JPH119615A - Oxygen inhaling or inhaling anesthetizing method for animal and double-type in-windpipe tube for animal - Google Patents

Oxygen inhaling or inhaling anesthetizing method for animal and double-type in-windpipe tube for animal

Info

Publication number
JPH119615A
JPH119615A JP20704297A JP20704297A JPH119615A JP H119615 A JPH119615 A JP H119615A JP 20704297 A JP20704297 A JP 20704297A JP 20704297 A JP20704297 A JP 20704297A JP H119615 A JPH119615 A JP H119615A
Authority
JP
Japan
Prior art keywords
tube
inhalation
exhalation
pipe
oxygen
Prior art date
Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Pending
Application number
JP20704297A
Other languages
Japanese (ja)
Inventor
Daisuke Saito
大輔 齊藤
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Individual
Original Assignee
Individual
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by Individual filed Critical Individual
Priority to JP20704297A priority Critical patent/JPH119615A/en
Publication of JPH119615A publication Critical patent/JPH119615A/en
Pending legal-status Critical Current

Links

Landscapes

  • Pharmaceuticals Containing Other Organic And Inorganic Compounds (AREA)

Abstract

PROBLEM TO BE SOLVED: To permit oxygen supply and an anesthetizing effect to be the sure ones to prevent a hypoxidosis by independently juxtaposing an exhalation discharge pipe and an inhalation supply pipe in a windpipe which is sealed by means of an expansion baloon cuff to discharge an inhalation and to supply oxygen-contained anesthetizing gas. SOLUTION: A distance L from the front end of the baloon cuff 12 to the rear end of a tip opening part 13 is made to be longer than a man's single-type in-windpipe tube so as to be adapted as the one for a small dog and a cat. When the tip opening part 13 of the exhalation discharge pipe 11 is inserted to a windpipe branch part 9, the baloon cuff 12 is made to be fixed in the neighborhood of the center part of the windpipe 8. A ventilation hole 15 is provided on the front pipe wall of the baloon cuff 12 and the exhalation discharge pipe 11 is attached. Besides, a horizontal hole 16 is formed on a rear pipe wall so as to attach the inhalation supply pipe 21. When the baloon cuff 12 is expanded so as to seal the windpipe 8, the exhalation is discharged from the exhalation discharge pipe 11, oxygen and oxygen-contained anesthetizing gas are supplied from the inhalation supply pipe 21 and anesthetizing is perfectly and safely executed.

Description

【発明の詳細な説明】DETAILED DESCRIPTION OF THE INVENTION

【0001】[0001]

【発明が属する技術分野】本発明は、酸素吸入や吸入麻
酔の効率を著しく向上させることができるようにした、
動物の酸素吸入または吸入麻酔方法およびそれに使用す
る動物用複管型気管内チューブに関する。
BACKGROUND OF THE INVENTION The present invention has been made to significantly improve the efficiency of oxygen inhalation and inhalation anesthesia.
The present invention relates to a method for inhaling or inhaling oxygen in animals and a double-tube type endotracheal tube for animals used in the method.

【0002】[0002]

【従来の技術】犬や猫、馬などの動物に酸素吸入や吸入
麻酔を行なうとき、従来よりヒトと同様に図8に示すよ
うな閉鎖循環式の方法が採用されている。すなわち、吸
入麻酔器のキャニスターと呼ばれる炭酸ガス吸収缶に接
続した呼気用蛇管6と、酸素ボンベあるいは麻酔薬を揮
発させるための気化器に接続した吸気用蛇管7とを合流
させ、これに膨張性バルーンカフ2を備えたヒト用単管
型気管内チューブ1を連結するものである。実際には図
9に示すように、呼気用蛇管6の端末と吸気用蛇管7の
端末とにチムニーピース5と呼ばれるY字状の三つ股継
手を装着し、これにヒト用単管型気管内チューブ1の後
端開口部4を接続している。
2. Description of the Related Art When inhaling oxygen or inhaling anesthesia to animals such as dogs, cats, and horses, a closed-circulation method as shown in FIG. That is, the exhalation coil 6 connected to a carbon dioxide gas absorption can called a canister of an inhalation anesthesia machine and the inhalation coil 7 connected to an oxygen cylinder or a vaporizer for volatilizing an anesthetic are merged. The single tube type endotracheal tube 1 for humans having the balloon cuff 2 is connected thereto. Actually, as shown in FIG. 9, a Y-shaped trifurcated joint called a chimney piece 5 is attached to the end of the exhalation flexible tube 6 and the end of the inspiratory flexible tube 7, and this is fitted to a single-tube type human pneumatic tube. The rear end opening 4 of the inner tube 1 is connected.

【0003】膨張性バルーンカフ2の役割は、気管内チ
ューブを気管内に固定すると共に、肺内に送入した麻酔
ガスが気管を通過して診療室に漏れ出ることを防ぐため
にある。ヒト用単管型気管内チューブ1におけるバルー
ンカフ2の取り付け位置は、チューブの長さや外径にか
かわらず、図9のLに示すとおり、日本工業規格によっ
て先端開口部3の後縁から10〜13mmと規定されて
いる。
The role of the inflatable balloon cuff 2 is to fix the endotracheal tube in the trachea and to prevent anesthesia gas sent into the lungs from leaking through the trachea into the clinic. Regarding the attachment position of the balloon cuff 2 in the single tube type endotracheal tube 1 for humans, regardless of the length and outer diameter of the tube, as shown in L of FIG. It is prescribed.

【0004】[0004]

【発明が解決しようとする課題】上記ヒト用単管型気管
内チューブ1を用いる従来の酸素吸入または吸入麻酔方
法においては、気管内チューブの管内で炭酸ガスを多く
含む呼気と、酸素や麻酔ガスを含む吸気とが交互に通過
することになる。そのため、気管内チューブの管内で呼
気と吸気が混合してしまい、以下のような不都合を生じ
ていた。 イ.救命に必要な濃厚な酸素が肺に到達せず、救急患者
を死なせてしまう。 ロ.麻酔ガスが呼気で希釈されるので、麻酔効果の発現
が遅い。 ハ.吸気に呼気の炭酸ガスが混じり、低酸素症を惹起す
る。 ニ.酸素と麻酔薬の無駄が多く、非経済的である。
In the conventional oxygen inhalation or inhalation anesthesia method using the single tube type endotracheal tube 1 for humans, the exhaled air containing a large amount of carbon dioxide in the tube of the endotracheal tube, oxygen and anesthetic gas And alternately pass through. For this reason, expiration and inhalation are mixed in the endotracheal tube, causing the following inconvenience. I. The rich oxygen needed for lifesaving does not reach the lungs, causing the emergency patient to die. B. Since the anesthetic gas is diluted by exhalation, the onset of the anesthetic effect is slow. C. The inspired gas mixes with exhaled carbon dioxide, causing hypoxia. D. Waste of oxygen and anesthetics is high and uneconomical.

