainage of the secretion of the mouth and the nasal cavity to the base, and the top surface of the base is an inclined surface, so that the secretion of the mouth and the nasal cavity can be converged into the dirt collecting tank along the inclined surface, and the cleaning is facilitated.

2. The utility model discloses prone position is ventilated and is prevented pressing sore strutting arrangement, the height of lying prone of its silica gel face can be adjusted through altitude mixture control pole for can adapt to the patient of different sizes.

3. The utility model discloses prone position is ventilated and is prevented pressing sore strutting arrangement, its truck supporting module are formed by half left side cushion and half right side cushion combination, and it arranges the position and can adjust according to patient truck width in the in-service use to can satisfy different size patients.

4. The utility model discloses prone position is ventilated and is prevented pressing sore strutting arrangement, its upper limb supporting shoe and low limbs supporting shoe can be as required nimble adjustment locating position.

5. The utility model discloses prone position is ventilated and is prevented pressing sore strutting arrangement, its head support module, truck support module, upper limbs supporting shoe and low limbs supporting shoe can carry out nimble combination as required and use to satisfy the needs of different situation.

Drawings

FIG. 1 is a schematic perspective view of a prone position ventilation pressure sore prevention supporting device;

FIG. 2 is a perspective view of a head support module;

fig. 3 is a schematic cross-sectional view of the head support module.

Detailed Description

The invention is further described with reference to the following figures and examples.

As shown in the figure, this embodiment prone position is ventilated and is prevented pressing sore strutting arrangement, including the head support module, the head support module includes base 1, vertical setting guide bar 2 and altitude mixture control pole 3 on the base, sets up annular tray 4 on guide bar and high-end regulation pole upper end and sets up the silica gel face on annular tray and lies prone 5, the middle part that the silica gel face lies prone is provided with fretwork trompil 6, the top surface of base is the inclined plane.

In this embodiment, the guiding rod 2 is composed of a sleeve 201 fixed on the base and an inner rod 202 fixed on the annular tray, and the inner rod penetrates through the sleeve and is in sliding fit with the sleeve. In this embodiment, the height adjusting rod 3 is composed of a shaft rod 301 fixed on the base, a screw rod 302 fixed on the annular tray, and an adjusting sleeve 303, the lower end of the adjusting sleeve is rotatably matched with the shaft rod, and the screw rod is threaded in the adjusting sleeve and is in threaded fit with the adjusting sleeve. Of course, the guide bar 2 and the height adjustment bar 3 may also take other forms in different embodiments.

The prone position ventilation pressure sore prevention supporting device in the embodiment further comprises a dirt collecting tank 7 for placing the base.

In this embodiment prone position is ventilated and is prevented pressing sore strutting arrangement, its silica gel face lies prone and is good with the facial contact travelling comfort of people, and the silica gel face lies prone the fretwork trompil that the middle part set up for facial more skin exposes in the air, can make skin keep clean dry, can prevent facial pressure nature damage and take place. The hollowed-out open holes are also used for placing artificial air passages, so that the air passages are normal, the safety is guaranteed, and the artificial air passages can be conveniently observed. Meanwhile, the hollowed-out opening is also used for facilitating drainage of the secretion of the mouth and the nasal cavity to the base, and the top surface of the base is an inclined surface, so that the secretion of the mouth and the nasal cavity can be converged into the dirt collecting tank along the inclined surface, and the cleaning is facilitated. And the height of lying prone of its silica gel face can be adjusted through altitude mixture control pole for can adapt to the patient of different sizes.

As the improvement to the above embodiment, the prone position ventilate and prevent pressing sore strutting arrangement still include trunk supporting module, trunk supporting module includes left half cushion 8 and right half cushion 9, left half cushion and right half cushion constitute by interior filling block and overcoat, and be formed with on the limit part of the interior filling block of left half cushion and right half cushion with the trunk side complex spacing flange 10.

Trunk support module is formed by half left side cushion and half right side cushion combination in this improvement, and it arranges the position and can adjust according to patient trunk width in the in-service use to can satisfy different size patients. The left half cushion block and the right half cushion block are combined to be in a shallow U-shaped concave shape, so that sufficient flexible pressure reduction support can be provided for the chest and abdomen, the shoulders can be kept suspended, and the skin stress of the chest and abdomen is uniform and dispersed; the limiting flanges at the two sides are used for blocking and blocking the upper limbs when the upper limbs stand in a right position; the outer sleeve is detachable, so that cleaning and disinfection are facilitated.

As an improvement to the above embodiments, the prone position ventilation pressure sore prevention supporting device further comprises an upper limb supporting block 11 and a lower limb supporting block 12, the upper limb supporting block and the lower limb supporting block are both composed of inner filling blocks and outer sleeves, and the inner filling blocks of the upper limb supporting block and the lower limb supporting block are respectively provided with an arc-shaped groove 13 for placing an upper limb and a lower limb.

The middle and lower limb supporting blocks can be flexibly adjusted according to the requirement, so that the nerve muscle injury can be prevented; when the lower limb supporting block and the trunk supporting module are combined for use, the perineum and the iliac crest can be kept in a suspended state, so that pressure sores at the parts can be avoided.

As an improvement to the above embodiment, a plurality of arc-shaped supporting strips 14 are formed in the arc-shaped groove, the arc-shaped supporting strips can increase the suspended part of the skin, so that the skin can be ventilated and kept dry, and the positions of the upper limb supporting blocks and the lower limb supporting blocks can be adjusted at intervals in use, so that different parts on the upper limbs and the lower limbs are in contact with the arc-shaped supporting strips, and the occurrence rate of pressure sores can be reduced.

As an improvement on the embodiment, the outer sleeve is a silk outer sleeve, the contact friction force between the silk outer sleeve and the skin is small, the contact comfort degree is good, and pressure sores are reduced.

Finally, although the present invention has been described in detail with reference to the preferred embodiments, it should be understood by those skilled in the art that the present invention can be modified or replaced by other means without departing from the spirit and scope of the present invention, which should be construed as limited only by the appended claims.

Claims (6)

1. The utility model provides a prone position is ventilated and is prevented pressing sore strutting arrangement which characterized in that: including the head support module, the head support module includes that base, vertical setting guide bar and altitude mixture control pole on the base, setting are adjusted the annular tray on the pole upper end and is set up the silica gel face on annular tray and lie prone at guide bar and high-end, the middle part that the silica gel face lies prone is provided with the fretwork trompil, the top surface of base is the inclined plane.

2. The prone position ventilation pressure sore prevention supporting device according to claim 1, characterized in that: the sewage collecting device also comprises a sewage collecting tank for placing the base.

3. The prone position ventilation pressure sore prevention supporting device according to claim 1, characterized in that: still include trunk supporting module, trunk supporting module includes half left side cushion and half right side cushion, half left side cushion and half right side cushion constitute by interior filling block and overcoat, and be formed with on the limit portion of the interior filling block of half left side cushion and half right side cushion with the spacing flange of trunk side complex.

4. The prone position ventilation pressure sore prevention supporting device according to claim 1, characterized in that: the upper limb supporting block and the lower limb supporting block are composed of inner filling blocks and jackets, arc-shaped grooves for placing upper limbs are formed in the inner filling blocks of the upper limb supporting block, and arc-shaped grooves for placing lower limbs are formed in the inner filling blocks of the lower limb supporting block.

5. The prone position ventilation pressure sore prevention support device of claim 4, characterized in that: a plurality of arc-shaped supporting strips are formed in the arc-shaped grooves.

6. The prone position ventilation pressure sore prevention support device according to claim 3 or 4, characterized in that: the coat is a silk coat.

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