Trachea cannula seaming convenient to clear phlegm
Technical Field
The utility model relates to the technical field of medical auxiliary equipment, in particular to an trachea cannula seaming convenient for clearing phlegm.
Background
The tracheal intubation is a breathing auxiliary technology for placing a special endotracheal tube into the trachea through the glottis and connecting with a mechanical breathing machine, can provide favorable conditions for the smooth airway, ventilation and oxygen supply, the suction of the respiratory tract, the prevention of aspiration and the like, and is one of important rescue means for ICU cardiopulmonary resuscitation and patients with respiratory dysfunction. However, the trachea cannula can cause injury and physiological burden to the organism at the same time, and various complications are caused, if high-quality nursing intervention cannot be given, the subsequent treatment is not facilitated, so that the method has important significance in improving the nursing quality of the trachea cannula.
Research shows that the patient needing trachea cannula has serious and complex illness state, and the nursing working procedure and steps are numerous and complicated, so that the clinical safety accident is easy to occur. In addition, since complications such as VAP occur during mechanical ventilation, how to ensure the safety of the mechanical ventilation process after intubation and reduce the occurrence rate of complications such as VAP are key to improving the nursing quality and the nursing effect. Airway care is a serious problem in the nursing of tracheal intubation mechanical ventilation patients, and pipeline displacement or accidental release easily occurs in the airway care process, so that the illness state is aggravated, the nursing work is greatly influenced, and serious consequences can be caused if the treatment is not timely and proper.
In clinical care, the fixation of an oral tracheal cannula is an important and complicated task, and whether the fixation is stable or not is the basis for maintaining mechanical ventilation, tightness and safety and effectiveness. Clinically, the pressure injury of patients is caused by the inadequacy of a transoral intubation fixing method, and the patients are difficult to find and treat in the first time, which causes great pain to the patients, thereby reducing the satisfaction of the patients and family members.
In the prior art, the trachea cannula seaming is usually sheathed on the trachea cannula, the disassembly is difficult, and when the trachea cannula is used by a patient, a large amount of sputum can be secreted in the mouth, and when the trachea cannula seaming is used, the sputum can only flow out through the mouth angle, and a large amount of accumulated sputum leads to discomfort of the patient and even can lead to asphyxia.
The utility model provides a trachea cannula seaming which is convenient for clearing phlegm so as to solve the problems. When the sputum is not excessive, basic sputum clearing is carried out on the oral cavity of the patient through the sputum sucking port; when excessive sputum, the visual field can be furthest enlarged by separating the upper baffle plate from the lower baffle plate, so that the oral cavity can be conveniently cleaned, and peculiar smell and infection in the oral cavity can be reduced.
Disclosure of utility model
The utility model provides the following technical scheme:
The trachea cannula seaming convenient for clearing phlegm comprises a stopper, a seaming pipe and an extension pipe, wherein the stopper and the extension pipe are connected with each other through the seaming pipe; the mouth guard is provided with a cannula mouth, a first cannula cavity is arranged in the seaming tube, and a second cannula cavity is arranged in the extension tube; one side of the mouth guard is connected with one end of the seaming pipe, and the other end of the seaming pipe is connected with one end of the extension pipe; the cannula mouth is communicated with one end of the first cannula cavity, and the other end of the first cannula cavity is communicated with one end of the second cannula cavity; the mouth guard is also provided with a sputum suction mouth; and a biting groove is formed in the outer side of the biting pipe.
Preferably, the mouth guard comprises an upper mouth guard and a lower mouth guard; the bottom of the upper blocking piece is provided with an inserting piece, two sides of the upper blocking piece are provided with sliding rails, and the sputum suction port is arranged on the upper blocking piece; the top of the lower baffle plate is provided with a slot, two sides of the lower baffle plate are provided with edge strips, the bottom ends of the edge strips are level with the bottom of the lower baffle plate, and the top ends of the edge strips extend out of the top of the lower baffle plate; a chute is arranged on the inner side of the edge strip; the inserting piece is inserted into the slot, and the sliding rail is connected with the sliding groove in a sliding way; the intubation port is divided into two parts by the upper baffle plate and the lower baffle plate, namely an upper half intubation port and a lower half intubation port, the upper half intubation port is arranged at the bottom of the upper baffle plate, and the lower half intubation port is arranged at the top of the lower baffle plate; the seaming pipe is connected with the lower baffle plate.
