CN110269989A - A kind of ventilator intubation and application method - Google Patents
A kind of ventilator intubation and application method Download PDFInfo
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- CN110269989A CN110269989A CN201910538643.4A CN201910538643A CN110269989A CN 110269989 A CN110269989 A CN 110269989A CN 201910538643 A CN201910538643 A CN 201910538643A CN 110269989 A CN110269989 A CN 110269989A
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- ventilator
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- hose
- catheter
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M16/00—Devices for influencing the respiratory system of patients by gas treatment, e.g. mouth-to-mouth respiration; Tracheal tubes
- A61M16/04—Tracheal tubes
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- Health & Medical Sciences (AREA)
- Pulmonology (AREA)
- Emergency Medicine (AREA)
- Engineering & Computer Science (AREA)
- Anesthesiology (AREA)
- Biomedical Technology (AREA)
- Heart & Thoracic Surgery (AREA)
- Hematology (AREA)
- Life Sciences & Earth Sciences (AREA)
- Animal Behavior & Ethology (AREA)
- General Health & Medical Sciences (AREA)
- Public Health (AREA)
- Veterinary Medicine (AREA)
- Media Introduction/Drainage Providing Device (AREA)
Abstract
The invention belongs to ventilator corollary equipment technical fields, disclose a kind of ventilator intubation and application method, including the cannula body being used cooperatively with ventilator, the cannula body includes the top hose and lower hose of integrally connected, the top of the top hose is connected with gas source connector, the air bag being tightly connected with the lower hose is equipped at outer wall below the lower hose, the catheter pressure being fixedly connected with cannula body side inner wall is equipped in the cannula body, one end of the catheter pressure is located at the end of the lower hose, the other end of the catheter pressure extends into outside the top hose and is equipped with pressure sensor connector, the pressure sensor connector with the pressure sensor of the ventilator for connecting.Present invention design is simple, structurally reasonable, replaces automatic intubation drag compensation mode, more accurate and stable control patient's intra-pulmonary pressure, obtains better respirator treatment effect.
Description
Technical field
The invention belongs to ventilator corollary equipment technical field more particularly to a kind of ventilator intubations and application method.
Background technique
In current clinical medicine, effective means of the ventilator as an energy artificial substituting expiratory positive airway pressure function is general
All over for anesthesia respiration management, Breathing Suppotion treatment and the emergency resuscitation during respiratory failure, major operation caused by a variety of causes
In, with the matching used intubation of ventilator for being inserted into auxiliary patient respiratory in patient airway and estimating patient lungs' pressure,
Corresponding endotracheal intubation is also rescue technology important in rescue service, has become CPR and with work of breathing energy barrier
Hinder Severe acute disease patient rescue during important measures, be it is most widely used in management of respiratory, implement most efficiently,
One of most effective means of effect play the role of rescue patient vitals and reduction case fatality rate vital.
Under the premise of herein, during the pressure controlled ventilation automatic intubation drag compensation (ATC) of ventilator, the prior art
The intubation for being all made of normal tape air bag carries out flow estimation to patient, i.e., calculates intubation by the method multiplied by intubation coefficient
The pressure difference of front end and end estimates the pressure in Patients with Lung with this, there is a situation where that estimation error is larger, and due to estimation side
The error of method itself causes pressure estimation and control error during ATC uncontrollable, the not accurate problem of pressure value.
Summary of the invention
The purpose of the present invention is to provide a kind of ventilator intubation and application methods, to solve to breathe the machine transplanting of rice in the prior art
Pipe obtains the not accurate problem of patient lungs' pressure.
To realize the above goal of the invention, according in a first aspect, being used the embodiment of the invention discloses a kind of ventilator intubation
Technical solution are as follows:
A kind of ventilator intubation, including the cannula body being used cooperatively with ventilator, the cannula body includes integrally connecting
The top hose and lower hose connect, the top of the top hose are connected with gas source connector, outer below the lower hose
It is equipped with the air bag being tightly connected with the lower hose at wall, is equipped with and cannula body side inner wall in the cannula body
The catheter pressure being fixedly connected, one end of the catheter pressure are located at the end of the lower hose, the catheter pressure it is another
One end extends into outside the top hose and is equipped with pressure sensor connector, and the pressure sensor connector with described for exhaling
The pressure sensor of suction machine connects.