【0005】[0005]

【課題を解決するための手段】上記従来の方法による欠
点を解消するために、本発明に係る動物の酸素吸入また
は吸入麻酔方法では、ヒト用単管型気管内チューブ1の
代わりに本発明の動物用複管型気管内チューブ10を使
用し、図1に模式的に示すように、膨張性バルーンカフ
12で密閉した気管8内に呼気排出管11と吸気送入管
21とを別々に併設している。すなわち、従来のチムニ
ーピースを使用することなく、吸入麻酔器の呼気用蛇管
6に複管型気管内チューブ10の呼気排出管11を直結
して左右両肺内の呼気を排出すると共に、吸入麻酔器の
吸気用蛇管7に複管型気管内チューブ10の吸気送入管
21を直結して酸素あるいは酸素加麻酔ガスを左右両気
管支に送入するものである。このようにすると、気管内
チューブの管内で呼気が吸気に混合することを確実に防
止することができる。このため、気管分岐部9まで挿入
した吸気送入管21の管口からは、常に炭酸ガスの混じ
らない新鮮な酸素や酸素加麻酔ガスを放出することがで
きる。従って、上記イ、ロ、ハ、ニの不都合がすべて完
全かつ確実に解消される。
In order to overcome the drawbacks of the above-mentioned conventional method, in the method of inhaling or inhaling an oxygen of an animal according to the present invention, the single tube type endotracheal tube 1 for a human is replaced with the present invention. As shown schematically in FIG. 1, a double tube type endotracheal tube 10 for animals is used, and an expiratory discharge tube 11 and an inhalation inlet tube 21 are separately provided in a trachea 8 sealed with an inflatable balloon cuff 12. ing. That is, without using the conventional chimney piece, the exhalation discharge tube 11 of the double-tube type endotracheal tube 10 is directly connected to the exhalation flexible tube 6 of the inhalation anesthesia machine to discharge the exhalation in both the left and right lungs, and to perform the inhalation anesthesia. The intake pipe 21 of the double-pipe endotracheal tube 10 is directly connected to the intake pipe 7 of the vessel, and oxygen or oxygenated anesthetic gas is supplied to both the left and right bronchi. In this way, it is possible to reliably prevent the exhaled air from mixing with the inspired air in the endotracheal tube. For this reason, fresh oxygen and oxygenated anesthetic gas without carbon dioxide gas can always be discharged from the inlet of the intake air inlet pipe 21 inserted up to the tracheal bifurcation 9. Therefore, all of the disadvantages (1), (2), (3), and (4) are completely and reliably eliminated.

【0006】本発明に係る動物の酸素吸入または吸入麻
酔方法を実行するために使用する請求項2記載の動物用
複管型気管内チューブ10は、既存のヒト用単管型気管
内チューブ1を改良し、このチューブ内に別の細管を挿
入して複管型としたものである。すなわち、吸入麻酔器
の呼気用蛇管6に接続して気管8内に挿入することので
きる形状をした呼気排出管11と、吸入麻酔器の吸気用
蛇管7に接続して前記呼気排出管11の管内に挿入する
ことのできる形状をした吸気送入管21とで構成され、
呼気排出管11の先端部を斜めに切除して先端開口部1
3を形成し、先端開口部13の後縁より14mm以上な
いし20cm以下の後方に膨張性のバルーンカフ12を
取り付け、このバルーンカフ12より前方の管壁に複数
個の通気孔15を設けると共に、バルーンカフ12より
後方の管壁に横穴16を設けて、この横穴16から前記
吸気送入管21を呼気排出管11の管内に挿入できるよ
うにしている。
The double tube type endotracheal tube 10 for animals according to the present invention is used for carrying out the method for inhaling or inhaling oxygen of an animal according to the present invention. It is improved and another thin tube is inserted into this tube to form a double tube type. That is, an exhalation discharge tube 11 which is connected to the exhalation flexible tube 6 of the inhalation anesthesia machine and can be inserted into the trachea 8, and which is connected to the inhalation flexible tube 7 of the inhalation anesthesia device and is connected to the exhalation discharge tube 11. The intake pipe 21 having a shape that can be inserted into the pipe,
The distal end of the exhalation discharge tube 11 is cut obliquely to open the distal end opening 1.
3, an inflatable balloon cuff 12 is attached to the rear of the rear edge of the distal end opening 13 by 14 mm or more and 20 cm or less. A plurality of ventilation holes 15 are provided in a tube wall in front of the balloon cuff 12 and the balloon cuff 12 is provided. A lateral hole 16 is provided in the rear wall of the tube so that the intake / intake tube 21 can be inserted into the exhalation / exhaust tube 11 from the lateral hole 16.

【0007】請求項3記載の動物用複管型気管内チュー
ブ10aは、吸入麻酔器の呼気用蛇管6に接続する断面
が半円形をした中空の呼気排出管11aと、吸入麻酔器
の吸気用蛇管7に接続する断面が半円形をした中空の吸
気送入管21aとで構成され、両管の平面どうしを向か
い合わせに接合して長手方向に隔壁を有する円筒状の中
空管を成形すると共に、この有隔中空管の先端部を斜め
に切除して先端開口部13aを形成し、先端開口部13
aの後縁より14mm以上ないし20cm以下の後方に
膨張性のバルーンカフ12aを取り付け、バルーンカフ
12aより前方の呼気排出管11aの管壁に複数個の通
気孔15aを設けている。
The double tube type endotracheal tube 10a for an animal according to the present invention comprises a hollow exhalation discharge tube 11a having a semicircular cross section connected to the exhalation flexible tube 6 of the inhalation anesthesia machine, and an inhalation anesthesia machine for inhalation. A hollow air intake pipe 21a having a semicircular cross section connected to the flexible pipe 7 is formed, and the two pipes are joined face to face to form a cylindrical hollow pipe having a partition wall in the longitudinal direction. At the same time, the distal end of the separated hollow tube is obliquely cut to form a distal opening 13a, and the distal opening 13a is formed.
An inflatable balloon cuff 12a is attached to the rear of the trailing edge of a by 14 mm or more and 20 cm or less, and a plurality of ventilation holes 15a are provided in the tube wall of the exhalation discharge tube 11a in front of the balloon cuff 12a.

