CN214596291U

CN214596291U - Prone position ventilation supporting device

Info

Publication number: CN214596291U
Application number: CN202022983281.0U
Authority: CN
Inventors: 薛芳; 练志梅
Original assignee: Suzhou Municipal Hospital
Current assignee: Suzhou Municipal Hospital
Priority date: 2020-12-11
Filing date: 2020-12-11
Publication date: 2021-11-05
Anticipated expiration: 2030-12-11

Abstract

The utility model relates to a prone position strutting arrangement that ventilates, its characterized in that: comprises a prone position head supporting component and a prone position body supporting component; the prone position head support component comprises a frame body, support legs of the frame body can be adjusted in a lifting mode, a soft pillow with a pressure reducing effect is arranged on the frame body, a through hole is formed in the center of the soft pillow in an excavated mode, the shape of the through hole is matched with that of the face of a human body, and the size of the through hole is smaller than the outer contour of the face but the size of the through hole can enable the mouth and the nose to be exposed; the prone position body supporting component comprises a chest supporting pad, a wrist supporting cotton ring, a leg supporting pad and an ankle supporting cotton ring. The utility model has the advantages of ingenious structure and reasonable design, when the patient is ventilated in the prone position, the face is supported on the soft pillow, the mouth and nose part is exposed from the through hole in the center of the soft pillow, the ventilation pipeline and the drainage pipeline are convenient to arrange, and the soft pillow can avoid the face of the patient from generating pressure damage; the body of the patient is supported by the prone position body supporting component, so that pressure injury on the body can be avoided.

Description

Prone position ventilation supporting device

Technical Field

The utility model relates to a strutting arrangement when ventilating, specifically speaking are strutting arrangement ventilates in prone position belongs to medical auxiliary instrument technical field.

Background

Acute Respiratory Distress Syndrome (ARDS) is an acute and diffuse inflammatory lung injury, one of the common respiratory critical conditions that endanger human health, and the critical care unit mortality rate of patients with severe ARDS is between 40% and 50%. Mechanical ventilation is a key medical measure for treating patients with ARDS, and a reasonable mechanical ventilation treatment strategy can significantly reduce the fatality rate, otherwise further aggravate the deterioration of the disease. In recent years, the mechanical ventilation treatment strategy of ARDS has changed dramatically with the increased pathophysiological awareness of ARDS and the development of clinical respiratory support technology.

The respiratory disease division of the Chinese medical society respiratory crisis medical group has summarized and constructed 12 common important problems in clinical practice according to the latest research progress at home and abroad, and the CRADE method, which is a syndrome-oriented medical method widely applied internationally, is adopted to establish the mechanical ventilation guideline for patients with acute respiratory distress syndrome. The Prone Position Ventilation (PPV) is an important guidance suggestion given in the guideline, the prone position ventilation refers to a care measure for a therapeutic body position which helps a patient to take a prone position in the mechanical ventilation process so as to improve the oxygenation state of the patient, the prone position ventilation can effectively improve the proportion of ventilation blood flow, pulmonary alveoli reoccur, endocrine of the lung and an airway can be well drained under the action of gravity, the compression of the heart and the mediastinum on a prolapsed lung area is reduced, and the mechanical ventilation time is effectively shortened. 2019ICS guide: the management of acute respiratory distress syndrome states that the prone position ventilation time of patients with prone position ventilation should be at least 12h per day, so that the fatality rate of patients with ARDS can be reduced. Although the treatment effect of prone position ventilation is obvious, the operation and nursing of the device have certain difficulty, and the complications of the skin pressure injury of the patient are easily caused, the incidence rate of the pressure injury of the patient with prone position ventilation is 10.53% -66.7%, and the incidence rate of the pressure injury of the patient with prone position ventilation counted by our hospital is about 23%. The complications of the pressure injury can bring pain to patients, influence the satisfaction of the patients and family members to hospitals, and even cause medical disputes when the complications are serious.

