Background
The trachea cannula is a method commonly used for clinically rescuing critical patients, and because the oral intubation is simple and rapid in operation, small in wound, easy in sputum excretion, less in complications and the like, the oral intubation is frequently adopted for rescuing the critical patients, the safe fixation of the oral trachea cannula is the guarantee of successful intubation and effective ventilation of the patients, the trachea cannula is required to be kept not to shift or be pulled out at a fixed position after the intubation is successful, and the most important is to firmly fix the trachea cannula.
Along with the ICU critical patients are many, the trachea cannula rate is high, adverse events caused by improper cannula fixation occur occasionally, pain is brought to the patients, and medical risks are increased. The currently available oral tracheal intubation fixing method is an adhesive tape bite block lacing method and a traditional fixator fixing method, the two methods respectively have the use advantages and the defects, and the clinical effect evaluation is different. Wherein, the adhesive tape tooth pad lacing method is that one person fixes the cannula and the tooth pad at the incisors, and the other person uses the adhesive tape to bind the tooth pad and the cannula together and fix the two side cheeks crosswise, then fixes the two side cheeks with the lace and ties at one side; the defects that 1, the external force mainly comes from the binding force and the stickiness of the adhesive tape, the lace is easy to slip due to the infiltration of sweat and oral secretion, the adhesive tape is loosened, and the tracheal catheter is easy to slide in or slide out; 2. facial skin injury is easy to cause; 3. the operation is complex, and the nursing time and the labor are occupied; 4. the moisture is easy to be generated, and the replacement is needed in time, so that the workload is increased; 5. it is inconvenient to suck the secretion in the mouth cavity. Although the fixer fixing method is firm in fixing and difficult to remove the pipe, the occlusal surface is too large, so that the fixer is difficult to put into the oral cavity during fixing, and the fixer fixing method also has the following defects: 1. the occlusal surface is large, the moving space in the oral cavity is small, and the comfort of patients with the tongue squeezed by the patients is extremely poor; 2. the material is hard, so that pressure sores on the lips and the periphery of the mouth are easily caused; 3. the device is sealed, and the operation is difficult because the secretion in the suction port cavity of the space is not reserved; 4. the tie strip is hard and easy to damage skin after long-term use; 5. when the fixer is fixed, the two sides are stressed unevenly and are easy to incline to one side.
Trachea cannula fixer should constantly develop, should have corresponding more meticulous effectively to the patient of different conditions, and the patient is comfortable and make things convenient for the oral cavity to observe and nurse, conveniently inhales phlegm, better carries out the air flue management under guaranteeing fixed firm prerequisite better, reaches safe, convenient, comfortable, firm trachea cannula fixer still need constantly study and innovation in clinical work.
SUMMERY OF THE UTILITY MODEL
Utility model purpose: aiming at the problems in the prior art, the invention provides a novel tracheal cannula fixer which is simple in structure, convenient to use and operate, comfortable to wear by patients, easy to suck oral secretion and firm in fixation.
The technical scheme is as follows: in order to achieve the purpose, the novel tracheal cannula fixator comprises a fixator body, tooth pads, a tying belt buckle and tying belts, wherein a catheter insertion hole into which a tracheal cannula can be inserted is formed in the middle of the fixator body, gaps are formed in two sides of the catheter insertion hole and are suction ports, the tooth pads are arranged above the fixator body and are tightly attached to the inserted tracheal cannula, the tying belt buckles are located at two ends of the fixator body, and the tying belts are installed on the tying belt buckles.