【0008】上記動物用複管型気管内チューブ10およ
び10aにおいて、膨張性バルーンカフ12、12aが
先端開口部13、13aの後縁より14mm以上も後方
に取り付けられていること、およびバルーンカフ12、
12aより前方の管壁に多数の通気孔15、15aが設
けられていることとによって、呼気の排出性能が顕著に
改善されている。すなわち、従来のヒト用単管型気管内
チューブ1においては、肺から吐き出された呼気が先端
開口部3の管口一ヶ所から排出されるだけだった。それ
に対し、本発明の複管型気管内チューブ10、10aで
は、呼気が呼気排出管11、11aの先端開口部13、
13aから呼気用通路Sに流入して排出されるだけでな
く、図1に模式的に示すように、肺から吐き出された呼
気を気管8の中央部付近に固定されたバルーンカフ1
2、12aで遮り、行き場のなくなった気管内の呼気が
多数の通気孔15、15aを通過して呼気用通路Sの中
へ流入するようにしている。つまり、バルーンカフ1
2、12aの取り付け位置を従来のものよりも後退させ
ることによって、呼気排出管11、11aの呼気取り込
み口が増えることになる。それによって呼気の排出効率
が飛躍的に高められるわけである。
[0008] In the double tube type endotracheal tubes 10 and 10a for animals, the inflatable balloon cuffs 12 and 12a are attached at least 14 mm behind the rear edges of the distal openings 13 and 13a.
By providing a large number of ventilation holes 15, 15a in the tube wall in front of 12a, the exhalation discharge performance is significantly improved. That is, in the conventional single-tube type endotracheal tube 1 for humans, the exhaled breath exhaled from the lungs is only discharged from one opening of the distal end opening 3. On the other hand, in the double-pipe endotracheal tube 10, 10 a of the present invention, exhalation is performed at the distal opening 13 of the exhalation discharge pipe 11, 11 a.
13a, the balloon cuff 1 fixed to the trachea 8 in the vicinity of a central portion thereof not only flows into and out of the exhalation passage S from the exhalation passage 13a, but also exhales from the lungs as schematically shown in FIG.
The air in the trachea, which is blocked by the air passages 2 and 12a and has nowhere to go, passes through the many ventilation holes 15 and 15a and flows into the expiration passage S. That is, balloon cuff 1
By retreating the attachment position of 2, 12a from the conventional one, the number of breath intake ports of the exhalation discharge tubes 11, 11a increases. As a result, the exhalation efficiency is dramatically improved.

【0009】上記動物用複管型気管内チューブ10、1
0aの優れた呼気排出作用により、特にハッハッハと浅
い呼吸をしている救急患者に顕著な効果を発揮する。す
なわち、従来のヒト用単管型気管内チューブ1の場合、
「ハ」と吐き出された呼気がチューブ内を通過中に
「ッ」と肺に吸い戻されてしまった。従って、吸気に呼
気が混入し、肺に濃厚な酸素を供給できなかった。その
ため、助かるものも助けられない場合が少なくなかった
のである。
The double tube type endotracheal tube for animals 10 and 1
The excellent exhalation effect of 0a exerts a remarkable effect especially on emergency patients breathing shallowly and hahaha. That is, in the case of the conventional single tube type endotracheal tube 1 for human,
The breath exhaled as "c" was sucked back into the lungs while passing through the tube. Therefore, expiration was mixed with inhalation, and it was not possible to supply rich oxygen to the lungs. As a result, there were many cases where helpers could not help.

【0010】それに対し、本発明の動物用複管型気管内
チューブを使用すると、呼気を速やかに排出しつつ高濃
度の酸素を確実に肺に届けることができる。その結果、
酸素吸入による蘇生救命率が格段に向上する。同様に、
麻酔ガスが呼気で希釈されないので、吸入麻酔の効果が
発現するまでの時間も著しく短縮する。
On the other hand, when the double-tube type endotracheal tube for animals of the present invention is used, high-concentration oxygen can be reliably delivered to the lungs while expiring expiration. as a result,
The resuscitation survival rate by oxygen inhalation is greatly improved. Similarly,
Since the anesthetic gas is not diluted by exhalation, the time required for the effect of inhalation anesthesia to develop is also significantly reduced.

【0011】[0011]

【発明の実施の形態】以下に、本発明に係る動物の酸素
吸入または吸入麻酔方法を実行するための具体的手段と
して、動物用複管型気管内チューブの実施の形態を図面
に基づいて詳細に説明する。
BEST MODE FOR CARRYING OUT THE INVENTION Hereinafter, an embodiment of a double tube type endotracheal tube for animals will be described in detail with reference to the drawings as a specific means for executing the method for inhaling or inhaling oxygen in animals according to the present invention. Will be described.

【0012】図1は請求項2記載の動物用複管型気管内
チューブ10の実施例を模式的に示す縦断面図である。
シリコンゴム製や塩化ビニル樹脂製など既存のヒト用単
管型気管内チューブ1を利用して呼気排出管11とし、
これに備わる膨張性バルーンカフ12の取り付け位置を
従来のものよりも後退させている。すなわち、バルーン
カフ12の前端から先端開口部13の後縁までの距離L
が、ヒト用単管型気管内チューブ1では10〜13mm
であるのに対し、本発明では、図1の距離Lの長さを1
4mm以上ないし20cm以下に延長している。より好
適なLの長さは、小型犬および猫用で7〜9cm、中型
犬用で9〜11cm、大型犬用で11〜15cmであ
る。この位置にバルーンカフ12を取り付けると、呼気
排出管11の先端開口部13を気管分岐部9に挿入した
とき、バルーンカフ12を気管8の中央部付近で固定す
ることができる。バルーンカフ用の薄膜および薄膜の取
り付け方法は従来のヒト用単管型気管内チューブ1のも
のと同じでよい。
FIG. 1 is a longitudinal sectional view schematically showing an embodiment of a double tube type endotracheal tube 10 for an animal according to the present invention.
Using an existing single-tube type endotracheal tube 1 made of silicon rubber or vinyl chloride resin as an exhalation discharge tube 11,
The mounting position of the inflatable balloon cuff 12 provided therein is retracted from the conventional one. That is, the distance L from the front end of the balloon cuff 12 to the rear edge of the distal end opening 13
However, in the single tube type endotracheal tube 1 for human, 10 to 13 mm
On the other hand, in the present invention, the length of the distance L in FIG.
It extends from 4 mm or more to 20 cm or less. More preferred lengths of L are 7-9 cm for small dogs and cats, 9-11 cm for medium dogs, and 11-15 cm for large dogs. When the balloon cuff 12 is attached to this position, the balloon cuff 12 can be fixed near the center of the trachea 8 when the distal opening 13 of the exhalation discharge tube 11 is inserted into the tracheal bifurcation 9. The thin film for the balloon cuff and the method of attaching the thin film may be the same as those of the conventional human single tube type endotracheal tube 1.

【0013】また、バルーンカフ12の前方の管壁に複
数個の通気孔15を設けている。通気孔15の形状は円
形や楕円形など任意である。孔径は呼気排出管11の内
径の半分以下とし、例えば内径4mmの呼気排出管には
孔径約2mmの通気孔が好適である。通気孔どうしの間
隔は孔径の2倍程度としている。
A plurality of ventilation holes 15 are provided in the tube wall in front of the balloon cuff 12. The shape of the ventilation hole 15 is arbitrary, such as circular or elliptical. The hole diameter is not more than half of the inner diameter of the exhalation discharge tube 11. For example, a vent hole having a hole diameter of about 2 mm is suitable for an exhalation discharge tube having an inner diameter of 4 mm. The space between the ventilation holes is about twice the hole diameter.