Further preferably, the upper blocking piece is provided with an upper handle, and the lower blocking piece is provided with a lower handle.
Preferably, the extension pipe is an arc pipe which is bent downwards, and a tongue-and-groove piece is arranged at the bottom of the extension pipe.
Preferably, the device further comprises a binding band, wherein two ends of the binding band are respectively connected with two sides of the blocking piece.
Further preferably, the strap includes an upper strap and a lower strap, one end of the upper strap is connected with one end of the lower strap, and the other end of the upper strap is connected with the other end of the lower strap.
The utility model provides a trachea cannula seaming convenient for clearing phlegm, which has the following beneficial effects:
1. When the sputum is not excessive, the sputum is basically cleared to the oral cavity of the patient through the sputum sucking port.
2. When excessive sputum, the visual field can be furthest enlarged by separating the upper baffle plate from the lower baffle plate, so that the oral cavity can be conveniently cleaned, and peculiar smell and infection in the oral cavity can be reduced.
3. The upper handle and the lower handle provide two force application points for the upper baffle plate and the lower baffle plate, so that the upper baffle plate and the lower baffle plate can be conveniently separated and combined.
4. The plug-in connection of inserted sheet and slot realizes locating last fender mouth piece and the lower fender mouth piece after the combination, and the sliding connection of slide rail and spout realizes the connection guide of inserted sheet and slot, makes last fender mouth piece and lower fender mouth piece combination more convenient.
5. The concave of the occlusion groove is matched with teeth, so that the movement of the trachea cannula in the pulling and inserting direction can be avoided, and meanwhile, the occlusion tube protects the trachea cannula from being bitten and damaged by teeth of a patient.
6. The tongue pressing piece can prevent the sputum suction tube from being inserted difficultly due to the falling of the tongue.
Drawings
In order to more clearly illustrate the embodiments of the present utility model or the technical solutions in the prior art, the drawings used in the description of the embodiments or the prior art will be briefly described below.
FIG. 1 is a schematic diagram of a first embodiment;
FIG. 2 is a schematic view of the structure of the upper baffle and the lower baffle in the first embodiment;
FIG. 3 is a schematic side view of a first embodiment;
FIG. 4 is a schematic side sectional view of a first embodiment;
fig. 5 is a schematic structural diagram of the second embodiment.
In the figure: 1, a mouth guard; 101 a cannula port; 110 upper baffle plate; 111 upper handle; 112 slide rails; 113 inserting sheets; 114 upper half cannula port; 115 sputum aspirator; 120 lower baffle plates; 121 lower handle; 122 sliding grooves; 123 slots; 124 lower half cannula port; 125 strakes; 2, seaming the tube; 201 engage the slot; 202 a first cannula lumen; 3, extending a tube; 301 tongue-pressing pieces; 302 a second cannula lumen; 4 binding bands; 401 applying a binding band; 402 lower straps.
Detailed Description
In order to make the objects, technical solutions and advantages of the present utility model more apparent, the technical solutions in the embodiments of the present utility model will be clearly and completely described below with reference to the accompanying drawings in the present utility model.
Embodiment one:
As shown in fig. 1 to 4, the embodiment provides an trachea cannula seaming convenient for clearing phlegm, which comprises a mouth guard 1, a seaming tube 2 and an extension tube 3, wherein one side of the mouth guard 1 close to a human body is fixedly connected with one side of the seaming tube 2 far away from the human body, and one side of the seaming tube 2 close to the human body is fixedly connected with one side of the extension tube 3 far away from the human body.
