气管插管吸氧管帽的研制

IF 0.8 4区 医学 Q4 ENGINEERING, BIOMEDICAL Journal of Medical Devices-Transactions of the Asme Pub Date : 2023-03-20 DOI:10.1115/1.4062151
K. Hart, C. Salvino, Todd Pashak, B. Veatch
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引用次数: 0

摘要

气管插管是一种医疗程序,医生或受过培训的人员将呼吸管插入患者的口腔,穿过他们的声带,然后插入他们的气管。当患者无法自主呼吸时,插管可以挽救生命。插管是常规进行的,每年仅在手术室(OR)就进行约1500万次插管,在更广泛的医院环境中还有65万次插管。插管是一项复杂、动态且有时困难的手术,如果延误和/或手术失败,会产生重大后果。据报道,手术室外插管的并发症高达27%,最常见的是缺氧或低氧水平。我们开发了一种简单、无菌的附件,在插管期间将氧气引导到气管内导管。在动物研究中,该装置已被证明可以显著减少缺氧;从而增加了医疗提供者必须安全地执行该过程的时间。虽然需要进一步的开发,以及在体外和体内进行额外的测试,但盖帽组件似乎为医学中一个持久而危险的问题提供了一个可行的解决方案
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Development of an Endotracheal Tube Cap for Oxygen Delivery During Intubation
Endotracheal Intubation is a medical procedure whereupon a physician or trained personnel inserts a breathing tube into a patient's mouth, through their vocal cords, and into their trachea. Intubation can be lifesaving when a patient cannot breathe on their own. Intubations are performed routinely, with approximately 15 million performed annually just in the Operating Room (OR) with an additional 650,000 intubations in the wider hospital environment. Intubation is a complex, dynamic, and at times difficult procedure with major consequences if delayed and/or if the procedure fails. Complications for intubations outside of the operating room are reported as high as 27%, with the most common being hypoxia, or low oxygen levels. We have developed a simple, sterile attachment that directs oxygen down endotracheal tubes during intubation. In animal studies the device has been shown to significantly reduce hypoxia; thereby increasing the time a medical provider has to safely perform the procedure. While further development is warranted, as well as additional testing both in vitro and in vivo, the cap assembly appears to provide a viable solution to a persistent and dangerous problem in medicine
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来源期刊
CiteScore
1.80
自引率
11.10%
发文量
56
审稿时长
6-12 weeks
期刊介绍: The Journal of Medical Devices presents papers on medical devices that improve diagnostic, interventional and therapeutic treatments focusing on applied research and the development of new medical devices or instrumentation. It provides special coverage of novel devices that allow new surgical strategies, new methods of drug delivery, or possible reductions in the complexity, cost, or adverse results of health care. The Design Innovation category features papers focusing on novel devices, including papers with limited clinical or engineering results. The Medical Device News section provides coverage of advances, trends, and events.
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