【0014】また、バルーンカフ12の後方の管壁に横
穴16を設け、この横穴16に吸気送入管21を挿入し
て呼気排出管11の先端開口部13付近に届くようにし
ている。横穴16から麻酔ガスを含む呼気が漏れ出さな
いようにするために、吸気送入管21を挿入した後、横
穴16と吸気送入管11との隙間を接着剤などで完全に
塞ぐようにすることが望ましい
A lateral hole 16 is provided in the tube wall behind the balloon cuff 12, and an intake / intake tube 21 is inserted into the lateral hole 16 so as to reach the vicinity of the distal end opening 13 of the exhalation / exhaust tube 11. In order to prevent exhaled air containing anesthetic gas from leaking out of the lateral hole 16, after inserting the intake pipe 21, the gap between the lateral hole 16 and the intake pipe 11 is completely closed with an adhesive or the like. Is desirable

【0015】吸気送入管21の形状は、図1のX−X断
面図である図2に示すように、呼気排出管11の管壁内
面との間に呼気用通路Sとしての十分な空隙を形成する
必要がある。例えば、図2に示した吸気送入管21の断
面は単純な環状であるが、図3のAに示すように管壁外
周に複数の峰状突起17あるいは疣状突起を備えた円筒
状中空管を好適とする。あるいは図3のBに示すよう
に、吸気送入管21の断面が中空の多角形であってもよ
い。このような断面形状を持つ吸気送入管21を使用す
ることにより、動物用複管型気管内チューブ10が折れ
曲がりにくくなる。もしも折れ曲がることがあっても、
必ず呼気用通路Sの一部は疎通性を確保しておくことが
できる。さらに、吸気送入管21の先端部に公知のX線
不透過処理を施しておくことにより、気管分岐部9への
到達を容易に確認することができる。
As shown in FIG. 2 which is a cross-sectional view taken along line XX of FIG. 1, the shape of the intake / intake pipe 21 has a sufficient space as an exhalation passage S between itself and the inner wall of the exhalation / exhaust pipe 11. Need to be formed. For example, the cross section of the intake / intake pipe 21 shown in FIG. 2 is a simple ring, but as shown in FIG. 3A, a cylindrical inner wall provided with a plurality of ridges 17 or warts on the outer periphery of the pipe wall. Empty tubes are preferred. Alternatively, as shown in FIG. 3B, the cross section of the intake pipe 21 may be a hollow polygon. The use of the intake / intake tube 21 having such a cross-sectional shape makes it difficult for the double tube type endotracheal tube 10 for animals to be bent. Even if it can bend,
A part of the passage for expiration S can always ensure continuity. Further, by performing a known X-ray opaque process on the distal end of the intake pipe 21, arrival at the tracheal bifurcation 9 can be easily confirmed.

【0016】そして、呼気排出管11の後端開口部14
を吸入麻酔器の呼気用蛇管6に接続すると、この呼気排
出管11の管内が呼気用通路Sとなる。同様に、吸気送
入管21の後端開口部を吸入麻酔器の吸気用蛇管7に接
続すると、吸気送入管11の管内が吸気用通路Pにな
る。
The rear end opening 14 of the exhalation discharge tube 11
Is connected to the exhalation flexible tube 6 of the inhalation anesthesia machine, the inside of the exhalation discharge tube 11 becomes the exhalation passage S. Similarly, when the rear end opening of the intake pipe 21 is connected to the intake pipe 7 of the inhalation anesthesia machine, the interior of the intake pipe 11 becomes an intake passage P.

【0017】本発明による動物用複管型気管内チューブ
10を気管8に挿入し、先端開口部13が気管分岐部9
付近に到達すると、バルーンカフ12は気管8の中央部
付近に位置することになる。そこで図示してないパイロ
ットバルーンを介して空気を注入すると、バルーンカフ
12が膨張して気管8を密閉する。その結果、肺から吐
き出された呼気は先端開口部13から呼気用通路Sに流
入すると共に、流入し切れなかった管外の呼気がバルー
ンカフ12に遮られて多数の通気孔15より呼気用通路
Sに流れ込む。この呼気は呼気用蛇管6を通過して吸入
麻酔器のキャニスターに至り、炭酸ガスを除去された
後、酸素や酸素加麻酔ガスを補充されて再び吸気用蛇管
7を経て吸気送入管21より左右両気管支内に放出され
る。従って、本発明の動物用複管型気管内チューブ10
の管内では、呼気と吸気の混合が絶対に起こらない。
The double tube type endotracheal tube 10 for animals according to the present invention is inserted into the trachea 8, and the distal end opening 13 is inserted into the tracheal branch 9.
Upon reaching the vicinity, the balloon cuff 12 will be located near the center of the trachea 8. Then, when air is injected through a pilot balloon (not shown), the balloon cuff 12 is inflated to seal the trachea 8. As a result, the exhaled breath exhaled from the lungs flows into the exhalation passage S through the distal end opening 13, and the extracorporeal exhaled gas that has not completely flowed in is blocked by the balloon cuff 12, so that the exhaled passage S passes through the numerous vents 15. Flow into This exhalation passes through the exhalation tube 6 and reaches the canister of the inhalation anesthesia machine. After the carbon dioxide gas is removed, oxygen and oxygenated anesthesia gas are replenished. It is released into the left and right bronchi. Therefore, the double tube type endotracheal tube 10 for animals of the present invention is used.
Mixing of expiration and inspiration never occurs in this tube.

【0018】図4は請求項3記載の動物用複管型気管内
チューブ10aを極端に短縮した形で示した斜視図であ
る。断面が半円形をした中空の呼気排出管11aと吸気
送入管21aとの平面部どうしをそれぞれ向かい合わせ
て接合している。接合手段は接着剤での接着や溶解剤で
の融着など任意である。このように両管の平面部どうし
を接合することにより、あたかも従来の単管型気管内チ
ューブ1の管内に長手方向の隔壁を設けたように見え
る。あるいは、断面が環状の中空管に隔壁を一体成形す
ることにより、管内に左右一対の管腔を形成してもよ
い。
FIG. 4 is a perspective view showing the double tube type endotracheal tube 10a for animals according to the third embodiment in an extremely shortened form. The flat surfaces of the hollow exhalation discharge tube 11a and the intake / intake tube 21a having a semicircular cross section are joined to face each other. The joining means is optional such as adhesion with an adhesive or fusion with a dissolving agent. By joining the flat portions of the two tubes in this way, it looks as if a longitudinal partition wall is provided in the tube of the conventional single tube endotracheal tube 1. Alternatively, a pair of left and right lumens may be formed in the tube by integrally forming the partition wall with a hollow tube having an annular cross section.