The present invention is further arranged to: being additionally provided in the cannula body and the fixed company of cannula body other side inner wall
The balloon catheter connect, one end of the balloon catheter are connect with the air sac sealing, and the other end of the balloon catheter extends into
Outside the top hose and it is fixedly connected with the inflatable interface for inflating to the air bag.
The present invention is further arranged to: unidirectional charge valve, the both ends of the unidirectional charge valve are equipped in the inflatable interface
It is connect respectively with balloon catheter and inflatable interface.
The present invention is further arranged to: being marked with graduation mark in the outer pipe wall of the lower hose.
The present invention is further arranged to: one end of the catheter pressure be equipped with multiple antifouling pipes, multiple antifouling pipes with
The catheter pressure is fixedly connected, and offers sampling through-hole away from one end of the catheter pressure in the antifouling pipe.
The present invention is further arranged to: check valve, the both ends point of the check valve are equipped in the pressure sensor connector
It is not connect with the catheter pressure and the pressure sensor connector.
According to second aspect, the embodiment of the invention discloses a kind of ventilators to be intubated application method, the technical solution of use
Are as follows:
Anesthetic and lubricant are coated on lower hose surface;By the intratracheal of lower hose insertion patient;Into air bag
It inflates and is stuck in air bag at patient airway;Pressure sensor connector and gas source connector are connect with ventilator to carry out intrapulmonic pressure
Power ventilation control;Patient's intra-pulmonary pressure is obtained by the pressure sensor measurement on ventilator;The pressure that pressure sensor is obtained
Force value is transferred to ventilator and is compared with the threshold values of the comparator setting in ventilator;The comparison result of comparator is exported
To intra-pulmonary pressure control module;Intra-pulmonary pressure control module controls ventilator and carries out intra-pulmonary pressure control ventilation.
The present invention is further arranged to: the pressure sensor, the comparator, the intra-pulmonary pressure control module are all provided with
It is electrically connected inside the ventilator and with the ventilator.
The present invention is further arranged to: in the lubricant that lower hose surface coats with a thickness of 0.1mm-1mm.
The present invention is further arranged to: the pressure sensor is differential pressure type pressure sensor.
In conclusion be different from the prior art, the invention has the following advantages: the present invention by by top hose and
The cannula body of lower hose composition is probeed into patient airway, is fixed by the air bag at the outer wall below lower hose
Cannula body, prevention is because patient airway is poorly sealed with cannula body, and the gastric juice caused flows backwards the accident of air inlet pipe, wherein
Catheter pressure is equipped at side inner wall inside cannula body, one end of catheter pressure is located at the end of lower hose and is used for
Patient lungs' pressure data is obtained, the other end of catheter pressure extends into outside the hose of top and is equipped with pressure sensor connector,
The connection of the pressure sensor of pressure sensor connector and ventilator, convenient for ventilator according to patient lungs' pressure data of acquisition into
The ventilation control of row intra-pulmonary pressure, by being provided with catheter pressure, it is possible to prevente effectively from intubation backoff algorithm bring error, so that
The pressure sensor of ventilator can directly acquire patient's intra-pulmonary pressure, and carry out intra-pulmonary pressure control with the pressure data, take
For automatic intubation drag compensation mode, it is different from traditional estimation mode, the measurement data made is more accurate, obtains preferably breathing
Machine therapeutic effect.
Detailed description of the invention
It, below will be to specific in order to illustrate more clearly of the specific embodiment of the invention or technical solution in the prior art
Embodiment or attached drawing needed to be used in the description of the prior art be briefly described, it should be apparent that, it is described below
Attached drawing is some embodiments of the present invention, for those of ordinary skill in the art, before not making the creative labor
It puts, is also possible to obtain other drawings based on these drawings.
Fig. 1 is a kind of overall structure diagram of ventilator intubation provided in this embodiment;
Fig. 2 is a kind of overall structure diagram of the catheter pressure of ventilator intubation provided in this embodiment;
Fig. 3 is a kind of flow chart of ventilator intubation application method provided in this embodiment;
Fig. 4 is a kind of frame diagram of ventilator provided in this embodiment.
Appended drawing reference: 1, cannula body;11, top hose;12, lower hose;2, gas source connector;3, air bag;4, pressure
Conduit;41, pressure sensor connector;42, check valve;43, antifouling pipe;431, through-hole is sampled;5, balloon catheter;51, inflation connects
Mouthful;52, unidirectional charge valve;6, graduation mark.
