Stomach tube intubation auxiliary monitoring method and related equipment

Through the gastric tube intubation auxiliary monitoring method, pressure sensing and voice prompt technology are used to solve the risk of gastric tube entering the trachea by mistake, more accurate gastric tube insertion is achieved, and the safety of the intubation process is improved.

CN119424216AInactive Publication Date: 2025-02-14TONGJI HOSPITAL ATTACHED TO TONGJI MEDICAL COLLEGE HUAZHONG SCI TECH
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Patent Information

Application Number
CN202411418696.X
Authority / Receiving Office
CN · China
Patent Type
Applications(China)
Current Assignee / Owner
Filing Date
2024-10-12
Publication Date
2025-02-14
Estimated Expiration
Not applicable · inactive patent

AI Technical Summary

Technical Problem

Without proper guidance and monitoring, the gastric tube may enter the trachea and then enter the lungs, resulting in serious complications. Especially for patients with abnormal anatomical structure or failure to cooperate, the difficulty of intubation is increased and the risk of intubation is even greater. high.

Method used

A gastric cannulation auxiliary monitoring method is adopted to obtain the pressure sensing information on the circumference of the front end of the gastric cannulation, and the cannulation auxiliary prompt message is generated when the pressure is greater than the preset value for the first time, and the prompt message is played through voice, including instructing the patient to perform swallowing. Tips for action to help properly insert the gastric tube.

Benefits of technology

Through real-time pressure monitoring and voice prompts, the risk of gastric tube entering the trachea is effectively reduced, especially when passing through the first stenosis of the esophagus, ensuring that the gastric tube is inserted into the target position more accurately, reducing damage to the patient, and improving the overall situation Safety of the intubation process.

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Abstract

The invention discloses a stomach tube intubation auxiliary monitoring method and related equipment. The method comprises the following steps: acquiring pressure sensing information on the peripheral side of the front end of the stomach tube; after stomach tube intubation is executed, under the condition that the pressure sensing information indicates that the pressure on the peripheral side of the front end of the stomach tube is larger than preset pressure for the first time, an intubation auxiliary prompt message is generated; and playing the intubation auxiliary prompt message by voice, wherein the intubation auxiliary prompt message comprises a prompt message for indicating the patient to execute a swallowing action. The problems that under the condition that correct guiding and monitoring are not available, the stomach tube possibly enters the trachea and the lung by mistake, severe bucking, suffocation, pneumothorax, pulmonary atelectasis, lung abscess and lung injury of a patient are possibly caused, prognosis is poor, the hospitalization time is prolonged, and the death rate is increased are solved. Especially, anatomical structures of some patients may be different from those of normal people, or normal anatomical markers are changed due to diseases, trauma and other factors, so that the intubation difficulty is increased.
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Description

Technical Field

[0001] The embodiments of the present application relate to the field of smart medical care, and more specifically, the present invention relates to a gastric tube intubation auxiliary monitoring method and related equipment. Background Art

[0002] The esophagus and trachea of ​​the human body are adjacent and share a pharyngeal space. However, gastric tube insertion is usually blind. Without proper guidance and monitoring, the gastric tube may enter the trachea and the lungs by mistake, which may cause severe choking, suffocation, pneumothorax, atelectasis, lung abscess and lung damage in patients, leading to poor prognosis, increased hospital stay and mortality. In particular, the anatomical structure of some patients may be different from that of normal people, or the normal anatomical landmarks may change due to diseases, trauma and other factors, which will increase the difficulty of intubation and lead to adverse reactions and adverse events. In addition, during the clinical insertion of the gastric tube, if the patient does not cooperate properly or is in a coma, the gastric tube may be coiled in the throat. If the nurse may not detect it in time, the patient will feel extremely uncomfortable and at a loss, which greatly affects the patient's comfort experience. Summary of the invention

[0003] A series of simplified concepts are introduced in the Summary of the Invention, which will be further described in detail in the Detailed Description of the Invention. The Summary of the Invention does not mean to attempt to define the key features and essential technical features of the claimed technical solution, nor does it mean to attempt to determine the scope of protection of the claimed technical solution.

[0004] In order to solve the problem that in the absence of correct guidance and monitoring, the gastric tube may enter the trachea by mistake and then enter the lungs. For uncooperative patients, the tube may be coiled. When the tube is coiled (it will appear in the throat), an alarm will also sound. In particular, the anatomical structure of some patients may be different from that of normal people, or the normal anatomical landmarks may be changed due to factors such as disease and trauma, which will increase the difficulty of intubation. In the first aspect, the present invention proposes a gastric tube intubation auxiliary monitoring method, which includes:

[0005] Obtain pressure sensing information around the front end of the gastric tube;

[0006] After performing gastric tube intubation, when the pressure sensing information indicates that the pressure around the front end of the gastric tube is greater than the preset pressure for the first time, generating an intubation assistance prompt message;

[0007] The intubation assistance prompt message is played by voice, and the intubation assistance prompt message includes a prompt message instructing the patient to perform a swallowing action.

[0008] Optionally, also include:

[0009] After the intubation of the gastric tube is performed, when the pressure sensing information indicates that the pressure around the front end of the gastric tube is greater than the preset pressure for the first time, collecting image data through the front end of the gastric tube;

[0010] Analyzing the image data to determine the position and status of the airway entrance;

[0011] When it is determined through analysis that the front end of the gastric tube has reached the airway entrance and the airway entrance is not closed, generating an intubation assistance prompt message;

[0012] The intubation assistance prompt message is played by voice.