The two sides of the fixer are provided with gaps, namely the gaps arranged on the two sides of the conduit inserting hole are suction ports, the arrangement of the suction ports is convenient for the sputum suction pipes to suck the oral secretion in time from the gaps on the two sides, so that the comfort of a patient is increased, and the skin mucous membrane in the oral cavity is easy to observe,
the bite block and the fixer body are integrated, one end of the bite block is 0.8-1cm higher than the fixer body and used for fixing the tracheal cannula, and the other end of the bite block extends to 0.8-1cm below the fixer body and serves as an inner occlusal surface to the oral cavity to be placed between upper and lower teeth to prevent the tracheal cannula from being occluded. The bite-block surface is replaced for silica gel material or other soft class goods, with fixer formula as an organic whole, exceeds fixer surface about 1 centimetre usually for fixed trachea cannula, the lower extreme occupies that the oral area is little, and the material is more comfortable and the occlusal surface is little, and patient's comfort increases.
The catheter insertion hole is of an open design and comprises an opening and a fixing part of the trachea cannula, the opening is rectangular, and the fixing part is circular.
The width of the opening is 0.3-0.6mm smaller than the diameter of the tracheal cannula, and the diameter of the fixing part is the same as that of the tracheal cannula. The trachea cannula is installed from the opening part and is finally fixed at the fixed position, the width of the opening part is smaller than the diameter of the trachea cannula, the trachea cannula can be prevented from falling off, and the trachea cannula is fixed at the fixed position through the tooth pad.
Furthermore, a magic tape is arranged on the opening. The magic tape is reversely buckled and fixed, and is used for locking the opening after the trachea cannula is placed or opening the magic tape when the fixer is taken down.
Preferably, the fixer body is made of transparent silica gel; the bite-block is the silica gel material. The fixer body adopts transparent silica gel material or similar substitute, and the skin condition is located to easy viewing port week portion and pressurized, replaces old-fashioned fixer plastics material, and whole weight loss, the material is changed into softer material by hard, and patient's comfort increases.
Preferably, the lace is a nylon lace which is reversely buckled and fixed on the lace buckle. The two sides of the fixer body are provided with buckles, the nylon laces are buckled reversely for fixing, the two sides are stressed simultaneously and exert force uniformly, and the phenomenon that the fixer deviates to one side due to over-looseness or over-tightness of one side is avoided.
Preferably, the fixator body and the suction port are oval, and the area of the suction port (7) accounts for 1/3-1/2 of the area of the fixator body (1).
The working principle is as follows: after the trachea cannula is placed into the oral cavity, the trachea cannula is clamped into the fixing part from the opening of the fixing device, the inner occlusal surface is arranged between the upper teeth and the lower teeth, the trachea cannula is adjusted to be placed into the depth and then fixed with the dental pad by silk adhesive tapes, the opening of the fixing device is closed by magic tape buckles, the two side tying belts are tightened and buckled, the stress is uniform, the fixing device cannot be moved conveniently, the next finger of the trachea cannula is held by the tightness properly, the trachea cannula is not shifted and pulled out at the fixing position after the trachea cannula is successfully inserted, wherein the trachea cannula is firmly fixed most importantly, and meanwhile, the trachea cannula is comfortable and suitable for clinical needs and has no operation complications. The oral cavity secretion can be in time inhaled from both sides to the sputum aspirator can conveniently inhale the sputum aspirator pipe in the use, is convenient for observe the oral cavity condition, carries out oral care etc. the fixer main part is transparent silica gel or similar substitute, conveniently observes oral cavity week portion skin condition in the use.
Has the advantages that: compared with the prior art, the invention has the following advantages:
1. the utility model has simple structure and convenient use, and larger gaps are reserved on the two sides of the fixer, so that the sputum suction tube can suck the oral secretion from the two sides in time.
2. The fixer body adopts transparent silica gel material or similar substitute, and the skin condition of mouth week portion and pressurized department is easily observed, replaces old-fashioned fixer plastics material, and whole weight loss, the material is changed into softer material by hard, and patient feels comfortable.
3. The surface of the bite block is made of silica gel or other soft products, so that the occupied area in the oral cavity is small, the occlusal surface is small, and a patient feels comfortable.
4. The safety of the patient who uses this fixer can guarantee, the intubate is difficult for sliding in or outwards roll-off to the oral cavity, reduces and takes off a tub the risk, alleviates nurse's work load and psychological pressure.