The mouth guard 1 is provided with a cannula port 101, a first cannula cavity 202 is arranged in the seaming pipe 2, and a second cannula cavity 302 is arranged in the extension pipe 3; the cannula port 101 is communicated with one end of the first cannula cavity 202, and the other end of the first cannula cavity 202 is connected with one end of the second cannula cavity 302; the cannula port 101, the first cannula cavity 202 and the second cannula cavity 302 are communicated to form a cannula channel for guiding the insertion of the trachea cannula, so that the accuracy of the insertion position of the trachea cannula and the smoothness of the insertion are improved, and the trachea cannula is protected from being damaged by the occlusion of teeth of a patient.
The seaming tube 2 is medical silica gel material, and the outside of seaming tube 2 is provided with round interlock groove 201, and the recess of interlock groove 201 corresponds with patient's tooth interlock position during the use, and the sunken displacement in the trachea cannula plug orientation of this embodiment can be avoided with patient's tooth cooperation in interlock groove 201, and the seaming tube 2 of silica gel material protects the trachea cannula not damaged by patient's tooth interlock simultaneously.
The extension tube 3 is also made of medical silica gel, the extension tube 3 is an arc-shaped tube which is bent downwards, and the arc-shaped curvature is the same as the curvature of the throat, so that the extension tube 3 is convenient to be inserted into the throat, and meanwhile, the trachea cannula is also convenient to be guided into the throat. The bottom of the extension tube 3 is tightly adhered with a hard plastic tongue-pressing piece 301, the tongue-pressing piece 301 not only can fix the shape of the extension tube and keep the radian matched with the throat, but also can press the tongue, and the tail end of the tongue-pressing piece 301 is close to the epiglottis part, so that the tongue of a patient is pressed, and the difficulty in inserting the sputum suction tube caused by falling back of the tongue is avoided.
The mouth guard 1 has an upper and lower separation combination structure, and is formed by combining an upper mouth guard 110 and a lower mouth guard 120. Two inserting sheets 113 are arranged at the bottom of the upper blocking piece 110, and two sliding rails 112 are respectively arranged at two sides of the upper blocking piece 110; the top of the lower baffle 120 is provided with a slot 123, two sides of the lower baffle 120 are provided with edge strips 125, the bottom ends of the edge strips 125 are level with the bottom of the lower baffle 120, the top ends of the edge strips 125 extend out of the top of the lower baffle 120, after the upper baffle 110 and the lower baffle 120 are combined, the top ends of the edge strips 125 are aligned with the top edge of the upper baffle 110, and the inner sides of the edge strips 125 in opposite directions are provided with sliding grooves 122; the inserting sheet 113 and the inserting slot 123 are correspondingly inserted, the sliding rail 112 and the sliding slot 122 are correspondingly connected in a sliding manner, the inserting of the inserting sheet 113 and the inserting slot 123 can position the combined upper blocking piece 110 and lower blocking piece 120, the sliding connection of the sliding rail 112 and the sliding slot 122 can realize connection guiding of the inserting sheet 113 and the inserting slot 123, and therefore the upper blocking piece 110 and the lower blocking piece 120 are combined more conveniently.
The top of the side of the upper baffle 110 far away from the human body is provided with an upper handle 111, the top of the side of the lower baffle 120 far away from the human body is provided with a lower handle 121, the upper handle 111 and the lower handle 121 are both in a strip plate shape, and the upper handle 111 and the lower handle 121 respectively provide two force application points for the upper baffle 110 and the lower baffle 120, so that the manual separation and combination of the upper baffle 110 and the lower baffle 120 are convenient.
The intubation port 101 is also divided into two parts from the horizontal part by the upper baffle 110 and the lower baffle 120, namely an upper half intubation port 114 and a lower half intubation port 124, the upper half intubation port 114 is arranged at the bottom of the upper baffle 110, the lower half intubation port 124 is arranged at the top of the lower baffle 120, and the upper half intubation port 114 and the lower half intubation port 124 are combined to form a complete intubation port 101, so that the intubation of an endotracheal tube is facilitated.