【0019】上記のような有隔中空管の先端部を斜めに
切除して先端開口部13aを形成し、先端開口部13a
の後縁より14mm以上ないし20cm以下の後方に膨
張性バルーンカフ12aを取り付け、バルーンカフ12
aより前方の呼気排出管11aの管壁に複数個の通気孔
15aを設けている。後端開口部14aには断面が半円
形をした中空のジョイント18、18を装着する。この
ジョイント18、18にそれぞれ呼気用蛇管6と吸気用
蛇管7を接続することにより、単管内に呼気用通路Sお
よび吸気用通路Pを別々に併設することができる。
The distal end of the hollow tube is cut off obliquely to form a distal opening 13a.
An inflatable balloon cuff 12a is attached at a position 14 mm or more to 20 cm or less behind the trailing edge of the balloon cuff 12a.
A plurality of ventilation holes 15a are provided on the tube wall of the exhalation discharge tube 11a ahead of a. Hollow joints 18 having a semicircular cross section are attached to the rear end opening 14a. By connecting the exhalation coil 6 and the inhalation coil 7 to the joints 18, 18, the exhalation passage S and the inhalation passage P can be separately provided in a single tube.

【0020】図5は請求項3に係る変形例の動物用複管
型気管内チューブ10bを示す平面図である。この変形
例では呼気用通路Sの呼気排出管11bと吸気用通路P
の吸気送入管21bの断面が環状であり、並行する両管
は別個に独立している。従って、上記の断面が半円形の
中空管2本を接合するよりも簡単かつ安価に製造するこ
とができる。独立した両管11b、21bを膨張性のバ
ルーンカフ12bで密封状に結束すると共に、両管の先
端部に鞘状のキャップ19を被せて複管型の気管内チュ
ーブを成形している。キャップ19には公知のX線不透
過処理を施し、脱落しないように両管の先端部に接着あ
るいは融着して固定する。
FIG. 5 is a plan view showing a double tube type endotracheal tube 10b for animals according to a modification of the third embodiment. In this modification, the exhalation discharge pipe 11b of the exhalation passage S and the inhalation passage P
Has a ring-shaped cross section, and the two parallel pipes are separately and independently provided. Therefore, it can be manufactured more simply and inexpensively than joining two hollow tubes having a semicircular cross section. The independent two tubes 11b and 21b are tightly bound by an inflatable balloon cuff 12b, and a sheath-shaped cap 19 is covered on the distal ends of the two tubes to form a double-tube endotracheal tube. The cap 19 is subjected to a known X-ray opacity treatment, and is fixed to the distal ends of both tubes by adhesion or fusion so as not to fall off.

【0021】上記変形例において、呼気排出管11bが
呼気用通路Sとなり、吸気送入管21bが吸気用通路P
となる。両管をバルーンカフ12bで密封状に結束する
ためには、図6に示すように、両管の間に形成される窪
みをパッキング材20で埋める必要がある。パッキング
材20としては、三角柱状のゴム棒を好適とする。ある
いは、接着剤を流し込んで固めてもよい。このように両
管の間の窪みを埋めて密封することにより、図7に示す
ように、バルーンカフ12bを膨張させて気管を閉塞し
たとき、両管結束部から呼気が漏れ出る心配がなくな
る。バルーンカフ12bの取り付け位置は、キャップ1
9の先端開口部の後縁からの距離Lを14mm以上ない
し20cm以下の範囲としている。
In the above modification, the exhalation discharge pipe 11b becomes the exhalation passage S, and the inhalation intake pipe 21b becomes the inhalation passage P
Becomes In order to tightly bind the two tubes with the balloon cuff 12b, it is necessary to fill the recess formed between the two tubes with the packing material 20, as shown in FIG. As the packing material 20, a rubber rod having a triangular prism shape is preferable. Alternatively, an adhesive may be poured and hardened. By filling and sealing the depression between the two tubes in this way, as shown in FIG. 7, when the balloon cuff 12b is inflated to close the trachea, there is no fear of exhaled air leaking out of the binding portion of both tubes. The attachment position of the balloon cuff 12b is the cap 1
The distance L from the trailing edge of the front end opening of No. 9 ranges from 14 mm to 20 cm.

【0022】上記変形例の他にも、本発明による動物用
複管型気管内チューブは要旨の範囲内において各種の変
形を採り得る。例えば、請求項2の発明の場合、図示し
ていないが、既存のヒト用単管型気管内チューブ1を気
管の中程まで挿入し、このチューブの管内に通した細い
吸気送入管21を気管分岐部まで到達させるようにして
も、ほぼ同じ効果を得ることができる。
In addition to the above-mentioned modifications, the double-tube endotracheal tube for animals according to the present invention can take various modifications within the scope of the gist. For example, in the case of the invention of claim 2, although not shown, the existing single-tube type endotracheal tube 1 for a human is inserted into the middle of the trachea, and a thin inhalation inlet pipe 21 passed through the tube is inserted. Almost the same effect can be obtained even when the air reaches the tracheal bifurcation.

【0023】さらに、呼気用通路と吸気用通路の2管に
限らず、図示していないが、吸気用通路を酸素専用管と
酸素加麻酔ガス専用管とに分けた3管式の複管型気管内
チューブを作ることもできる。これを用いれば、麻酔を
切って早く患者を覚醒させたいときなど吸入麻酔器の操
作が簡単になり、非常に便利である。
Further, although not shown, not limited to the two pipes of the exhalation passage and the inhalation passage, a three-pipe double-pipe type in which the inhalation passage is divided into an oxygen exclusive pipe and an oxygenated anesthetic gas exclusive pipe. An endotracheal tube can also be made. When this is used, the operation of the inhalation anesthesia machine becomes simple, such as when the patient is to be awakened quickly after turning off the anesthesia, which is very convenient.

【0024】なお、全身麻酔を要するヒトの手術には必
ず麻酔専門医が立ち合うのに対し、大半の動物病院では
院長一人で何から何までやらなければならないのが実情
である。そのような獣医師にとって、最も恐いのが麻酔
の掛け過ぎによる呼吸停止である。手術中に患者を死な
せたら飼い主から賠償を請求されるし、信用を失って病
院経営が苦しくなるからである。
It should be noted that while an anesthesiologist is always present in a human operation requiring general anesthesia, most veterinary hospitals require that the head of the hospital alone do everything. Most frightening for such veterinarians is respiratory arrest due to over anesthesia. If the patient is killed during the operation, the owner will claim compensation and lose credibility and suffer from hospital management.

【0025】獣医領域では、通常、全身麻酔の前処置と
して、唾液の分泌を抑制するために硫酸アトロピン0.
05mg/体重kgを皮下に注射し、その10分後に麻
酔導入剤のチオペンタールを静脈に注射するようにして
いる。しかしながら、チオペンタールの投与量が難し
く、一応12.5mg/体重kgを目安とするものの、
犬と猫など動物の種差による感受性の違いや、同じ犬で
も多数ある品種ごとの違い、また年令や栄養・健康状態
の個体差などによって安全投薬量が微妙に左右され、常
に呼吸停止の危険が伴う。この点、ヒト1種だけを相手
にする医療とは比較にならない苦労があるのである。
In the veterinary field, usually, as a pretreatment for general anesthesia, atropine sulfate 0.
05 mg / kg of body weight is injected subcutaneously, and 10 minutes later, an anesthetic induction agent thiopental is injected intravenously. However, it is difficult to administer thiopental, and although the target is 12.5 mg / kg of body weight,
The safe dosage is delicately affected by differences in susceptibility due to species differences between animals such as dogs and cats, differences among many breeds in the same dog, individual differences in age, nutrition and health status, and the risk of respiratory arrest always Is accompanied. In this regard, there is a struggle that is incomparable to medical treatment targeting only one human species.