Specific embodiment
In order to make the objectives, technical solutions, and advantages of the present invention clearer, with reference to the accompanying drawings and embodiments, right
The present invention is further elaborated, it should be understood that and the specific embodiments described herein are merely illustrative of the present invention, and
It is not used in the restriction present invention.
In the description of the present invention, it should be noted that term " center ", "upper", "lower", "left", "right", "vertical",
The orientation or positional relationship of the instructions such as "horizontal", "inner", "outside" be based on the orientation or positional relationship shown in the drawings, merely to
Convenient for description the present invention and simplify description, rather than the device or element of indication or suggestion meaning must have a particular orientation,
It is constructed and operated in a specific orientation, therefore is not considered as limiting the invention.In addition, term " first ", " second ",
" third " is used for descriptive purposes only and cannot be understood as indicating or suggesting relative importance.
In the description of the present invention, it should be noted that unless otherwise clearly defined and limited, term " installation ", " phase
Even ", " connection " shall be understood in a broad sense, for example, it may be being fixedly connected, may be a detachable connection, or be integrally connected;It can
To be mechanical connection, it is also possible to be electrically connected;It can be directly connected, can also indirectly connected through an intermediary, it can be with
It is the connection inside two elements, can be wireless connection, be also possible to wired connection.For those of ordinary skill in the art
For, the concrete meaning of above-mentioned term in the present invention can be understood with concrete condition.
As long as in addition, the non-structure each other of technical characteristic involved in different embodiments of the present invention described above
It can be combined with each other at conflict.
According in a first aspect, please referring to Fig. 1 and Fig. 2 the embodiment of the invention provides a kind of ventilator intubation, Fig. 1 is this
A kind of overall structure diagram for ventilator intubation that embodiment provides, Fig. 2 are a kind of ventilator intubations provided in this embodiment
Catheter pressure overall structure diagram, a kind of ventilator intubation disclosed by the invention includes inserting of being used cooperatively with ventilator
Pipe main body 1, cannula body 1 include the top hose 11 and lower hose 12 of integrally connected, wherein the top of top hose 11 connects
It is connected to gas source connector 2, is equipped with the air bag 3 being tightly connected with lower hose 12, cannula body 1 at the outer wall of 12 lower section of lower hose
It is interior equipped with the catheter pressure 4 being fixedly connected with 1 side inner wall of cannula body, one end of catheter pressure 4 is located at lower hose 12
End, the other end of catheter pressure 4 extend into 12 outside of top hose and are equipped with pressure sensor connector 41.
Wherein, gas source connector 2 can be used with top hose 11 and be threadedly coupled, and interference connection also can be used, it is therefore intended that just
In replacement gas source connector 2, to be adapted to ventilator, the practicability of enhancing ventilator intubation.
In the specific implementation process, the catheter pressure 4 in cannula body 1 is convenient for the pick-and-place of ventilator intubation, prevents
Equipment damage, the air bag 3 below lower hose 12 are used for the fixed lower part when lower hose 12 probes into patient airway
Hose 12 is tightly connected with lower hose 12, prevents the patient's gastric juice infiltration caused because ventilator intubation leakproofness is not tight
Phenomenon, one end of catheter pressure 4 extend into the end of lower hose 12, are used for direct sample patient intra-pulmonary pressure, the other end
The pressure sensor connector 41 being equipped with connect convenient for catheter pressure 4 with the pressure sensor of ventilator, for conducting in Patients with Lung
Pressure simultaneously provides feedback parameter for ventilator.
It should be noted that top hose 11 has a retractility, it is extending go out certain length, met with this different using ring
Under border, the gas source connector 2 connecting with the top of top hose 11 can be connect with ventilator.
As shown in Figure 1, graduation mark 6 is marked in the outer pipe wall of lower hose 12, i.e., it is soft by the apparent lower part of graduation mark 6
Pipe 12 probes into the progress in patient airway, prevents from accidentally injuring patient's body organ, improves the safety of ventilator intubation.
In the specific implementation process, the air bag being fixedly connected with 1 other side inner wall of cannula body is additionally provided in cannula body 1
Conduit 5, one end of balloon catheter 5 and air bag 3 are tightly connected, and the other end of balloon catheter 5 extends into 11 outside of top hose simultaneously
It is fixedly connected with the inflatable interface 51 for inflating to air bag 3, i.e., after lower hose 12 probes into patient airway, passes through inflation
Interface 51 connects ventilator and simultaneously pours air into air bag 3 by balloon catheter 5 from ventilator, expand air bag 3 and fill to
In patient airway, achieve the purpose that fixed lower hose 12.
