新型环甲膜穿刺切开术装置

New needle cricothyroidotomy setup.

作者信息

Gaufberg Slava V, Workman Tom P

机构信息

Department of Emergency Medicine, Cambridge Hospital, Massachusetts 02139, USA.

出版信息

Am J Emerg Med. 2004 Jan;22(1):37-9. doi: 10.1016/j.ajem.2003.09.002.

DOI:10.1016/j.ajem.2003.09.002

PMID:14724876

Abstract

We propose a simple and flexible connection setup for needle cricothyroidotomy. Needle cricothyroidotomy is a life-saving procedure. It is technically easy to perform, but it cannot provide adequate ventilation for a long period of time. The standard recommended ventilation equipment for needle cricothyroidotomy consists of a jet insuflator connected to a source of oxygen with 50 psi pressure. Such a setup is not always available in emergency situations. Alternative setups using ventilation with a bag-valve had been proposed. All of them are either too bulky or rigid, which increase the chance of cricothyroidotomy catheter dislodgment. Connection proposed by us is flexible, readily available, and easy to set up.

摘要

我们提出了一种用于环甲膜穿刺切开术的简单灵活的连接装置。环甲膜穿刺切开术是一种挽救生命的手术。该手术在技术上易于实施，但无法长时间提供充足的通气。环甲膜穿刺切开术的标准推荐通气设备包括连接到50磅力/平方英寸压力氧气源的喷射通气装置。这种装置在紧急情况下并非总能获得。有人提出了使用球囊面罩通气的替代装置。但所有这些装置要么过于笨重，要么过于 rigid（此处原文有误，结合语境推测可能是rigid，意为“僵硬的”），这增加了环甲膜穿刺切开术导管移位的几率。我们提出的连接装置灵活、随时可用且易于设置。