Tracheal cannula
Technical Field
The utility model belongs to the field of medical instruments, and particularly relates to an endotracheal intubation.
Background
The tracheal intubation is a method for placing a special endotracheal tube into the trachea or bronchus through the oral cavity or the nasal cavity and the glottis, provides optimal conditions for the respiratory tract to be unobstructed, the ventilation and the oxygen supply, the respiratory tract suction and the like, is widely applied to the fields of clinical anesthesia, emergency, intensive care treatment and the like, and is also an important measure for rescuing patients with respiratory dysfunction.
The tracheal cannula clinically applied at present has the advantages of simple structure and single function. First, in clinical surgical anesthesia, anesthesiologists often need to perform surface anesthesia of the patient's epiglottis and glottis prior to endotracheal intubation to reduce the adverse irritation to the patient from the endotracheal intubation procedure. Current surface anesthesia requires the use of a separate nebulizer or catheter for operation, increasing the procedure and patient medical burden. Second, a separate bite block is required to be placed after the endotracheal tube is completed to prevent unintended bite-down by the patient during anesthesia, particularly during the awake period. Furthermore, when using an endotracheal tube, the patient needs to retain the endotracheal tube for a long period of time, especially in the field of intensive care, during which a large amount of secretions accumulate in the trachea, around the trachea and in the mouth, which secretions need to be handled in time, which would otherwise cause or aggravate oral and pulmonary infections, and even block the airways. In the prior art, secretion in the trachea and the oral cavity can be repeatedly sucked through the sputum suction tube for a plurality of times, but the suction of secretion at the near-oral end above the tracheal catheter cuff cannot be met, sputum scab is very easy to form, the airway is very likely to be blocked in the tracheal catheter pulling process, and choking occurs after the tracheal catheter is pulled out.
Disclosure of utility model
In view of the above, the present utility model aims to provide an endotracheal tube having both anterior epiglottis and glottic surface anesthesia, intratracheal administration, bite prevention, and above cuff and supraglottic suction functions.
In order to achieve the above purpose, the technical scheme of the utility model is realized as follows:
The trachea cannula comprises a cannula body, wherein an anti-occlusion section is arranged in the middle of the cannula body, a drug delivery hole and a suction hole are formed in the insertion end of the cannula body, and a plurality of drug delivery holes are uniformly formed in the end face of the insertion end of the cannula body;
A cuff disposed on the cannula body between the administration port and the suction port;
the inflation tube penetrates through the intubation body and is communicated with the cuff, and the end part of the inflation tube is connected with an inflation connector which is used for inflating the cuff to expand the cuff so as to fix the intubation body in the trachea;
The administration tube penetrates through the cannula body and is communicated with the administration hole, the end part of the administration tube is connected with an administration joint, and anesthetic is injected into the administration tube to perform surface anesthesia on the epiglottis and glottis of a patient;
The suction tube penetrates through the cannula body and is communicated with the suction hole, the end part of the suction tube is connected with a suction joint, secretion is sucked out in time, and infection is prevented.
Further, the inner wall of the cannula body between the cuff and the administration hole is provided with an administration interlayer, the administration hole and the administration tube are communicated with the administration interlayer, and the anesthetic is evenly sprayed out through a plurality of administration holes after entering the administration interlayer, so that even administration is realized, and the anesthetic effect is ensured.
Further, the cannula body is provided with a graduated scale, so that the insertion depth of the cannula can be controlled in a visual way.
Further, the length of the cannula body is 10-25cm, the anti-occlusion section is located at any position of the cannula body, which is 10-25cm away from the insertion end, a cannula with proper length can be selected according to the height of a patient, for example, a cannula body with the length of 14cm can be selected, the anti-occlusion section is located at the position of the cannula body, which is 10-14cm away from the insertion end, or a cannula body with the length of 18cm can be selected, the anti-occlusion section is located at the position of the cannula body, which is 12-18cm away from the insertion end, or a cannula body with the length of 20cm can be selected, the anti-occlusion section is located at the position of the cannula body, which is 14-20cm away from the insertion end, or a cannula body with the length of 25cm can be selected, and the anti-occlusion section is located at the position of the cannula body, which is 18-25cm away from the insertion end.
Further, the anti-occlusion section is integrally injection molded or fixedly connected with the cannula body.
Further, the anti-biting section is made of polyethylene materials, and the harder materials can effectively prevent patients from biting.
Further, a gasket is arranged on the anti-occlusion section, so that patients can be prevented from swallowing by mistake.
Further, the anti-occlusion section is provided with a hanging lug for installing a hanging rope to assist in fixing the cannula body.
Further, the anti-biting section is provided with a biting groove, and the biting groove is clamped by the tooth teeth to be helpful for fixing the anti-biting section.
Further, one end of the cannula body, which is close to the cuff, is an inclined plane, the opening direction of the administration hole faces to human tissues, and the medicine is sprayed to the surface of the human tissues for anesthesia or administration.
Further, an adapter is arranged at one end of the cannula body far away from the cuff, and the cannula body is connected with a respirator through the adapter.
Further, the cannula body is one or a plurality of side by side, when the cannula body is a plurality of, the two adjacent cannula bodies can be glued or integrally injection molded, the cuff is sleeved on all cannula bodies, all cannula bodies are connected together by the anti-occlusion section, and each cannula body is connected with an adapter.
Further, a guide wire is inserted into the cannula body and is used for assisting in completing the cannula.