[0013] Optionally, the voice playing of the intubation assistance prompt message includes:

[0014] The intubation assistance prompt message is continuously played by voice until the image data indicates that the front end of the gastric tube moves in a direction away from the airway entrance position.

[0015] Optionally, also include:

[0016] confirming whether coiling occurs based on pressure sensing information around the front end of the gastric tube;

[0017] When the coil is confirmed to be sent, a coil alarm message is generated;

[0018] The coil alarm message is played by voice.

[0019] Optionally, also include:

[0020] When the intubation assistance prompt message is played by voice, the image data is analyzed to determine the airway entrance state, so as to confirm whether the patient has completed the swallowing action based on the airway entrance state.

[0021] Optionally, also include:

[0022] In the case of playing the intubation auxiliary prompt message by voice, obtaining a first length of the current gastric tube from the patient's incisor;

[0023] Predicting a second length position of the gastric tube corresponding to the current patient's pharynx based on the first length;

[0024] The pressure sensing information at the second length position of the gastric tube is monitored to confirm whether the patient has completed the swallowing action based on the pressure sensing information at the second length position.

[0025] Optionally, also include:

[0026] When it is confirmed that the patient has not completed the swallowing action, the temperature at the second length position of the gastric tube is reduced to stimulate the patient to complete the swallowing action.

[0027] In a second aspect, the present invention further provides a gastric tube intubation auxiliary monitoring device, comprising:

[0028] A pressure sensing unit, used to obtain pressure sensing information around the front end of the gastric tube;

[0029] An analysis unit, configured to generate an intubation assistance prompt message when the pressure sensing information indicates that the pressure around the front end of the gastric tube is greater than a preset pressure for the first time after the gastric tube intubation is performed;

[0030] The prompt unit is used to voice play the intubation assistance prompt message, wherein the intubation assistance prompt message includes a prompt message instructing the patient to perform a swallowing action.

[0031] In a third aspect, an electronic device comprises: a memory, a processor, and a computer program stored in the memory and executable on the processor, wherein the processor is used to implement the steps of the gastric tube intubation assisted monitoring method of any one of the first aspects described above when executing the computer program stored in the memory.

[0032] In a fourth aspect, the present invention further proposes a computer-readable storage medium having a computer program stored thereon, and when the computer program is executed by a processor, the gastric tube intubation-assisted monitoring method of any one of the above items in the first aspect is implemented.

[0033] In summary, the gastric tube intubation auxiliary monitoring method proposed in the present application obtains pressure sensing information around the front end of the gastric tube; after performing gastric tube intubation, when the pressure sensing information indicates that the pressure around the front end of the gastric tube is greater than the preset pressure for the first time, an intubation auxiliary prompt message is generated; the intubation auxiliary prompt message is played by voice, and the intubation auxiliary prompt message includes a prompt message instructing the patient to perform a swallowing action. Thus, through real-time pressure monitoring and voice prompts, the risk of the gastric tube accidentally entering the trachea can be effectively reduced, especially when passing through the first stenosis of the esophagus. The system can assist the intubation operation by identifying the pressure at the stenosis, so that the gastric tube can be inserted into the target position more accurately. Timely prompts and patient cooperation actions (such as swallowing) can reduce harm to the patient and improve the safety of the overall intubation process.

[0034] The gastric tube intubation-assisted monitoring method of the present invention, and other advantages, objectives and features of the present invention will be reflected in part through the following description, and in part will be understood by technicians in this field through research and practice of the present invention. BRIEF DESCRIPTION OF THE DRAWINGS

[0035] Various other advantages and benefits will become apparent to those of ordinary skill in the art by reading the detailed description of the preferred embodiments below. The accompanying drawings are only for the purpose of illustrating the preferred embodiments and are not to be considered as limiting the present specification. Also, the same reference symbols are used throughout the accompanying drawings to represent the same components. In the accompanying drawings:

[0036] Figure 1 A schematic diagram of a gastric tube intubation auxiliary monitoring method provided in an embodiment of the present application;

[0037] Figure 1a A schematic diagram of the physiological structure of the esophagus provided in the embodiment of the present application

[0038] Figure 2 A schematic diagram of the structure of a gastric tube intubation auxiliary monitoring device provided in an embodiment of the present application;

[0039] Figure 3 A schematic diagram of the structure of an electronic device for auxiliary monitoring of gastric tube intubation provided in an embodiment of the present application. DETAILED DESCRIPTION

[0040] The terms "first", "second", "third", "fourth", etc. (if any) in the specification and claims of the present application and the above-mentioned drawings are used to distinguish similar objects, and are not necessarily used to describe a specific order or sequence. It should be understood that the data used in this way can be interchangeable where appropriate, so that the embodiments described herein can be implemented in an order other than that illustrated or described herein. In addition, the terms "including" and "having" and any of their variations are intended to cover non-exclusive inclusions, for example, a process, method, system, product or device that includes a series of steps or units is not necessarily limited to those steps or units that are clearly listed, but may include other steps or units that are not clearly listed or inherent to these processes, methods, products or devices. The technical solutions in the embodiments of the present application will be clearly and completely described below in conjunction with the drawings in the embodiments of the present application. Obviously, the described embodiments are only part of the embodiments of the present application, rather than all of the embodiments.