It should be noted that inflatable interface 51 in be equipped with unidirectional charge valve 52, the both ends of unidirectional charge valve 52 respectively with gas
Ductus bursae 5 and inflatable interface 51 connect, though air can only be flowed along inflatable interface 51 into air bag 3, with this guarantee to
During air bag 3 is filled with air or air bag 3 is in the state of filling, and air will not be mentioned by 3 adverse current of air bag to ventilator
Rise safety and the practicability of ventilator intubation.
As depicted in figs. 1 and 2, one end of catheter pressure 4 is equipped with multiple antifouling pipes 43, multiple antifouling pipes 43 and catheter pressure
4 are fixedly connected, antifouling pipe 43 away from catheter pressure 4 one end offer sampling through-hole 431, by this be arranged, can prevent because
The sampling end of patient's block of secretion catheter pressure 4 and the problem for making the sampling of catheter pressure 4 inaccurate, i.e., by designing a plurality of open
There is the antifouling pipe 43 of sampling through-hole 431 to overcome the blockage problem of catheter pressure 4, improves the practicability of ventilator intubation.
In the specific implementation process, the quantity of antifouling pipe 43 can be 4, and antifouling pipe 43 is also solid with the inner wall of lower hose 12
Fixed connection, improves the sampling precision of catheter pressure 4.
It should be noted that pressure sensor connector 41 in be equipped with check valve 42, the both ends of check valve 42 respectively with pressure
Conduit 4 and pressure sensor connector 41 connect.
According to second aspect, the embodiment of the invention provides a kind of ventilators to be intubated application method, please refers to Fig. 3 and Fig. 4,
The following steps are included:
Step S100 coats anesthetic and lubricant on lower hose surface;
Step S200, by the intratracheal of lower hose insertion patient;
Step S300, inflates into air bag and is stuck in air bag at patient airway;
Pressure sensor connector and gas source connector are connect with ventilator to carry out intra-pulmonary pressure ventilation control by step S400
System;
Step S500 obtains patient's intra-pulmonary pressure by the pressure sensor measurement on ventilator;
The pressure value that pressure sensor obtains is transferred to ventilator and set with the comparator in ventilator by step S600
Threshold values be compared;
The comparison result of comparator is output to intra-pulmonary pressure control module by step S700;
Step S800, intra-pulmonary pressure control module control ventilator and carry out intra-pulmonary pressure control ventilation.
Further, pressure sensor, comparator, intra-pulmonary pressure control module are set to ventilator inside and and ventilator
It is electrically connected.
Further, pressure sensor is differential pressure type pressure sensor.
Wherein, it is an object of the invention to pressure controlled ventilation automatic intubation drag compensation (ATC) processes in ventilator
In, it directly visits and takes patient's intra-pulmonary pressure and control, i.e., pressure sensor is also referred to as ATC pressure sensor.
Further, in the lubricant of lower hose surface coating with a thickness of 0.1mm-1mm.
In conclusion the invention has the following advantages: the present invention is formed by top hose 11 and lower hose 12
The side inner wall of cannula body 1 be fixedly connected with catheter pressure 4, one end of catheter pressure 4 is located at the end of lower hose 12
And multiple antifouling pipes 43 are equipped with, sampling through-hole 431 is offered away from one end of catheter pressure 4 in antifouling pipe 43, designing with this can
Effectively to avoid the intubation backoff algorithm bring error of the prior art, so that the pressure sensor of ventilator can directly acquire trouble
Person's intra-pulmonary pressure, and intra-pulmonary pressure control is carried out with the pressure data, replace automatic intubation drag compensation mode, is different from biography
System estimation mode, the measurement data made is more accurate, obtains better respirator treatment effect.
Obviously, the above embodiments are merely examples for clarifying the description, and does not limit the embodiments.It is right
For those of ordinary skill in the art, can also make on the basis of the above description it is other it is various forms of variation or
It changes.There is no necessity and possibility to exhaust all the enbodiments.And it is extended from this it is obvious variation or
It changes still within the protection scope of the invention.