The upper baffle plate 110 is also provided with a sputum suction port 115, the sputum suction port 115 is arranged beside the upper half intubation port 114, the sputum suction port 115 is a through hole, the oral cavity of a patient is communicated with the outside, and the insertion end of the negative pressure sputum suction device can be used for inserting the sputum suction port 115 to suck sputum.
The seaming pipe 2 is fixedly connected with the lower baffle 120, and when the upper baffle 110 is separated from the lower baffle 120, the seaming pipe 2 and the extension pipe 3 are connected into a whole, so that the connection stability of the baffle, the seaming pipe 2 and the extension pipe 3 is improved, and the disassembly convenience of the upper baffle 110 is improved.
In the prior art, the trachea cannula seaming is usually sheathed on the trachea cannula, the disassembly is difficult, and when a patient uses the trachea cannula, a large amount of sputum can be secreted in the mouth, and when the existing trachea cannula seaming is used, the sputum can only flow out through the mouth angle, and a large amount of accumulated sputum can cause discomfort of the patient and even can cause asphyxia. In the embodiment, the negative pressure sputum cleaner can be used for basic sputum cleaning of the oral cavity of a patient through the sputum sucking port arranged on the upper baffle plate 110; when excessive sputum is difficult to clean or the patient needs to be dosed due to oral infection, the visual field can be furthest enlarged by separating the upper baffle plate 110 from the lower baffle plate 120, so that the oral cavity can be cleaned conveniently, peculiar smell and oral infection can be reduced, and the problems in the prior art can be solved.
The specific use mode is as follows:
When the embodiment is used, firstly, the embodiment is placed into the mouth of a patient, the extension tube 3 is inserted into the throat, the tongue pressing piece 301 is placed on the tongue of the patient, and the occlusion groove 201 of the occlusion tube corresponds to the occlusion position of the upper teeth and the lower teeth of the patient; an endotracheal tube is then introduced from the stoma 101, through the first cannula lumen 202 and the second cannula lumen 302, and into the patient's trachea to complete the intubation.
When the trachea cannula is used, a large amount of sputum is generated in the oral cavity of a patient, and when the sputum is not much, the negative pressure sputum aspirator is used for inserting the insertion end of the sputum aspirator into the sputum aspirator 115 to clear the sputum in the oral cavity of the patient; when more sputum or the oral cavity infection and other reasons need to be cleaned and loaded, the upper handle 111 and the chin are forced by hands to separate the upper baffle 110 from the lower baffle 120, the oral cavity is opened to clear the sputum or load the sputum, after the sputum or the medicine is cleared, the sliding rails 112 on the two sides of the upper baffle 110 are scratched along the sliding grooves 122 on the side strips 125 of the lower baffle 120, the inserting sheet 113 is inserted into the inserting groove 123, and the recombination of the upper baffle 110 and the lower baffle 120 is realized.
The embodiment needs to be cleaned and disinfected before and after use to meet the requirements of medical regulations.
Embodiment two:
As shown in fig. 5, this embodiment is an optimization scheme of the first embodiment, and provides a trachea cannula seaming that is convenient for clearing phlegm, and further includes a strap 4.
The bandage 4 comprises an upper bandage 401 and a lower bandage 402, one end of the upper bandage 401 is connected with one end of the lower bandage 402, the other end of the upper bandage 401 is connected with the other end of the lower bandage 402, and two ends after connection are respectively connected with two sides of the notch piece. The upper binding band 401 surrounds the head from the ear of the patient, and the lower binding band 402 surrounds the head from the lower ear of the patient, so that the tracheal cannula seaming is further fixed, and the tracheal cannula seaming is more resistant to the use of the patient who easily falls off when the tracheal cannula is suitable for the tracheal cannula.
When the bandage 4 is used, the position of the bandage 4 needs to be changed at regular intervals, so that pressure sores caused by long-time binding are avoided.
Although the utility model has been described in detail with reference to the foregoing embodiments, it will be understood by those of ordinary skill in the art that: the technical scheme described in the foregoing embodiments can be modified or some technical features thereof can be replaced by equivalents; such modifications and substitutions do not depart from the spirit and scope of the technical solutions of the embodiments of the present utility model.