Saadatmand Vahid, Khaledi Sardashti Hassan, Peyravi Mahmoud Reza, Amirsalari Mohammad Hasan
PhD Candidate, Department of Health in Emergencies and Disasters. Shiraz University of Medical Sciences, Shiraz, Iran.
MD, PhD, Department of Health in Emergencies and Disasters, School of Management and Medical Informatics, Shiraz University of Medical Sciences, Shiraz, Iran.
J Biomed Phys Eng. 2021 Dec 1;11(6):757-760. doi: 10.31661/jbpe.v0i0.2012-1247. eCollection 2021 Dec.
Tracheostomy is one of the most important airway management procedures in patients with respiratory problems. This procedure might be the only option for patients with airway and respiratory problems, who are not able to have an appropriate ventilation and oxygenation. For this purpose, tracheostomy tubes are used with different applications. One of these types of tubes is the cuffed tracheostomy tube, used for fixation, positive pressure ventilation and aspiration prevention. Nevertheless, there are two common problems with using these regular tracheostomy tubes. First, these tracheostomy tubes do not have a unique cuff pressure monitoring system. Although there are portable monitoring devices for such purpose in intensive care units (ICU), they are shared among several patients, increasing the risk of infection transmission. Second, due to the presence of the patient's thick secretions, the tracheostomy tube becomes obstructed and inefficient. The pathway does not get open even through suction and thus the tracheostomy tube must be replaced. In order to resolve these problems, the inner lumen tracheostomy tube capable of continuous monitoring of cuff pressure has been invented with two techniques, which set it apart from other related tools. The invented optimized tracheostomy tube has been developed with different techniques through creating a disposable monometer system attached to it as well as a removable inner lumen embedded in it.
气管切开术是呼吸问题患者最重要的气道管理程序之一。对于气道和呼吸问题患者,如果无法进行适当的通气和氧合,此程序可能是唯一的选择。为此,气管切开导管有不同的用途。其中一种类型的导管是带套囊的气管切开导管,用于固定、正压通气和防止误吸。然而,使用这些常规气管切开导管存在两个常见问题。首先,这些气管切开导管没有独特的套囊压力监测系统。尽管重症监护病房(ICU)有用于此目的的便携式监测设备,但它们在多个患者之间共享,增加了感染传播的风险。其次,由于患者浓稠分泌物的存在,气管切开导管会堵塞且效率低下。即使通过抽吸,通道也无法打开,因此必须更换气管切开导管。为了解决这些问题,已发明了能够连续监测套囊压力的内腔气管切开导管,它通过两种技术与其他相关工具区分开来。通过创建附在其上的一次性压力计系统以及嵌入其中的可移除内腔,已采用不同技术开发了这种经过优化的气管切开导管。