【0026】上記動物病院ならではの特殊事情により、
危険な麻酔導入剤の注射をほどほどにして喉頭部に局所
麻酔剤を噴霧し、喉頭反射が廃絶されない状態のままで
気管内チューブを強引に挿入する技法が普及しつつあ
る。挿管しさえすれば後は安心であり、吸入麻酔器のダ
イヤルを調節して、イソフルレンなど比較的安全な吸入
麻酔剤のガス濃度を1〜2%に維持することができる。
ところが、麻酔導入剤の投与が不十分であると、吸入麻
酔剤の効果が発現するまでに時間がかかり、従来だと手
術可能な状態になるまで10分近くも執刀者は待機しな
ければならなかった。
Due to the special circumstances unique to the animal hospital,
A technique of spraying a local anesthetic on the larynx with moderate injection of a dangerous anesthetic induction agent and forcibly inserting an endotracheal tube while the laryngeal reflex is not abolished is becoming widespread. After intubation, it is safe to do so, and the dial of the inhalation anesthesia machine can be adjusted to maintain the gas concentration of the relatively safe inhalation anesthetic such as isoflurane at 1-2%.
However, if the administration of the anesthetic induction agent is inadequate, it takes time for the effect of the inhalational anesthetic to appear, and conventionally the operator has to wait for almost 10 minutes until it becomes operable. Did not.

【0027】本発明の発明者は、動物愛護の観点から、
気管挿管に先立ちチオペンタールなどの導入麻酔を粗略
にする技法には不賛成である。しかし、獣医業界で現実
に普及しつつある技法を無視することもできない。そこ
で、試しに雑種犬8頭(年令3〜8才、体重9〜20k
g)を4頭ずつ2群に分け、両群ともチオペンタールの
静脈注射をしないまま、本発明による吸入麻酔方法の効
果を実験した。すなわち、一方の4頭には従来どおりヒ
ト用単管型気管内チューブを使用し、他方の4頭には本
発明の動物用複管型気管内チューブを使用して、それぞ
れの犬にイソフルレン2%ガスを送入した。その結果、
手術適用期に到達するまでの時間は、従来のヒト用単管
型気管内チューブ使用群では平均9分38秒であるのに
対し、本発明の動物用複管型気管内チューブ使用群では
平均3分25秒であった。つまり、本発明によって、麻
酔ガスが呼気に希釈されることを防止した結果、吸入麻
酔の効果発現に要する時間が著しく短縮されたわけであ
る。
The inventor of the present invention, from the viewpoint of animal welfare,
I disagree with the technique of roughening induction anesthesia such as thiopental prior to tracheal intubation. But we cannot ignore techniques that are becoming more prevalent in the veterinary industry. So, try 8 mongrel dogs (age 3-8, weight 9-20k)
g) was divided into two groups of four animals each, and the effects of the inhalation anesthesia method according to the present invention were tested in both groups without intravenous injection of thiopental. That is, one of the four animals used a single tube type endotracheal tube for humans as before, and the other four animals used the double tube type endotracheal tube for animals of the present invention. % Gas was supplied. as a result,
The time required to reach the surgery application period is 9 minutes and 38 seconds on average in the conventional human single-tube type endotracheal tube group, while the average time in the animal double-tube type endotracheal tube group of the present invention is average. It was 3 minutes and 25 seconds. In other words, according to the present invention, as a result of preventing the anesthetic gas from being diluted into exhaled air, the time required for achieving the effect of inhalation anesthesia is significantly reduced.

【0028】さらに、パルスオキシメータを用いて麻酔
中の実験犬両群の血液中酸素飽和度を測定したところ、
従来のヒト用単管型気管内チューブ使用群では、ときど
き酸素飽和度が97%を下回った。そのため、そのつど
酸素を追加しなければならず、監視の目が離せなかっ
た。一方、本発明の動物用複管型気管内チューブ使用群
では、麻酔中、常に酸素飽和度が98〜99%に維持さ
れており、低酸素症を惹起する危険性が全くなかった。
つまり、本発明によって、呼気に希釈されない新鮮な酸
素加麻酔ガスが肺に送入されていることを裏付けてい
る。
Further, the blood oxygen saturation of both groups of experimental dogs under anesthesia was measured using a pulse oximeter.
In the group using the conventional human single tube type endotracheal tube, the oxygen saturation sometimes dropped below 97%. As a result, oxygen had to be added each time, and it was impossible to keep an eye on monitoring. On the other hand, in the group using the double tube type endotracheal tube for animals of the present invention, the oxygen saturation was always maintained at 98 to 99% during the anesthesia, and there was no danger of causing hypoxia.
In other words, the present invention confirms that fresh oxygenated anesthetic gas, which is not diluted in exhaled breath, is delivered to the lung.

【0029】同様に、一定時間ごとに動脈から採血して
血液のpHを測定したところ、従来のヒト用単管型気管
内チューブ使用群ではpH6.7〜7.1の範囲を変動
していたのに対し、本発明の動物用複管型気管内チュー
ブ使用群では麻酔中のpHが常に7.2前後に安定して
いた。つまり、従来よりも血液中に酸素が豊富に届いて
いることが確認されたわけである。従って、本発明は従
来の吸入麻酔方法に起こりがちだった低酸素症を確実に
防止することができる。
Similarly, when blood was collected from the artery at regular intervals and the pH of the blood was measured, the pH range of the conventional human single tube type endotracheal tube group varied from 6.7 to 7.1. In contrast, in the group using the double tube type endotracheal tube for animals of the present invention, the pH during anesthesia was always stable at around 7.2. In other words, it was confirmed that oxygen was more abundant in blood than in the past. Therefore, the present invention can reliably prevent hypoxia, which tends to occur in the conventional inhalation anesthesia method.

【0030】[0030]

【発明の効果】上記の説明により明らかなように、本発
明による動物の酸素吸入または吸入麻酔方法およびそれ
に用いる動物用複管型気管内チューブは、次のような顕
著な効果を奏する。
As is apparent from the above description, the method for inhaling or inhaling oxygen in animals according to the present invention and the double tube type endotracheal tube for animals used therefor have the following remarkable effects.