[0041] In order to solve the problem that the gastric tube may enter the trachea and then the lungs by mistake without proper guidance and monitoring. In particular, the anatomical structure of some patients may be different from that of normal people, or the normal anatomical landmarks may be changed due to diseases, trauma and other factors, which will increase the difficulty of intubation. Please refer to Figure 1 , is a flow chart of a gastric tube intubation auxiliary monitoring method provided in an embodiment of the present application, which may specifically include: steps S110 to S130.

[0042] S110, obtaining pressure sensing information around the front end of the gastric tube.

[0043] Exemplarily, micro pressure sensors are arranged around the front end of the gastric tube to monitor the pressure changes in the gastric tube insertion path in real time. The physiological stenosis of the esophagus can cause significant changes in the circumferential pressure. These stenosis points include the junction of the pharynx and the esophagus (the first stenosis), the crossing of the left main bronchus (the second stenosis), and the diaphragmatic hiatus (the third stenosis). Focus on monitoring the first stenosis (about 15 cm from the central incisor), which is the junction of the pharynx and the esophagus and is easy to enter the trachea by mistake. Therefore, it is necessary to use real-time pressure data to determine whether the gastric tube has entered the esophagus instead of the trachea.

[0044] Exemplarily, the pressure sensor at the front end of the gastric tube can continuously collect surrounding pressure data and send the information to an external processing unit through a data transmission line or wirelessly. The processing unit analyzes the pressure sensor data to identify whether the preset pressure threshold has been reached, especially when it reaches a depth of about 15 cm (the first stenosis), and it is necessary to focus on whether it is the entrance to the esophagus. Through real-time monitoring, it is accurately judged whether the gastric tube has entered the esophagus correctly, especially when it is close to the first stenosis. If the pressure rises significantly and reaches the preset value, it means that the gastric tube has entered the esophagus correctly instead of entering the trachea by mistake. During the insertion process, the system can quickly feedback the pressure changes at the location of the gastric tube to reduce the risk of misinsertion.

[0045] S120, generating an intubation assistance prompt message when the pressure sensing information indicates that the pressure around the front end of the gastric tube is greater than a preset pressure for the first time after the gastric tube intubation is performed.

[0046] For example, when the pressure around the front end of the gastric tube exceeds the preset pressure value for the first time, the system recognizes that the gastric tube may have reached the expected stenosis area, especially the first stenosis. The system generates an intubation assistance prompt message to remind the nursing staff and the patient to pay attention to the current intubation status and perform necessary operations.

[0047] Exemplarily, the processing unit uses an algorithm to perform real-time analysis of sensor data, and automatically generates a prompt message when the pressure value exceeds the preset value for the first time (corresponding to the first esophageal stenosis). In particular, when the pressure sensor detects that the pressure has increased significantly and reaches near the critical value, the prompt message may specifically emphasize that "it may be located at the first esophageal stenosis, please remind the patient to swallow." The intubation auxiliary prompt message can accurately guide the intubation personnel to make operational adjustments at critical moments to avoid accidental intubation of the trachea or other non-target locations. Through system prompts, intubation personnel can react faster, reduce errors, and reduce the risk of complications caused by misinsertion.

[0048] S130, voice playing the intubation assistance prompt message, wherein the intubation assistance prompt message includes a prompt message instructing the patient to perform a swallowing action.

[0049] Exemplarily, after the intubation assistance prompt message is generated, the prompt message is played through the voice system to assist the smooth intubation operation. The voice prompt includes a prompt message instructing the patient to perform a swallowing action, which can help the gastric tube pass smoothly through the first esophageal stenosis and further enter the stomach.

[0050] Exemplarily, the voice playback module is connected to the processing unit, and when it is detected that the pressure at the front end of the gastric tube exceeds a preset threshold, a prompt message is played immediately. The prompt content may include: "You have reached the first esophageal stenosis, please pay attention to swallowing" to help the gastric tube pass through the narrow area smoothly. The voice prompt provides real-time guidance for the intubation personnel and reduces the operational burden of relying on visual observation. By instructing the patient to swallow, it can help the gastric tube pass through the physiological stenosis of the esophagus more easily and avoid resistance and misjudgment during the insertion process.

[0051] Exemplarily, for regular patients, during the insertion of the gastric tube, when the gastric tube reaches about 15 cm from the central incisor, the pressure sensor detects the pressure change of the first stenosis, and the voice prompts the patient to swallow. At this time, the gastric tube passes through the first stenosis smoothly to avoid entering the trachea by mistake. For patients with abnormal anatomical structure, the traditional blind insertion method is risky. Through this method, the system can identify whether the gastric tube has passed through the narrow area of ​​the esophagus correctly, and adjust the intubation direction in time to avoid entering other non-target channels by mistake. In critically ill patients with malnutrition or high nutritional risk, the gastric tube can be inserted in a timely and accurate manner, reducing the patient's discomfort and improving the patient's comfort. This auxiliary method can quickly determine the correctness of the intubation path through pressure monitoring and voice prompts, and avoid serious complications caused by misinsertion of the trachea.