Compared with the prior art, the tracheal cannula has the following advantages:
(1) The trachea cannula is provided with the administration tube and the administration hole, and anesthesia equipment is not required to be additionally used, so that the trachea cannula operation procedure is simplified, the bad stimulation and complications of a patient caused by the trachea cannula are reduced, and an administration passage is provided for rescuing the intratracheal administration of a patient with dyspnea;
(2) The trachea cannula is provided with the anti-occlusion section, and a bite block is not required to be additionally arranged, so that a patient can be prevented from occluding and pressing the cannula body, the cannula body can be fixed in an auxiliary mode, and meanwhile, the patient can be prevented from swallowing by mistake, and the safety of the cannula is improved.
Drawings
The accompanying drawings, which are included to provide a further understanding of the utility model and are incorporated in and constitute a part of this specification, illustrate embodiments of the utility model and together with the description serve to explain the utility model. In the drawings:
fig. 1 is a schematic view of the structure of an endotracheal tube according to an embodiment of the present utility model;
FIG. 2 is a schematic view of an anti-seize segment according to an embodiment of the present utility model;
fig. 3 is a schematic structural view of an administration hole according to an embodiment of the present utility model.
Reference numerals illustrate:
1. The catheter comprises a catheter body, a sleeve, a 3, an anti-occlusion section, a 4, a drug delivery hole, a 5, a suction hole, a 6, an inflation tube, a 7, a drug delivery tube, a 8, a suction tube, a 9, a drug delivery interlayer, a 10, a gasket, a 11, a hanging lug, a 12, an adapter, a 13, a guide wire, a 14, a drug delivery connector, a 15, a suction connector, a 16, an inflation connector, a 17 and a biting groove.
Detailed Description
It should be noted that, without conflict, the embodiments of the present utility model and features of the embodiments may be combined with each other.
The utility model will be described in detail below with reference to the drawings in connection with embodiments.
Example 1
As shown in fig. 1, the tracheal cannula of the utility model comprises a cannula body 1, a sleeve bag 2, an inflation tube 6, a drug administration tube 7 and a suction tube 8, wherein a guide wire 13 is inserted into the cannula body 1, a graduated scale is arranged on the cannula body 1, the sleeve bag 2 is arranged at one end of the cannula body 1, which is inserted into the trachea, i.e. at the insertion end, an adapter 12 used for being connected with a breathing machine is arranged at one end of the cannula body 1 far away from the sleeve bag 2, as shown in fig. 2, an anti-occlusion section 3 is arranged in the middle of the cannula body 1, the anti-occlusion section 3 is a hollow tube made of polyethylene material, the sleeve is sleeved at the position 20-26cm away from the insertion end of the cannula body 1, the anti-occlusion section 3 and the cannula body 1 are fixed through the suction tube 1, one end of the cannula body 1, which is inserted into the trachea, is provided with a drug administration hole 4 and a suction hole 5, one end of the cannula body 1, which is close to the sleeve bag 2, is an inclined plane, as shown in fig. 3, is uniformly provided with three drug administration holes 4, the inflation tube 6, drug administration tube 7 and suction tube 8 are communicated with the sleeve 1, the end of the air tube 6 is connected with the sleeve 2, the drug administration tube 16 is connected with the end of the drug administration tube 7 and the suction tube 4, and the suction tube 4 is connected with the suction tube 8 through the suction tube 4, and the end is connected with the suction tube 8 through the suction tube 4.
The method for using the tracheal cannula of the embodiment is as follows:
(1) Inserting a guide wire 13 into the cannula body 1, shaping, and smearing lubricating oil on the insertion end of the cannula body 1 and the surface of the cuff 2;
(2) The front end of the intubation body 1 is sent into the mouth of a patient, the administration hole 4 is aligned to the epiglottis and the glottis of the patient, and the anesthetic is injected through the administration joint 14 to carry out surface anesthesia on the epiglottis and the glottis so as to reduce the bad stimulation brought to the patient by the trachea intubation operation;
(3) The insertion end of the intubation body 1 is inserted into the trachea through the glottis, scales on the intubation body 1 are observed to a proper depth, and the intubation body 1 is fixed in the trachea by injecting air into the cuff 2 through the inflation connector 16 to expand;
(4) The anti-biting section 3 is padded in the middle of teeth of a patient, the teeth are clamped into the biting grooves 17, the biting of the patient is prevented from affecting breathing, and the adapter 12 is connected with a breathing machine;
(5) Secretions are periodically aspirated through aspiration connector 15 to prevent infection and, when intratracheal administration is desired, injection administration can be performed through administration connector 14.
Example 2
On the basis of the embodiment 1, an administration interlayer 9 is arranged in the pipe wall of the cannula body 1 between the cuff 2 and the administration hole 4 in the embodiment, the administration hole 4 and the administration pipe 7 are communicated with the administration interlayer 9, and the anesthetic is evenly sprayed out through the administration holes 4 after entering the administration interlayer 9, so that even administration is realized, and the anesthetic effect is ensured.
Example 3
On the basis of embodiment 2, be equipped with gasket 10 on preventing the interlock section 3 in this embodiment, gasket 10 encircles and prevents the interlock section 3 setting, is equipped with hangers 11 on the gasket 10 for install string, prevent interlock section 3, gasket 10 and hangers 11 as integrated into one piece, after the intubate is accomplished, gasket 10 can pad in patient's oral area, will hang the rope simultaneously and be fixed in patient's head, can prevent that the patient from mistakenly will preventing that interlock section 3 from swallowing in the mouth, avoid taking place choking or other damage.