5. The utility model discloses a bite-block, fixer formula as an organic whole, article are single, and fixed and change is simple and efficient, and a nurse can accomplish the operation, and occupation time is few.
6. The nylon frenulum is left-hand thread fixed, and both sides atress simultaneously, and it is even hard, avoid one side too loose or tension, lead to the fixer to one side skew.
Overall, the utility model discloses a novel trachea cannula fixer, firm safety is difficult for taking off the comfortable portably of pipe, can practice thrift nurse's work load, easily observes the operation, can not produce the complication.
Examples
As shown in fig. 1 and 2, a novel tracheal cannula fixator comprises a fixator body 1, a bite-block 2, a lacing tape 3 and a lacing 4, wherein a catheter insertion hole 6 into which a tracheal cannula 5 can be inserted is formed in the middle of the fixator body 1, the catheter insertion hole 6 is of an open design and comprises an opening 8 and a fixing part 9 of the tracheal cannula 5, the opening 8 is rectangular, and the fixing part 9 is circular; the width of the opening 8 is 0.3-0.6mm smaller than the diameter of the tracheal cannula 5, the diameter of the fixing part 9 is the same as that of the tracheal cannula 5, and the magic tape 10 is arranged on the opening 8.
Gaps are arranged at two sides of the conduit insertion hole 6 to form suction openings 7, the suction openings 7 are oval, and the area of the suction openings 7 accounts for 1/3-1/2 of the area of the fixator body 1. The bite block 2 is disposed above the holder body 1, specifically above the tube insertion hole 6, and is closely attached to the inserted endotracheal tube 5. The surface of the bite block 2 is replaced by silica gel or other soft products, the bite block 2 and the fixer body 1 are integrated, one end of the bite block 2 is 0.8-1cm higher than the upper surface of the fixer body 1 and used for fixing the tracheal cannula, and the other end of the bite block 2 extends to the lower surface of the fixer body 1 by 0.8-1cm and serves as an inner occlusal surface to the oral cavity and is used for being placed between upper and lower teeth to prevent the tracheal cannula 5 from being occluded. The lower end of the bite block 2 occupies small area in the oral cavity, the material is more comfortable, the occlusal surface is small, and the comfort of the patient is increased. The frenulum 4 is fixed on the frenulum is buckled for the nylon frenulum left-hand thread, and the nylon frenulum 4 left-hand thread is fixed, and both sides atress is even simultaneously hard, avoids one side too loose or tension, leads to the fixer to one side skew.
Fixer body 1 adopts transparent silica gel material or similar substitute, and the skin condition is located to easy viewing port week portion and pressurized, replaces old-fashioned fixer plastics material, and whole weight reduction, the material is changed into softer material by hard, and patient's comfort increases.
Before using, put into trachea cannula 5 through the oral cavity, with trachea cannula 5 from the opening part 8 card of fixer go into fixed department 9, make the interior occlusal surface of bite-block 2 downwardly extending place between upper and lower tooth, adjust trachea cannula 5 and put into behind the degree of depth and fix trachea cannula 5 and bite-block 2 mutually with silk adhesive tape, magic subsides 10 left-hand thread close the opening part 8 of fixer, the taut left-hand thread of both sides frenulum 4 is fixed, the atress is even, the fixer is difficult to move, elasticity holds next finger and is suitable, after the intubate is successful, will keep trachea cannula 5 not shift, tube drawing in fixed position, wherein the most important firmly fixes trachea cannula 5, make patient comfortable simultaneously, be applicable to clinical needs, and do not have the operation complication. Suction inlet 7 can conveniently inhale the phlegm pipe and in time suck oral secretion from both sides in the use, is convenient for observe the oral cavity condition, carries out oral care etc. and the fixer main part is transparent silica gel or similar substitute, conveniently observes oral cavity week portion skin condition in the use.