Nasal Rae Tracheal Tube

Nasal Rae Tracheal Tube yog hais txog ib hom kab mob endotracheal uas txuas ob qhov ntswg thiab oropharyngeal txoj hauv kev rau intubation. Nws muaj npe tom qab nws tsim, uas suav nrog ib qho ntawm qhov ntswg (Nasal), ib qho ntawm qhov ncauj (Rae), thiab lub qhov ntswg qhov ntswg.

1) Airway Security: Lub Nasal Rae Tracheal Tube muab txoj hauv kev ruaj ntseg rau cov neeg mob los ntawm kev tso lub raj los ntawm ob lub qhov ntswg (qhov ntswg txoj kev) thiab qhov ncauj kab noj hniav (oropharyngeal txoj kev). Txoj kev nkag ob txoj kev no txhim kho kev ruaj ntseg thiab txo qhov kev pheej hmoo ntawm kev raug mob extubation lossis dislodgement.

2) Txo cov ntsiab lus siab: Los ntawm kev faib siab thoob plaws ob txoj hauv kev (qhov ntswg thiab qhov ncauj), Nasal Rae Tracheal Tube pab txo qis qhov tshwm sim ntawm cov ntsiab lus siab thiab cov teeb meem cuam tshuam, xws li necrosis lossis cov ntaub so ntswg puas.

3) Lwm txoj hauv Kev Nyuaj Siab: Nasotracheal intubation nrog Nasal Rae Tracheal Tube tuaj yeem yog lwm txoj hauv kev thaum ntsib nrog cov xwm txheej nyuaj, xws li qee qhov kev raug mob maxillofacial, qhov ncauj hnyav lossis oropharyngeal pathologies, lossis kev txwv ntawm qhov ncauj nkag.

4) Txoj Kev Yooj Yim Yooj Yim: Kev suav nrog ntawm qhov ncauj (Rae) hauv qhov tsim lub raj no pab coj cov lus qhia ntawm lub suab yav dhau los rau hauv txoj hlab pas. Qhov nkhaus ntawm qhov ncauj pab tswj kev sib raug zoo thaum nce lub raj.

5) Kev saib xyuas thiab nqus: Zoo ib yam li lwm cov hlab ntsha endotracheal, Nasal Rae Tracheal Tube tso cai rau kev soj ntsuam tas li ntawm cov cim tseem ceeb, capnography, thiab lub ntsws auscultation. Tsis tas li ntawd, nws yooj yim nkag tau yooj yim rau suctioning secretions los ntawm oropharynx thiab trachea thaum xav tau.
 

Dab tsi yuav tsum tau pom thaum siv Nasal Tracheal Tube?

Pharmacological Considerations: Nasal intubation tuaj yeem tsis xis nyob rau cov neeg mob. Yog li, kev txiav txim siab siv tshuaj loog hauv zos lossis vasoconstrictors (xws li lidocaine nrog epinephrine) txau rau hauv qhov ntswg tuaj yeem pab txo qis qhov tsis xis nyob, mucosal o, thiab los ntshav.

Tube Insertion Technique: Maj mam ntxig lub qhov ntswg tracheal raj los ntawm ib lub qhov ntswg thaum nws nce mus rau hauv pem teb ntawm lub nasopharynx mus rau lub laryngeal qhib. Kev siv lub zog sib tw lossis tig lub raj thaum koj ua ntej yuav pab tau. Paub meej qhov chaw los ntawm kev soj ntsuam ob sab hauv siab excursion thiab auscultating ntsws suab.

Kev Ruaj Ntseg Lub Tube: Tom qab ua tiav intubation, ruaj ntseg lub qhov ntswg tracheal raj siv cov txheej txheem kho kom tsim nyog, xws li daim kab xev lossis cov khoom siv nplaum tshwj xeeb. Tshawb xyuas qhov chaw tso lub raj kom txaus thiab cuff inflation kom ntseeg tau tias qhov cua zoo thiab txo cov teeb meem xws li tube dislodgement lossis aspiration.

Kev Saib Xyuas thiab Cov Ntaub Ntawv: Ua tib zoo saib xyuas tus neeg mob cov pa oxygen saturation, qhov kawg-tidal carbon dioxide qib (siv capnography), cov cim tseem ceeb, thiab cov cim qhia ntawm lub raj tsis ua haujlwm, hloov chaw, lossis ua pa nyuaj. Document qhov tshwj xeeb ntawm qhov ntswg intubation nyob rau hauv tus neeg mob cov ntaub ntawv kho mob.

Cim npe nrov: Qhov ntswg rae tracheal raj, Tuam Tshoj nasal rae tracheal raj manufacturers, lwm tus neeg, Hoobkas