[0052] In summary, the gastric tube intubation auxiliary monitoring method provided in the embodiment of the present application obtains pressure sensing information around the front end of the gastric tube; after performing gastric tube intubation, when the pressure sensing information indicates that the pressure around the front end of the gastric tube is greater than the preset pressure for the first time, an intubation auxiliary prompt message is generated; the intubation auxiliary prompt message is played by voice, and the intubation auxiliary prompt message includes a prompt message instructing the patient to perform a swallowing action. Thus, through real-time pressure monitoring and voice prompts, the risk of the gastric tube accidentally entering the trachea can be effectively reduced, especially when passing through the first stenosis of the esophagus. The system can assist the intubation operation by identifying the pressure at the stenosis, so that the gastric tube can be inserted into the target position more accurately. Prompting the patient to perform cooperative actions (such as swallowing) in a timely manner can reduce harm to the patient and improve the safety of the overall intubation process.

[0053] According to some embodiments, further comprising:

[0054] After the intubation of the gastric tube is performed, when the pressure sensing information indicates that the pressure around the front end of the gastric tube is greater than the preset pressure for the first time, collecting image data through the front end of the gastric tube;

[0055] Analyzing the image data to determine the position and status of the airway entrance;

[0056] When it is determined through analysis that the front end of the gastric tube has reached the airway entrance and the airway entrance is not closed, generating an intubation assistance prompt message;

[0057] The intubation assistance prompt message is played by voice.

[0058] Exemplarily, a micro pressure sensor is arranged around the front end of the gastric tube to judge the position of the gastric tube by sensing the pressure changes around it. In particular, when the gastric tube approaches the first physiological stenosis of the esophagus (the junction of the pharynx and the esophagus), the pressure rises significantly, which can be used as a basis for judgment. It can detect in real time whether the gastric tube enters the esophagus correctly, especially when passing through the first stenosis, accurately judge the position and reduce the risk of mis-insertion of the trachea. When the pressure around the front end of the gastric tube exceeds the preset value for the first time, the system believes that it may have reached the pharynx or the entrance of the esophagus. At this time, the camera device at the front end of the gastric tube collects image data to further confirm the position and surrounding structures of the gastric tube. The image data can provide more intuitive intubation path information, and combined with the pressure data, the position of the gastric tube can be double confirmed to avoid mis-insertion. The system analyzes the collected image data in real time to identify the position of the airway entrance and whether it is in a closed state. If the image shows that the front end of the gastric tube is close to or enters the airway entrance area, and the airway entrance is not closed (such as the glottis is open), the system will identify it as a high-risk intubation path. According to the image analysis results, if it is determined that the front end of the gastric tube reaches the airway entrance and the entrance is not closed (glottis open), the system automatically generates an intubation assistance prompt message. This prompt message is intended to remind the intubation personnel to pay attention to the current risks and take necessary measures (such as adjusting the intubation direction or depth). Generate risk prompts in real time to prevent serious consequences caused by misoperation (such as suffocation or aspiration pneumonia caused by mistaken insertion of the trachea). The system transmits the intubation assistance prompt message to the intubation operator in real time through the voice playback function, prompting the patient or operator to take corresponding actions. The voice prompt can include instructions to instruct the patient to perform swallowing movements to cooperate with the correct insertion of the gastric tube. Provide instant guidance for intubation operations through voice prompts, effectively reducing information misjudgment caused by visual interference or environmental noise. Improve the smoothness and safety of the intubation process, so that the intubation personnel can respond to the system's guidance in a timely manner. Therefore, combined with pressure sensing and image recognition technology, multiple path confirmation is provided to significantly reduce the risk of misinsertion. Real-time voice prompts and image feedback allow operators to make quick adjustments and reduce blindness during intubation. By accurately determining the location and status of the airway entrance, the serious risk of misinsertion into the trachea is avoided, thus improving the overall safety of intubation.

[0059] To further improve the safety of intubation and the guidance of operation, a continuous voice playback function can be added to the prompt message. This function can continuously play voice prompts when it is found that the front end of the gastric tube is close to the airway entrance and there is a risk of misinsertion until the front end of the gastric tube moves away from the airway entrance, thereby ensuring the correct adjustment of the intubation path.

[0060] In some examples, the voice playing of the intubation assistance prompt message includes:

[0061] The intubation assistance prompt message is continuously played by voice until the image data indicates that the front end of the gastric tube moves in a direction away from the airway entrance position.

[0062] Exemplarily, when it is detected that the front end of the gastric tube is close to the airway entrance and there is a risk of misinsertion, the system generates and continuously plays an intubation auxiliary prompt message. The voice playback will continue until the image data shows that the front end of the gastric tube moves toward a position away from the airway entrance. The processing unit generates a prompt message such as "Note: The gastric tube may enter the airway by mistake, please adjust the direction" and plays it through the voice system. The system continuously monitors the image data, and if the front end of the gastric tube is not far away from the airway entrance, the voice prompt continues to play. Continuous voice prompts can provide real-time risk warnings for intubation personnel, prompting operators to quickly adjust the direction of the gastric tube to avoid misinsertion. Improve the safety and intubation accuracy during the operation and ensure that the gastric tube passes through the correct path smoothly. The system continuously monitors the image data transmitted by the camera, and when it detects that the front end of the gastric tube is away from the airway entrance, the processing unit stops voice playback. Ensure that the intubation personnel clearly identify the correct path after adjusting the direction, and no continuous warning is required. Continuous voice prompts ensure that the intubation operator can adjust the intubation path in real time, significantly reducing the risk of misinsertion into the airway. Real-time analysis of image data and continuous feedback improve the consistency and accuracy of the operation. Through continuous prompts and clear feedback mechanisms, intubation errors caused by operator negligence or misjudgment are reduced.