Disclosure of Invention

The utility model aims to overcome the not enough of existence among the prior art, provide a strutting arrangement ventilates in prone position, its structure is ingenious, reasonable in design, pressure nature damage incidence when can the greatly reduced patient prone position ventilate.

According to the utility model provides a technical scheme: the prone position ventilation supporting device is characterized in that: comprises a prone position head supporting component and a prone position body supporting component; the prone position head support component comprises a frame body, support legs of the frame body can be adjusted in a lifting mode, a soft pillow with a pressure reducing effect is arranged on the frame body, a through hole is formed in the center of the soft pillow in an excavated mode, the shape of the through hole is matched with that of the face of a human body, and the size of the through hole is smaller than the outer contour of the face but the size of the through hole can enable the mouth and the nose to be exposed; the prone position body supporting component comprises a chest supporting pad, a wrist supporting cotton ring, a leg supporting pad and an ankle supporting cotton ring.

As a further improvement, the chest supporting pad includes two parallel arrangement's rib portion filler strip, and upper portion between two rib portion filler strips is equipped with the front of the chest filler strip, and lower part between two rib portion filler strips is equipped with the connecting strip, constitutes a fretwork portion corresponding to human lung between two rib portion filler strips, the front of the chest filler strip and the connecting strip.

As a further improvement of the utility model, the bottom surface of the rib gasket is a plane, and the upper surface of the rib gasket is an arch surface with two ends low and the middle high.

As a further improvement of the present invention, the under-leg support pad includes a femoral pad body for supporting under the thigh and a tibial pad body for supporting under the calf, the height and thickness of the femoral pad body are both greater than the tibial pad body, and a flexible connecting sheet is provided between the femoral pad body and the tibial pad body.

As a further improvement of the utility model, the wrist supporting cotton ring and the ankle supporting cotton ring are semicircular cotton rings.

As a further improvement of the present invention, the ankle portion supporting cotton ring is further provided with an inflatable pressure reducing air bag for supporting the instep root toward one side of the instep.

As a further improvement of the utility model, the prone position limb supporting device further comprises a apophysis protective foam dressing.

Compared with the prior art, the utility model, have following advantage:

1) the utility model has the advantages of ingenious structure and reasonable design, when a patient is ventilated in a prone position, the head of the patient is supported by the head supporting component in the prone position, the face of the patient is supported on the soft pillow in a comfortable and natural posture, the mouth and nose part is exposed from the through hole in the center of the soft pillow, so that the ventilation pipeline and the drainage pipeline are convenient to arrange, the soft pillow can play a role in reducing pressure, and the face of the patient is prevented from being damaged by pressure; the body of the patient is supported by a prone position body supporting component which is composed of a chest supporting pad, a wrist supporting cotton ring, a leg supporting pad and an ankle supporting cotton ring, and pressure damage on the body can be avoided.

2) The chest supporting pad in the utility model is designed according to the physiological characteristics of human body, which not only can stably support the chest of the patient, but also can not oppress the breath, and is safe and comfortable to use; the lower leg support pad can stably and lowly support the lower limbs of the patient and can not press the knee part.

3) The wrist supporting cotton ring and the ankle supporting cotton ring of the utility model are semicircular cotton rings, which is convenient for installation; the ankle part supports cotton circle and is provided with inflatable decompression gasbag towards one side of instep, can fill into appropriate amount gas according to patient's foot shape during the use, and its ankle position takes place abnormal distortion when avoiding the patient to bow and lie prone, improves the travelling comfort.

Drawings

Fig. 1 is a schematic view of the structure and the operation condition of the embodiment of the present invention.

Fig. 2 is a structural plan view of the prone position head support member in the embodiment of the present invention.

Fig. 3 is a schematic sketch of the three-dimensional structure of the chest supporting pad in the embodiment of the present invention.

Fig. 4 is a side view of the wrist supporting cotton ring according to the embodiment of the present invention.

Fig. 5 is a schematic diagram of a three-dimensional structure of the under-leg support pad in the embodiment of the present invention.