【0031】従来のヒト用単管型気管内チューブの管内
では、送入した酸素や麻酔ガスに呼気が混じって希釈さ
れてしまうので、救命に必要な高濃度の酸素が肺に到達
しなかったり、吸入麻酔剤の効果が発現するまで時間が
かかったりするなど様々な不都合を生じていた。それら
の不都合は、膨張性バルーンカフで密閉した気管内に人
工の呼気用通路および吸気用通路を別々に形成し、呼気
用通路から左右両肺内の呼気を排出すると共に、吸気用
通路から呼気の混じらぬ新鮮な酸素や酸素加麻酔ガスを
左右両気管支に送入することを特徴とする本発明の酸素
吸入または吸入麻酔方法により、すべて完全かつ確実に
解消することができる。
In the conventional single tube type endotracheal tube for humans, expiration is mixed with oxygen and anesthesia gas which are fed in and diluted, so that a high concentration of oxygen necessary for life saving does not reach the lungs. However, various inconveniences have been caused, such as that it takes time for the effect of the inhalation anesthetic to appear. The disadvantages are that an artificial expiratory passage and an inspiratory passage are separately formed in a trachea sealed with an inflatable balloon cuff, and expiration in both the left and right lungs is expelled from the expiratory passage, and the expiratory passage from the inspiratory passage. The oxygen inhalation or inhalation anesthesia method of the present invention, characterized in that unmixed fresh oxygen or oxygenated anesthetic gas is fed into both the left and right bronchi, can be completely and reliably eliminated.

【0032】また、本発明の方法を実行するために使用
する動物用複管型気管内チューブは、従来のヒト用単管
型気管内チューブを利用して呼気排出管とし、この管内
に細い吸気送入管を挿入することにより、人工の呼気用
通路および吸気用通路を別々に形成することができる。
In addition, the double tube type endotracheal tube for animals used for carrying out the method of the present invention is formed into an exhalation discharge tube using a conventional single tube type endotracheal tube for humans, and a fine inhalation tube is provided in this tube. By inserting the inlet tube, an artificial expiratory passage and an inspiratory passage can be separately formed.

【0033】また、断面が半円形をした2本の中空管の
平面どうしを向かい合わせに接合して動物用複管型気管
内チューブを作製することにより、外見は単管状の管内
に、隔壁で分けられた呼気用通路および吸気用通路を別
々に形成することができる。
Further, by making two hollow tubes having a semicircular cross section face to face to face each other to produce a double tube type endotracheal tube for animals, the appearance is a single tube tube, The expiratory passage and the inspiratory passage divided by are separately formed.

【0034】そして、動物用複管型気管内チューブにお
ける膨張性バルーンカフの取り付け位置を先端開口部の
後縁より14mm以上ないし20cm以下の後方とした
こと、およびバルーンカフより前方の呼気排出管の管壁
に複数個の通気孔を設けたこととにより、気管内チュー
ブの呼気排出性能を格段に向上させることができる。
[0034] The mounting position of the inflatable balloon cuff in the double tube type endotracheal tube for animals is set at a position not less than 14 mm or more and not more than 20 cm from the trailing edge of the distal end opening, and the tube wall of the exhalation discharge tube in front of the balloon cuff. By providing a plurality of ventilation holes, the exhalation discharge performance of the endotracheal tube can be remarkably improved.

【0035】従って、動物用複管型気管内チューブの優
れた呼気排出機能と、呼気の混じらぬ新鮮な酸素や酸素
加麻酔ガスを十分に肺に供給できる機能とが相乗し、本
発明に係る動物の酸素吸入または吸入麻酔方法では、救
急患者の蘇生救命率を飛躍的に向上させることができ
る。同様に、全身麻酔の際に麻酔をかけやすくなり、手
術ができる状態の手術適用期に至るまでの時間を著しく
短縮させることができる。
Therefore, the excellent exhalation discharge function of the double-tube type endotracheal tube for animals and the function of sufficiently supplying fresh oxygen and oxygenated anesthetic gas which does not contain exhaled air to the lungs are synergistic, and the present invention relates to the present invention. The method of oxygen inhalation or inhalation anesthesia of animals can dramatically improve the resuscitation survival rate of emergency patients. Similarly, anesthesia can be easily applied during general anesthesia, and the time required for surgery to be applied in a state where surgery can be performed can be significantly reduced.

【図面の簡単な説明】[Brief description of the drawings]

【図1】本発明の動物用複管型気管内チューブの実施例
を示す縦断面図。
FIG. 1 is a longitudinal sectional view showing an embodiment of a double-tube type endotracheal tube for animals of the present invention.

【図2】図1のX−X断面図。FIG. 2 is a sectional view taken along line XX of FIG.

【図3】図2の変形例を示す断面図FIG. 3 is a sectional view showing a modification of FIG. 2;

【図4】本発明の動物用複管型気管内チューブの他の実
施例を示す斜視図。
FIG. 4 is a perspective view showing another embodiment of the double tube type endotracheal tube for animals of the present invention.

【図5】図4の変形例を示す平面図。FIG. 5 is a plan view showing a modification of FIG. 4;

【図6】図5のY−Y断面図。FIG. 6 is a sectional view taken along line YY of FIG. 5;

【図7】図5のZ−Z断面図。FIG. 7 is a sectional view taken along the line ZZ of FIG. 5;

【図8】従来のヒト用単管型気管内チューブの使用状態
を示す説明図。
FIG. 8 is an explanatory view showing a use state of a conventional single tube type endotracheal tube for humans.

【図9】従来のヒト用単管型気管内チューブを示す平面
図。
FIG. 9 is a plan view showing a conventional human single-tube endotracheal tube.

【符号の説明】[Explanation of symbols]

1 ヒト用単管型気管内チューブ 2,12,12a,12b バルーンカフ 3,13,13a 先端開口部 4,14,14a 後端開口部 5 チムニーピース 6 呼気用蛇管 7 吸気用蛇管 8 気管 9 気管分岐部 10,10a,10b 動物用複管型気管内チューブ 11,11a,11b 呼気排出管 15,15a,15b 通気孔 16 横穴 17 峰状突起 18 ジョイント 19 キャップ 20 パッキング材 21 吸気送入管 P 吸気用通路 S 呼気用通路 DESCRIPTION OF SYMBOLS 1 Single tube type endotracheal tube 2,12,12a, 12b Balloon cuff 3,13,13a Tip opening 4,14,14a Rear end opening 5 Chimney piece 6 Breathing snake tube 7 Intake snake tube 8 Trachea 9 Tracheal branch Part 10, 10a, 10b Double tube type endotracheal tube for animals 11, 11a, 11b Expiration discharge tube 15, 15a, 15b Vent hole 16 Side hole 17 Peak-like projection 18 Joint 19 Cap 20 Packing material 21 Intake / intake tube P For inhalation Passage S Exhalation passage

Claims (3)