[0063] In some examples, this also includes:

[0064] confirming whether coiling occurs based on pressure sensing information around the front end of the gastric tube;

[0065] When the coil is confirmed to be sent, a coil alarm message is generated;

[0066] The coil alarm message is played by voice.

[0067] Exemplarily, the pressure sensor installed on the front side of the gastric tube is used to monitor the pressure changes in the intubation path. By analyzing these pressure data, it can be determined whether the gastric tube is inserted normally or whether it encounters obstacles. Gastric tube coiling usually causes abnormal pressure sensor readings, such as large pressure fluctuations or abnormal high-pressure areas. Therefore, monitoring pressure sensing information can identify whether coiling has occurred. The system continuously analyzes the pressure sensing data on the front side of the gastric tube. If abnormal fluctuations or specific change patterns are found in the pressure value (such as abnormal increase in local pressure and not in line with the physiological stenosis position), it is determined that gastric tube coiling may have occurred. By comparing the pressure distribution pattern of the normal intubation path, it is detected whether there are abnormal signals related to the coil. Thus, through pressure sensing, image analysis and coil detection, a full range of intubation path monitoring and guidance is provided. Real-time alarm and continuous feedback mechanism enable intubation operators to respond quickly to abnormal situations during intubation and improve the success rate. Through continuous monitoring and instant alarm, various risks that may occur during intubation are reduced to ensure the safety and comfort of patients.

[0068] In some examples, this also includes:

[0069] When the intubation assistance prompt message is played by voice, the image data is analyzed to determine the airway entrance state, so as to confirm whether the patient has completed the swallowing action based on the airway entrance state.

[0070] For example, by analyzing the status of the airway entrance, the system can accurately determine whether the patient has swallowed, thus avoiding intubation failure caused by misjudgment. Combined with image analysis and voice prompts, the system dynamically monitors the intubation path to ensure that the gastric tube passes through the esophageal entrance correctly, reducing the risk of mis-insertion of the trachea. Real-time voice prompts and swallowing confirmation functions provide comprehensive guidance and feedback for intubation operations, improving the accuracy of the operation and the patient's cooperation.

[0071] In some examples, this also includes:

[0072] In the case of playing the intubation auxiliary prompt message by voice, obtaining a first length of the current gastric tube from the patient's incisor;

[0073] Predicting a second length position of the gastric tube corresponding to the current patient's pharynx based on the first length;

[0074] The pressure sensing information at the second length position of the gastric tube is monitored to confirm whether the patient has completed the swallowing action based on the pressure sensing information at the second length position.

[0075] Exemplarily, by measuring the current length of the front end of the gastric tube from the patient's incisor, the system can infer the specific position of the gastric tube in the patient's body, and based on this information, further path confirmation and operation guidance are performed. Using scale marks or electronic measurement technology, the length information (first length) of the gastric tube from the incisor is measured in real time. The system records the length for predicting the corresponding position of the gastric tube in the pharynx (second length). Thus, the progress of the gastric tube in the patient's body is accurately located, and the length data support of the intubation process is provided to ensure the accuracy of the intubation path. Through the first length information of the front end of the gastric tube, the system predicts the second length position of the gastric tube in the current patient's pharynx, thereby determining the pharyngeal position that needs to be monitored. Using standard anatomical data and the patient's individualized measurement data, the corresponding position of the gastric tube in the pharynx (second length), that is, the depth of the gastric tube in the pharynx, is calculated. The prediction results are used to guide subsequent pressure monitoring and swallowing confirmation. At the predicted second length position of the pharynx, the system focuses on monitoring the pressure sensing information at this position to confirm whether the patient has completed the swallowing action. Swallowing actions usually cause changes in pharyngeal pressure, such as glottic closure or a brief increase in pressure. The pressure sensor monitors the pressure data at the second length position in real time, and the system analyzes whether the data changes conform to the characteristics of swallowing action (such as a short pressure peak or a significant pressure drop). It determines whether swallowing is complete based on the pressure change pattern, and stops the voice prompt after confirmation. In this way, the patient is prompted to swallow in real time, and whether swallowing is complete is confirmed through monitoring to ensure that the gastric tube passes smoothly through the pharynx and enters the esophagus.

[0076] In some examples, this also includes:

[0077] When it is confirmed that the patient has not completed the swallowing action, the temperature at the second length position of the gastric tube is reduced to stimulate the patient to complete the swallowing action.

[0078] Exemplarily, if it is confirmed that the patient has not completed the swallowing action, the system can use temperature stimulation to reflexively promote the swallowing action by lowering the temperature of the gastric tube at the corresponding position of the pharynx. Use the temperature regulating device built into the gastric tube (such as a micro-cooling module or a cold water circulation system) to lower the temperature at the second length position of the gastric tube. Temperature stimulation triggers the swallowing reflex of the pharynx to help the patient complete the swallowing action. Therefore, by combining length measurement, pressure monitoring and temperature stimulation, the system can more accurately confirm the completion of the patient's swallowing action. The system provides a variety of feedback and stimulation methods to ensure the correctness of the intubation path and reduce the risk of misinsertion and intubation failure. The combination of real-time guidance and physical stimulation ensures that patients can better cooperate with the intubation operation and improve the overall success rate of the operation.

