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Infant tracheal foreign body extraction anesthesia technology

A technology of trachea and bronchoscopy, which is applied in the direction of anesthesia equipment, drug equipment, and other medical equipment, and can solve problems such as strong operation stimulation, poor hypoxia resistance, and inability to cooperate with surgery

Inactive Publication Date: 2022-07-29
张俊丽
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  • Summary
  • Abstract
  • Description
  • Claims
  • Application Information

AI Technical Summary

Problems solved by technology

However, foreign body removal under rigid bronchoscopic surgery is highly irritating in the airway, and most of the children are infants with poor hypoxia tolerance, so they cannot cooperate with the operation. Mortality is particularly important

Method used

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  • Infant tracheal foreign body extraction anesthesia technology

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Embodiment Construction

[0009] After the child enters the room, open the peripheral vein, connect the electrocardiogram, blood pressure, and pulse oxygen saturation, prepare the suction device, anesthetic drugs and rescue drugs, check that the anesthesia machine is in good condition, and turn on the oxygen flow meter of the anesthesia machine to 8-10L / min. The child inhaled oxygen through a mask and instructed the assistant to give fentanyl 5ug / kg intravenously, dextromethorphan 1ug / kg for 10 minutes, and propofol 2mg / kg slowly intravenously. Ensure that the child has no movement and no choking; after the child falls asleep, a laryngoscope is placed to expose the throat and glottis, and 1 ml of 2% lidocaine is sprayed around the glottis with a laryngeal anesthesia tube, and a rigid bronchoscope is placed. After entering the glottis and reaching the common trachea, stop entering the mirror, and use a prepared epidural catheter to insert it through the bronchoscope to reach the trachea. The hand feeling...

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PUM

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Abstract

The invention relates to an anesthesia technology for tracheal foreign body extraction, which has the difficulty that an anesthetist and a surgeon share one airway, so that sufficient oxygen supply for a child patient is ensured, and the stress reaction of the throat and the trachea to an embedded bronchoscope is inhibited to the greatest extent. Tracheal foreign matters mostly occur in infants under 3 years old, the illness state of sick children is critical, and foreign matters are taken out through an operation as a unique solution. However, the operation anesthesia risk is extremely high, bucking and breath holding are easily caused, oxygen deficit is caused by severe patients, and even sudden breathing and heartbeat arrest occurs. According to the anesthesia technology, by means of an oxygen supply mode that the bronchoscope is connected with the anesthesia machine, the problem that a surgeon and an anesthetist share the same airway is successfully solved. By means of sufficient and effective tracheal bronchus mucosa surface anesthesia, airway spasm is relieved, meanwhile, the dosage of intravenous anesthetics is reduced, autonomous respiration of the sick child is kept on the premise that the operation requirement is met, and the life safety of the sick child is guaranteed. The anesthesia technology has been successfully implemented in about 3000 sick children in our hospital from 2000 years, is safe and effective, and should be vigorously popularized, so that the life safety of more sick children is ensured.

Description

technical field [0001] The risk of anesthesia for tracheal foreign body removal in infants and young children is extremely high, and there are the following three difficulties: (1) The operation and anesthesia share the same airway, not only to ensure sufficient oxygen supply for the child, but also to maximize the suppression of the throat and trachea. The adverse reactions of bronchoscopy bring difficulties to respiratory management; (2) most of them are emergency operations, the condition is dangerous, and they are often combined with dyspnea and even severe hypoxia; (3) the surgical stimulation is large, and it is difficult to grasp the depth of anesthesia: the anesthesia is too shallow, and the patients suffer from severe hypoxia. During the operation, the child struggles, coughs, and holds his breath, which may lead to foreign body displacement or induce severe hypoxemia; too deep anesthesia will seriously inhibit the respiratory and circulatory function, and even cause r...

Claims

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Application Information

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IPC IPC(8): A61M19/00A61M31/00
CPCA61M19/00A61M31/00
Inventor 张俊丽白耀武钱金洪
Owner 张俊丽
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