TIN TỨC
Ống mở khí quản 2 nòng có hút có bóng
Ống Mở Khí Quản 2 Nòng có hút, có bóng Tuoren là sản phẩm tiên tiến tiêu chuẩn được bộ y tế cấp phép sử dụng , và được các bác sĩ hàng đầu sử dụng.
Thương hiệu: Tuoren medical
- Chất liệu y tế an toàn tuyệt đối, mềm mại và nhẵn bóng tránh tổn thương lỗ mở khí quản và niêm mạc khí quản.
- Tai Ống Mở Khí Quản 2 Nòng Có Hút , Có Bóng , Có Cửa Sổ linh hoạt có thể gấp lên được giúp vệ sinh vùng da dưới tai ống dễ dàng.
- Ống Mở khí quản Tuoren có bóng, có lỗ mở cửa sổ giúp bệnh nhân thở máy và tập nói, tập thở khi đã ổn định.
- Nòng trong có thể tháo rời để vệ sinh dễ dàng
- Lưu vĩnh viễn sử dụng cho bệnh nhân tự thở.
- Bệnh nhân nên sử dụng kèm với dụng cụ làm ấm, làm ẩm
Tổng quan ống mở khí quản :
Thiết kế Canuyn mở khí quản có từ rất xa xưa là ống hình vòng cung, có thể có nòng đơn hoặc nòng kép (bên trong và bên ngoài) ống mở khí quản.
Có loại có một bóng chèn ( cuff) ở đầu xa của ống giúp chèn khít khí quản đảm bảo thông khí vào hết phổi bệnh nhân, đảm bảo không rò rỉ khí. mặt khác nó giúp cố định ống. Phía 2 bên có tai ống giúp cố định ống vào da cổ và giữ cố định ống ở đó.
Trước đây ống mở khí quản chỉ có 1 nòng sử dụng ngắn hạn, ống rất dễ tắc do bám dính đờm nhớt. Sau đó ống mở khí quản 2 nòng đã ra đời giúp dễ dàng vệ sinh ống và lưu ống được lâu hơn.
Các phụ kiện mở khí quản khác nhau thường có kèm như van tập nói , làm ẩm làm ấm mở khí quản.
Kích thước ống mở khí quản:
Chiều dài và đường kính của khí quản tỷ lệ thuận với kích thước của cơ thể.
Một ống mở khí quản nên được chọn theo đường kính ngoài, đường kính trong và chiều dài của ống, thay vì “kích thước” của nhà sản xuất.
Không được tiêu chuẩn hóa giữa các kiểu máy và nhà sản xuất. tức là “kích thước 8” từ một nhà sản xuất này có thể có các kích thước khác với “kích thước 8” từ một nhà sản xuất khác.
Lưu ý sự khác biệt về đường kính trong (ID), đường kính ngoài (OD) và chiều dài.
Theo nguyên tắc chung, hầu hết phụ nữ trưởng thành có thể dùng một ống có đường kính ngoài 10mm, trong khi đường kính ngoài 11mm phù hợp với hầu hết nam giới trưởng thành.
Chiều dài lý tưởng của ống mở khí quản là sao cho đầu ống nằm trên ngã 3 phế quản vài cm. Một ống quá ngắn có nguy cơ cao bị tắc nghẽn đường thở ngẫu nhiên hoặc tắc nghẽn một phần đường thở do vị trí không tốt.
- Ống quá dài có thể vướng vào ngã 3 phế quản dẫn đến khó chịu và ho.
- Ống mở khí quản phải được buộc chặt vào cổ bệnh nhân.
- Ống thông khí (dây máy thở) phải được hỗ trợ để giảm lực tác động trên ống mở khí quản giảm nguy cơ chấn thương khí quản và suy khí quản do chấn thương lâu dài.
Bệnh nhân cần được chăm sóc ống mở khí quản đúng cách, thường xuyên kiểm tra lỗ mở khí quản, người chăm sóc cần biết cách hút đờm nhớt cho bệnh nhân mở khí quản.
Ngoài ra bộ mở khí quản 2 nòng Tuoren có thêm 2 nòng phụ thay thế giúp bệnh nhân giảm thiểu chi phí thay nhiều lần.
Hiện nay,khi bệnh nhân sử mở khí quản có bóng phải sử dụng thông khí nhân tạo ( thở máy), nguy cơ dịch rỉ trên bóng mở khí quản xuống phổi gây viêm phổi hít phòng ngừa viêm phổi bệnh viện VAP rất cao nên các hãng sản xuất đã nghiên cứu và cho ra đời ống mở khí quản 2 nòng có ống hút trên bóng.
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