[0079] Exemplarily, the above method may also include determining the situation of the gastric tube in the throat through a sensor to avoid coiling. For example, the piriform recess in the hypopharynx is located between the two sides of the laryngeal opening and the inner surface of the thyroid cartilage. The deep recess formed by the depression of the mucosa is called the piriform recess, which is often a location where foreign bodies are easily entrapped. When inserting the gastric tube, if the front end of the gastric tube passes through the throat and the patient does not cooperate properly (such as failing to effectively complete the swallowing action), it is very easy to embed into the piriform recess of the pharynx. If a little force is applied, the front end of the gastric tube forms an angle and coils in the throat, and the pressure will increase if the gastric tube is inserted further. Then, the pressure sensor at the front end of the gastric tube can be used to determine whether the hypopharynx is coiled.

[0080] See also Figure 2 , an embodiment of the gastric tube intubation auxiliary monitoring device in the embodiment of the present application may include:

[0081] A pressure sensing unit 21, used to obtain pressure sensing information around the front end of the gastric tube;

[0082] An analysis unit 22 is configured to generate an intubation assistance prompt message when the pressure sensing information indicates that the pressure around the front end of the gastric tube is greater than a preset pressure for the first time after the gastric tube intubation is performed;

[0083] The prompt unit 23 is used to voice play the intubation assistance prompt message, and the intubation assistance prompt message includes a prompt message instructing the patient to perform a swallowing action.

[0084] In summary, the gastric tube intubation auxiliary monitoring device provided in the embodiment of the present application obtains pressure sensing information around the front end of the gastric tube; after performing gastric tube intubation, when the pressure sensing information indicates that the pressure around the front end of the gastric tube is greater than the preset pressure for the first time, an intubation auxiliary prompt message is generated; the intubation auxiliary prompt message is played by voice, and the intubation auxiliary prompt message includes a prompt message instructing the patient to perform a swallowing action. Thus, through real-time pressure monitoring and voice prompts, the risk of the gastric tube accidentally entering the trachea can be effectively reduced, especially when passing through the first stenosis of the esophagus. The system can assist the intubation operation by identifying the pressure at the stenosis, so that the gastric tube can be inserted into the target position more accurately. Timely prompts and patient cooperation actions (such as swallowing) can reduce harm to the patient and improve the safety of the overall intubation process.

[0085] like Figure 3 As shown, the embodiment of the present application further provides an electronic device 300, including a memory 310, a processor 320, and a computer program 311 stored in the memory 320 and executable on the processor. When the processor 320 executes the computer program 311, the steps of any one of the above-mentioned methods for gastric tube intubation-assisted monitoring are implemented:

[0086] Obtain pressure sensing information around the front end of the gastric tube;

[0087] After performing gastric tube intubation, when the pressure sensing information indicates that the pressure around the front end of the gastric tube is greater than the preset pressure for the first time, generating an intubation assistance prompt message;

[0088] The intubation assistance prompt message is played by voice, and the intubation assistance prompt message includes a prompt message instructing the patient to perform a swallowing action.

[0089] Optionally, also include:

[0090] After the intubation of the gastric tube is performed, when the pressure sensing information indicates that the pressure around the front end of the gastric tube is greater than the preset pressure for the first time, collecting image data through the front end of the gastric tube;

[0091] Analyzing the image data to determine the position and status of the airway entrance;

[0092] When it is determined through analysis that the front end of the gastric tube has reached the airway entrance and the airway entrance is not closed, generating an intubation assistance prompt message;

[0093] The intubation assistance prompt message is played by voice.

[0094] Optionally, the voice playing of the intubation assistance prompt message includes:

[0095] The intubation assistance prompt message is continuously played by voice until the image data indicates that the front end of the gastric tube moves in a direction away from the airway entrance position.

[0096] Optionally, also include:

[0097] confirming whether coiling occurs based on pressure sensing information around the front end of the gastric tube;

[0098] When the coil is confirmed to be sent, a coil alarm message is generated;

[0099] The coil alarm message is played by voice.

[0100] Optionally, also include:

[0101] When the intubation assistance prompt message is played by voice, the image data is analyzed to determine the airway entrance state, so as to confirm whether the patient has completed the swallowing action based on the airway entrance state.

[0102] Optionally, also include:

[0103] In the case of playing the intubation auxiliary prompt message by voice, obtaining a first length of the current gastric tube from the patient's incisor;

[0104] Predicting a second length position of the gastric tube corresponding to the current patient's pharynx based on the first length;

[0105] The pressure sensing information at the second length position of the gastric tube is monitored to confirm whether the patient has completed the swallowing action based on the pressure sensing information at the second length position.

[0106] Optionally, also include:

[0107] When it is confirmed that the patient has not completed the swallowing action, the temperature at the second length position of the gastric tube is reduced to stimulate the patient to complete the swallowing action.

[0108] Since the electronic device introduced in this embodiment is a device used to implement a gastric tube intubation auxiliary monitoring device in the embodiment of the present application, based on the method introduced in the embodiment of the present application, the technical personnel in this field can understand the specific implementation mode of the electronic device of this embodiment and its various variations. Therefore, how the electronic device implements the method in the embodiment of the present application is not introduced in detail here. As long as the equipment used by the technical personnel in this field to implement the method in the embodiment of the present application is within the scope of protection of this application.