Fig. 6 is a side view of the ankle supporting cotton ring according to the embodiment of the present invention.

Description of reference numerals: 1-prone position head supporting component, 1.1-frame body, 1.2-soft pillow, 1.2 a-through hole, 2-prone position body supporting component, 2.1-chest supporting pad, 2.1 a-rib pad strip, 2.1 b-chest pad strip, 2.1 c-connecting strip, 2.1 d-hollowed part, 2.2-wrist part supporting cotton ring, 2.3-under-leg supporting pad, 2.3 a-femoral pad body, 2.3 b-tibial pad body, 2.3 c-flexible connecting sheet, 2.4-ankle part supporting cotton ring and 2.4 a-inflatable pressure reducing air bag.

Detailed Description

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

As shown in fig. 1 and fig. 2, the embodiment discloses a prone position ventilation supporting device, which comprises a prone position head supporting member 1 and a prone position body supporting component 2; the prone position head supporting component 1 comprises a frame body 1.1, supporting legs of the frame body 1.1 can be adjusted in a lifting mode, a soft pillow 1.2 with a pressure reducing effect is arranged on the frame body 1.1, a through hole 1.2a is dug in the center of the soft pillow 1.2, the shape of the through hole 1.2a is matched with that of the face of a human body, and the size of the through hole 1.2a is smaller than the outer contour of the face but the nose of the human body can be exposed; the prone position body supporting component 2 comprises a chest supporting pad 2.1, a wrist supporting cotton ring 2.2, a leg lower supporting pad 2.3 and an ankle supporting cotton ring 2.4.

During the specific use, the patient bends over and lies prone on the bed, stacks up under its antethorax with chest supporting pad 2.1, and two arms of patient abduct are sheathe in wrist portion and are supported cotton circle 2.2, and stack up under the thigh under the leg and support pad 2.3, and the ankle portion is sheathe in foot wrist portion and is supported cotton circle 2.4, and the body part has just obtained reliable safe support like this, is favorable to avoiding producing the pressure nature damage. Then according to the height of body part, adjust support leg length of support body 1.1, make patient's face support on soft pillow 1.2 with comfortable natural gesture, patient's oronasal part exposes from the through-hole 1.2a at soft pillow 1.2 center, is convenient for arrange vent line and drainage pipeline, and soft pillow 1.2 can play the decompression effect moreover, avoids patient's face to produce the pressure nature damage.

As shown in fig. 3, in the present embodiment, the chest supporting pad 2.1 includes two rib-portion pads 2.1a disposed in parallel, a front chest pad 2.1b is disposed at an upper portion between the two rib-portion pads 2.1a, a connecting strip 2.1c is disposed at a lower portion between the two rib-portion pads 2.1a, and a hollow portion 2.1d corresponding to the lung of the human body is formed between the two rib-portion pads 2.1a, the front chest pad 2.1b, and the connecting strip 2.1 c. So set up, chest supporting pad 2.1 both can stably support patient's antethorax, can not oppress again and breathe, safe in utilization and comfortable. The bottom surface of rib portion filler strip 2.1a is the plane, and rib portion filler strip 2.1 a's upper surface is the bow-shaped face that high in the middle of the low of both ends, is favorable to like this letting the patient keep the comfortable natural gesture of lying prone of bowing.

As shown in fig. 1 and 5, in the present embodiment, the under-leg support pad 2.3 includes a femur pad 2.3a for supporting under the thigh and a tibia pad 2.3b for supporting under the calf, the height and thickness of the femur pad 2.3a are both greater than those of the tibia pad 2.3b, and a flexible connecting piece 2.3c is provided between the femur pad 2.3a and the tibia pad 2.3 b. With the arrangement, when the leg support pad is used, the femoral pad body 2.3a is pressed under the body of a patient and can incline towards the lower abdomen direction of the patient, the tibial pad body 2.3b inclines towards the sole direction, and the knee part of the patient is just positioned between the femoral pad body 2.3a and the tibial pad body 2.3b, so that the leg support pad 2.3 can reliably and safely support the lower limbs of the patient.