【特許請求の範囲】[Claims] 【請求項1】 膨張性バルーンカフで密閉した気管内に
呼気排出管と吸気送入管とを別々に併設し、呼気排出管
から左右両肺内の呼気を排出すると共に、吸気送入管か
ら新鮮な酸素あるいは酸素加麻酔ガスを左右両気管支に
送入することを特徴とする、ヒト以外の動物の酸素吸入
または吸入麻酔方法。
An expiratory discharge pipe and an inhalation inlet pipe are separately provided in a trachea sealed with an inflatable balloon cuff, and exhaled air in both the left and right lungs is discharged from the expiratory discharge pipe, and fresh air is supplied from the inspiratory inlet pipe. Oxygen inhalation or inhalation anesthesia for animals other than humans, characterized in that oxygen or oxygenated anesthesia gas is fed into the left and right bronchi.
【請求項2】 吸入麻酔器の呼気用蛇管に接続して気管
内に挿入することのできる形状をした呼気排出管と、吸
入麻酔器の吸気用蛇管に接続して前記呼気排出管の管内
に挿入することのできる形状をした吸気送入管とで構成
される気管内チューブであって、呼気排出管の先端部を
斜めに切除して先端開口部を形成し、先端開口部の後縁
より14mm以上ないし20cm以下の後方に膨張性バ
ルーンカフを取り付け、バルーンカフより前方の管壁に
複数個の通気孔を設けると共に、バルーンカフより後方
の管壁に横穴を設けて、この横穴から前記吸気送入管を
前記呼気排出管の管内に挿入することを特徴とする、動
物用複管型気管内チューブ。
2. An exhalation discharge tube having a shape that can be inserted into the trachea by being connected to an exhalation flexible tube of an inhalation anesthesia machine, and an exhalation discharge tube that is connected to an inhalation flexible tube of an inhalation anesthesia device. An endotracheal tube comprising an inhalation inlet pipe having a shape that can be inserted, wherein the distal end of the exhalation discharge pipe is obliquely cut to form a distal opening, and a rear edge of the distal opening is formed. An inflatable balloon cuff is attached to the rear of 14 mm or more and 20 cm or less, a plurality of ventilation holes are provided in a tube wall in front of the balloon cuff, and a horizontal hole is provided in a tube wall behind the balloon cuff. A double tube type endotracheal tube for animals, which is inserted into the exhalation discharge tube.
【請求項3】 吸入麻酔器の呼気用蛇管に接続する断面
が半円形をした中空の呼気排出管と、吸入麻酔器の吸気
用蛇管に接続する断面が半円形をした中空の吸気送入管
とで構成される気管内チューブであって、両管の平面ど
うしを向かい合わせに接合して長手方向に隔壁を有する
円筒状の中空管を成形すると共に、この有隔中空管の先
端部を斜めに切除して先端開口部を形成し、先端開口部
の後縁より14mm以上ないし20cm以下の後方に膨
張性バルーンカフを取り付け、バルーンカフより前方の
呼気排出管の管壁に複数個の通気孔を設けることを特徴
とする、動物用複管型気管内チューブ。
3. A hollow exhalation discharge pipe having a semicircular cross-section connected to an exhalation flexible pipe of an inhalation anesthesia machine, and a hollow inspiratory intake pipe having a semicircular cross-section connected to an inspiratory flexible pipe of an inhalation anesthesia apparatus. A tubular hollow tube having a partition wall in the longitudinal direction by joining the planes of both tubes face-to-face, and a distal end portion of the separated hollow tube. Is cut off diagonally to form a tip opening, and an inflatable balloon cuff is attached at least 14 mm to 20 cm behind the trailing edge of the tip opening, and a plurality of ventilation holes are provided in the tube wall of the exhalation discharge tube ahead of the balloon cuff. A double tube type endotracheal tube for animals, characterized by comprising:
JP20704297A 1997-06-26 1997-06-26 Oxygen inhaling or inhaling anesthetizing method for animal and double-type in-windpipe tube for animal Pending JPH119615A (en)

Priority Applications (1)

Application Number Priority Date Filing Date Title
JP20704297A JPH119615A (en) 1997-06-26 1997-06-26 Oxygen inhaling or inhaling anesthetizing method for animal and double-type in-windpipe tube for animal

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
JP20704297A JPH119615A (en) 1997-06-26 1997-06-26 Oxygen inhaling or inhaling anesthetizing method for animal and double-type in-windpipe tube for animal

Publications (1)

Publication Number Publication Date
JPH119615A true JPH119615A (en) 1999-01-19

Family

ID=16533254

Family Applications (1)

Application Number Title Priority Date Filing Date
JP20704297A Pending JPH119615A (en) 1997-06-26 1997-06-26 Oxygen inhaling or inhaling anesthetizing method for animal and double-type in-windpipe tube for animal

Country Status (1)

Country Link
JP (1) JPH119615A (en)

Cited By (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
KR20010049586A (en) * 1999-11-24 2001-06-15 윤종용 Endoesophageal tracheal tube for inhalational anesthesia
JP2011030863A (en) * 2009-08-04 2011-02-17 Fuji Systems Corp Endotracheal tube introducer
CN108245277A (en) * 2018-01-19 2018-07-06 东北农业大学 A kind of big build pig trachea cannula

Cited By (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
KR20010049586A (en) * 1999-11-24 2001-06-15 윤종용 Endoesophageal tracheal tube for inhalational anesthesia
JP2011030863A (en) * 2009-08-04 2011-02-17 Fuji Systems Corp Endotracheal tube introducer
CN108245277A (en) * 2018-01-19 2018-07-06 东北农业大学 A kind of big build pig trachea cannula

Similar Documents

Publication Publication Date Title
FI82608B (en) INSTRUMENT FOER BEHANDLING AV TILLTAEPPNING I ANDNINGSVAEGARNA.
Hess Facilitating speech in the patient with a tracheostomy
US6863069B2 (en) Nasal ventilation interface
JP3201831U (en) Breathing apparatus and adapter
US4273124A (en) Nasal cannula
US20030024530A1 (en) Double barrel ventilation mask for a patient
WO2002056936A2 (en) Ventilation system during guided insertion of an endotracheal tube
CN106029145A (en) Laryngeal mask
EP0747077A2 (en) Endotracheal tube
CN204106789U (en) Anesthesia surgery suck-back-prevention type blow vent nasal mask
CN206275893U (en) A kind of multifunctional endotracheal intubation with lubricating layer
JPH119615A (en) Oxygen inhaling or inhaling anesthetizing method for animal and double-type in-windpipe tube for animal
JP6742033B2 (en) Tracheal applicator and its use
Stirt Endotracheal tube misplacement
Tunstall et al. Ventilating the lungs of newborn infants for prolonged periods.
CN210644789U (en) Particle humidifying oxygen supply pipe incision pipe with pressure film
CN209173153U (en) A kind of endotracheal tube for infant
CN209662374U (en) A kind of tracheal catheter for the antibacterial lubricant can be used for localization by ultrasonic
GB2446577A (en) Airway access valve
Haque et al. Pediatric oxygen therapy: a clinical update
CN210301935U (en) Atomizing connecting device after tracheotomy
US20230390517A1 (en) Ventilation accessory device and related method
CN211724291U (en) Respiratory tract ventilation oxygen inhalation tube
WO2018092150A1 (en) Oral/nasal resuscitator with superior ventilating capacity
Johnson Breathing systems and airway management