[0109] In the specific implementation process, when the computer program 311 is executed by the processor, it can achieve Figure 1 Any implementation manner in the corresponding embodiment:

[0110] Obtain pressure sensing information around the front end of the gastric tube;

[0111] After performing gastric tube intubation, when the pressure sensing information indicates that the pressure around the front end of the gastric tube is greater than the preset pressure for the first time, generating an intubation assistance prompt message;

[0112] The intubation assistance prompt message is played by voice, and the intubation assistance prompt message includes a prompt message instructing the patient to perform a swallowing action.

[0113] Optionally, also include:

[0114] After the intubation of the gastric tube is performed, when the pressure sensing information indicates that the pressure around the front end of the gastric tube is greater than the preset pressure for the first time, collecting image data through the front end of the gastric tube;

[0115] Analyzing the image data to determine the position and status of the airway entrance;

[0116] When it is determined through analysis that the front end of the gastric tube has reached the airway entrance and the airway entrance is not closed, generating an intubation assistance prompt message;

[0117] The intubation assistance prompt message is played by voice.

[0118] Optionally, the voice playing of the intubation assistance prompt message includes:

[0119] The intubation assistance prompt message is continuously played by voice until the image data indicates that the front end of the gastric tube moves in a direction away from the airway entrance position.

[0120] Optionally, also include:

[0121] confirming whether coiling occurs based on pressure sensing information around the front end of the gastric tube;

[0122] When the coil is confirmed to be sent, a coil alarm message is generated;

[0123] The coil alarm message is played by voice.

[0124] Optionally, also include:

[0125] When the intubation assistance prompt message is played by voice, the image data is analyzed to determine the airway entrance state, so as to confirm whether the patient has completed the swallowing action based on the airway entrance state.

[0126] Optionally, also include:

[0127] In the case of playing the intubation auxiliary prompt message by voice, obtaining a first length of the current gastric tube from the patient's incisor;

[0128] Predicting a second length position of the gastric tube corresponding to the current patient's pharynx based on the first length;

[0129] The pressure sensing information at the second length position of the gastric tube is monitored to confirm whether the patient has completed the swallowing action based on the pressure sensing information at the second length position.

[0130] Optionally, also include:

[0131] When it is confirmed that the patient has not completed the swallowing action, the temperature at the second length position of the gastric tube is reduced to stimulate the patient to complete the swallowing action.

[0132] It should be noted that in the above embodiments, the description of each embodiment has its own emphasis, and for parts that are not described in detail in a certain embodiment, reference can be made to the relevant descriptions of other embodiments.

[0133] Those skilled in the art will appreciate that the embodiments of the present application may be provided as methods, systems, or computer program products. Therefore, the present application may adopt the form of a complete hardware embodiment, a complete software embodiment, or an embodiment in combination with software and hardware. Moreover, the present application may adopt the form of a computer program product implemented in one or more computer-usable storage media (including but not limited to disk storage, CD-ROM, optical storage, etc.) that include computer-usable program code.

[0134] The present application is described with reference to the flowcharts and / or block diagrams of the methods, devices (systems), and computer program products according to the embodiments of the present application. It should be understood that each process and / or box in the flowchart and / or block diagram, as well as the combination of the processes and / or boxes in the flowchart and / or block diagram, can be implemented by computer program instructions. These computer program instructions can be provided to a processor of a general-purpose computer, a special-purpose computer, an embedded computer, or other programmable data processing device to generate a machine, so that the instructions executed by the processor of the computer or other programmable data processing device generate instructions for implementing the processes in the flowchart and / or block diagram. Figure 1 A process or multiple processes and / or boxes Figure 1 A device that provides the functions specified in a block or multiple blocks.

[0135] These computer program instructions may also be stored in a computer-readable memory capable of directing a computer or other programmable data processing device to operate in a specific manner, so that the instructions stored in the computer-readable memory produce an article of manufacture comprising an instruction device, which implements the process Figure 1 A process or multiple processes and / or boxes Figure 1 A function specified in one or more boxes.

[0136] These computer program instructions can also be loaded onto a computer or other programmable data processing device so that a series of operating steps are executed on the computer or other programmable device to produce a computer-implemented process, thereby providing instructions for implementing the process. Figure 1 A process or multiple processes and / or boxes Figure 1 The steps for the functions specified in one or more boxes.

[0137] The present application also provides a computer program product, which includes computer software instructions. When the computer software instructions are executed on a processing device, the processing device is caused to execute the following Figure 1 The process of gastric tube intubation assisted monitoring in the corresponding embodiment.

[0138] The computer program product includes one or more computer instructions. When the computer program instructions are loaded and executed on the computer, the process or function according to the embodiment of the present application is generated in whole or in part. The computer can be a general-purpose computer, a special-purpose computer, a computer network, or other programmable devices. The computer instructions can be stored in a computer-readable storage medium, or transmitted from one computer-readable storage medium to another computer-readable storage medium. For example, the computer instructions can be transmitted from a website site, a computer, a server or a data center by wired (e.g., coaxial cable, optical fiber, digital subscriber line (digital subscriber line, DSL)) or wireless (e.g., infrared, wireless, microwave, etc.) mode to another website site, computer, server or data center. The computer-readable storage medium can be any available medium that a computer can store or a data storage device such as a server or a data center that includes one or more available media integration. The available medium can be a magnetic medium, (e.g., a floppy disk, a hard disk, a tape), an optical medium (e.g., a DVD), or a semiconductor medium (e.g., a solid state drive (SSD)), etc.