As shown in fig. 1, 4 and 6, in the present embodiment, the wrist supporting cotton ring 2.2 and the ankle supporting cotton ring 2.4 are both semicircular cotton rings. So set up for the cotton circle 2.2 of wrist portion support and the cotton circle 2.4 of ankle portion support are convenient for install.

In the present embodiment, as shown in fig. 6, the ankle portion supporting cotton ring 2.4 is further provided with an inflatable pressure reducing air bag 2.4a for supporting the instep portion on the side facing the instep. So set up, inflatable decompression gasbag 2.4a can fill into appropriate amount gas according to patient's foot shape, and its ankle position takes place abnormal distortion when avoiding the patient to bow and lie prone, improves the travelling comfort.

In addition, the prone position limb supporting device further comprises a apophysis protective foam dressing. So set up, apophysis department protection foam dressing can paste the apophysis position on patient's health in addition according to the condition, further improves decompression effect.

The above description is only for the preferred embodiment of the present invention, and the above specific embodiments are not intended to limit the present invention. Within the scope of the technical idea of the present invention, various modifications and alterations can be made, and any person skilled in the art can make modifications, amendments or equivalent replacements according to the above description, all belonging to the protection scope of the present invention.

Claims

1. The prone position ventilation supporting device is characterized in that: comprises a prone position head supporting member (1) and a prone position body supporting component (2); the prone position head supporting component (1) comprises a frame body (1.1), supporting legs of the frame body (1.1) can be adjusted in a lifting mode, a soft pillow (1.2) with a pressure reducing effect is arranged on the frame body (1.1), a through hole (1.2a) is dug in the center of the soft pillow (1.2), the shape of the through hole (1.2a) is matched with that of the face of a human body, and the size of the through hole (1.2a) is smaller than the outer contour of the face and can expose the mouth and nose; the prone position body supporting component (2) comprises a chest supporting pad (2.1), a wrist supporting cotton ring (2.2), a leg lower supporting pad (2.3) and an ankle supporting cotton ring (2.4).

2. The prone position ventilation support device of claim 1, wherein: chest supporting pad (2.1) is equipped with front chest filler strip (2.1b) including two parallel arrangement's rib portion filler strip (2.1a), upper portion between two rib portion filler strips (2.1a), and lower part between two rib portion filler strip (2.1a) is equipped with connecting strip (2.1c), constitutes one between two rib portion filler strips (2.1a), front chest filler strip (2.1b) and connecting strip (2.1c) and corresponds to hollow portion (2.1d) of human lung.

3. The prone position ventilation support device of claim 2, wherein: the bottom surface of the rib gasket (2.1a) is a plane, and the upper surface of the rib gasket (2.1a) is an arc surface with two low ends and a high middle.

4. The prone position ventilation support device of claim 1, wherein: the under-leg supporting pad (2.3) comprises a femoral pad body (2.3a) used for supporting under a thigh and a tibial pad body (2.3b) used for supporting under a calf, wherein the height and the thickness of the femoral pad body (2.3a) are both larger than those of the tibial pad body (2.3b), and a flexible connecting sheet (2.3c) is arranged between the femoral pad body (2.3a) and the tibial pad body (2.3 b).

5. The prone position ventilation support device of claim 1, wherein: the wrist supporting cotton ring (2.2) and the ankle supporting cotton ring (2.4) are semicircular cotton rings.

6. The prone position ventilation support device of claim 5, wherein: one side of the ankle part supporting cotton ring (2.4) facing the instep is also provided with an inflatable pressure reducing air bag (2.4a) for supporting the heel root.

7. The prone position ventilation support device of claim 1, wherein: the prone position limb supporting device further comprises a apophysis protective foam dressing.

8. The prone position ventilation support device of claim 1, wherein: the soft pillow (1.2), the chest supporting pad (2.1), the wrist supporting cotton ring (2.2), the under-leg supporting pad (2.3) and the ankle supporting cotton ring (2.4) are all provided with detachable coats.