Claims (10)
1. a kind of ventilator intubation, including the cannula body being used cooperatively with ventilator, it is characterised in that: the cannula body packet
The top hose and lower hose of integrally connected are included, the top of the top hose is connected with gas source connector, the lower hose
It is equipped with the air bag being tightly connected with the lower hose at the outer wall of lower section, is equipped with and the cannula body in the cannula body
The catheter pressure that side inner wall is fixedly connected, one end of the catheter pressure are located at the end of the lower hose, the pressure
The other end of conduit extends into outside the top hose and is equipped with pressure sensor connector, and the pressure sensor connector is used for
It is connect with the pressure sensor of the ventilator.
2. a kind of ventilator intubation as described in claim 1, which is characterized in that be additionally provided in the cannula body and inserted with described
The balloon catheter that pipe main body other side inner wall is fixedly connected, one end of the balloon catheter is connect with the air sac sealing, described
The other end of balloon catheter extends into the inflation outside the top hose and being fixedly connected with for inflating to the air bag and connects
Mouthful.
3. a kind of ventilator intubation as claimed in claim 2, which is characterized in that be equipped with unidirectional inflation in the inflatable interface
The both ends of valve, the unidirectional charge valve are connect with balloon catheter and inflatable interface respectively.
4. a kind of ventilator intubation as described in claim 1, which is characterized in that marking in the outer pipe wall of the lower hose
There is graduation mark.
5. a kind of ventilator intubation as described in claim 1, which is characterized in that one end of the catheter pressure is equipped with multiple anti-
Plug pipe, multiple antifouling pipes are fixedly connected with the catheter pressure, deviate from one end of the catheter pressure in the antifouling pipe
Offer sampling through-hole.
6. a kind of ventilator intubation as described in claim 1, which is characterized in that be equipped in the pressure sensor connector unidirectional
Valve, the both ends of the check valve are connect with the catheter pressure and the pressure sensor connector respectively.
7. a kind of ventilator is intubated application method characterized by comprising
Anesthetic and lubricant are coated on lower hose surface;
By the intratracheal of lower hose insertion patient;
It is inflated into air bag and is stuck in air bag at patient airway;
Pressure sensor connector and gas source connector are connect with ventilator to carry out intra-pulmonary pressure ventilation control;
Patient's intra-pulmonary pressure is obtained by the pressure sensor measurement on ventilator;
The pressure value that pressure sensor obtains is transferred to ventilator and is compared with the threshold values of the comparator setting in ventilator
Compared with;
The comparison result of comparator is output to intra-pulmonary pressure control module;
Intra-pulmonary pressure control module controls ventilator and carries out intra-pulmonary pressure control ventilation.
8. a kind of ventilator as claimed in claim 7 is intubated application method, which is characterized in that the pressure sensor, described
Comparator, the intra-pulmonary pressure control module are set to inside the ventilator and are electrically connected with the ventilator.
9. a kind of ventilator as claimed in claim 7 is intubated application method, which is characterized in that applied on the lower hose surface
The lubricant covered with a thickness of 0.1mm-1mm.
10. a kind of ventilator as claimed in claim 8 is intubated application method, which is characterized in that the pressure sensor is poor
Pressure type pressure sensor.
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CN201910538643.4A CN110269989A (en) | 2019-06-20 | 2019-06-20 | A kind of ventilator intubation and application method |
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CN201910538643.4A CN110269989A (en) | 2019-06-20 | 2019-06-20 | A kind of ventilator intubation and application method |
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Cited By (1)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
CN112604118A (en) * | 2020-12-02 | 2021-04-06 | 西安交通大学医学院第一附属医院 | Auxiliary intubation robot device based on visual scanning technology |
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US20050284484A1 (en) * | 1997-04-29 | 2005-12-29 | Curti James N | Nasal cannula for acquiring breathing information |
CN201361334Y (en) * | 2009-03-11 | 2009-12-16 | 冯修武 | High-frequency jet tracheal tube |
CN102355920A (en) * | 2009-03-17 | 2012-02-15 | 多尔菲斯技术有限公司 | Jet ventilation catheter |
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CN112604118A (en) * | 2020-12-02 | 2021-04-06 | 西安交通大学医学院第一附属医院 | Auxiliary intubation robot device based on visual scanning technology |
CN112604118B (en) * | 2020-12-02 | 2022-07-19 | 西安交通大学医学院第一附属医院 | Auxiliary intubation robot device based on visual scanning technology |
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