[0139] Those skilled in the art can clearly understand that, for the convenience and brevity of description, the specific working processes of the systems, devices and units described above can refer to the corresponding processes in the aforementioned method embodiments and will not be repeated here.

[0140] In the several embodiments provided in the present application, it should be understood that the disclosed systems, devices and methods can be implemented in other ways. For example, the device embodiments described above are only schematic. For example, the division of units is only a logical function division. There may be other division methods in actual implementation. For example, multiple units or components can be combined or integrated into another system, or some features can be ignored or not executed. Another point is that the mutual coupling or direct coupling or communication connection shown or discussed can be an indirect coupling or communication connection through some interfaces, devices or units, which can be electrical, mechanical or other forms.

[0141] The units described as separate components may or may not be physically separated, and the components shown as units may or may not be physical units, that is, they may be located in one place or distributed on multiple network units. Some or all of the units may be selected according to actual needs to achieve the purpose of the solution of this embodiment.

[0142] In addition, each functional unit in each embodiment of the present application may be integrated into one processing unit, or each unit may exist physically separately, or two or more units may be integrated into one unit. The above-mentioned integrated unit may be implemented in the form of hardware or in the form of software functional units.

[0143] If the integrated unit is implemented in the form of a software functional unit and sold or used as an independent product, it can be stored in a computer-readable storage medium. Based on this understanding, the technical solution of the present application is essentially or the part that contributes to the prior art or all or part of the technical solution can be embodied in the form of a software product, and the computer software product is stored in a storage medium, including a number of instructions to enable a computer device (which can be a personal computer, a server, or a network device, etc.) to perform all or part of the steps of the various embodiments of the present application. The aforementioned storage medium includes: U disk, mobile hard disk, read-only memory (Read-Only Memory, ROM), random access memory (Random Access Memory, RAM), disk or optical disk and other media that can store program codes.

[0144] The above embodiments are only used to illustrate the technical solutions of the present application, rather than to limit them. Although the present application has been described in detail with reference to the aforementioned embodiments, those skilled in the art should understand that they can still modify the technical solutions described in the aforementioned embodiments, or make equivalent replacements for some of the technical features therein. However, these modifications or replacements do not deviate the essence of the corresponding technical solutions from the spirit and scope of the technical solutions of the embodiments of the present application.

Claims

1. A gastric tube intubation auxiliary monitoring method, characterized in that: include: Obtain pressure sensing information around the front end of the gastric tube; After performing gastric tube intubation, when the pressure sensing information indicates that the pressure around the front end of the gastric tube is greater than the preset pressure for the first time, generating an intubation assistance prompt message; The intubation assistance prompt message is played by voice, and the intubation assistance prompt message includes a prompt message instructing the patient to perform a swallowing action.

2. The method according to claim 1, characterized in that Also includes: After the intubation of the gastric tube is performed, when the pressure sensing information indicates that the pressure around the front end of the gastric tube is greater than the preset pressure for the first time, collecting image data through the front end of the gastric tube; Analyzing the image data to determine the position and status of the airway entrance; When it is determined through analysis that the front end of the gastric tube has reached the airway entrance and the airway entrance is not closed, generating an intubation assistance prompt message; The intubation assistance prompt message is played by voice.

3. The method according to claim 2, characterized in that The voice playing of the intubation assistance prompt message includes: The intubation assistance prompt message is continuously played by voice until the image data indicates that the front end of the gastric tube moves in a direction away from the airway entrance position.

4. The method according to claim 1, characterized in that Also includes: confirming whether coiling occurs based on pressure sensing information around the front end of the gastric tube; When the coil is confirmed to be sent, a coil alarm message is generated; The coil alarm message is played by voice.

5. The method according to claim 2, characterized in that Also includes: When the intubation assistance prompt message is played by voice, the image data is analyzed to determine the airway entrance state, so as to confirm whether the patient has completed the swallowing action based on the airway entrance state.

6. The method according to claim 1, characterized in that Also includes: In the case of playing the intubation auxiliary prompt message by voice, obtaining a first length of the current gastric tube from the patient's incisor; Predicting a second length position of the gastric tube corresponding to the current patient's pharynx based on the first length; The pressure sensing information at the second length position of the gastric tube is monitored to confirm whether the patient has completed the swallowing action based on the pressure sensing information at the second length position.

7. The method according to claim 6, characterized in that Also includes: When it is confirmed that the patient has not completed the swallowing action, the temperature at the second length position of the gastric tube is reduced to stimulate the patient to complete the swallowing action.

8. A gastric tube intubation auxiliary monitoring device, characterized in that: include: A pressure sensing unit, used to obtain pressure sensing information around the front end of the gastric tube; An analysis unit, configured to generate an intubation assistance prompt message when the pressure sensing information indicates that the pressure around the front end of the gastric tube is greater than a preset pressure for the first time after the gastric tube intubation is performed; The prompt unit is used to voice play the intubation assistance prompt message, wherein the intubation assistance prompt message includes a prompt message instructing the patient to perform a swallowing action.

9. An electronic device, comprising: A memory, a processor, and a computer program stored in the memory and executable on the processor, wherein the processor is used to implement the steps of the gastric tube intubation-assisted monitoring method as described in any one of claims 1 to 7 when executing the computer program stored in the memory.

10. A computer-readable storage medium having a computer program stored thereon, characterized in that: When the computer program is executed by a processor, the gastric tube intubation-assisted monitoring method according to any one of claims 1 to 7 is implemented.