袖子的设计是否会影响气管切除管的插入和移除力? 一个板模型
Ulf Borg1, Emmet Bolger2, Sean Morris2
1Department of Medical Science, Respiratory Interventions, Medtronic, Boulder, CO 80301, USA.
Military medicine
|November 10, 2023
概括
希利灵活的气管管需要比传统类型更少的插入力,这可能会减少气管压缩和损伤在穿皮扩展性气管管术过程中.
科学领域:
- 医疗器械 医疗器械
- 手术手术手术手术手术手术手术手术手术手术
- 密集护理医学 密集护理医学
背景情况:
- 穿皮扩展性气管切除术 (PDT) 是一个常见的ICU手术.
- 气管狭窄可能是PDT期间未被识别的气管环骨折的结果.
- 在气管管道化过程中施加的力与压缩相关.
研究的目的:
- 为了比较两个气管切开管设计的插入和移除力.
- 为了评估袖子形状对气管切开管插入所需力的影响.
主要方法:
- 使用了一个模拟气管插入的长椅模型.
- 测量了传统的 (桶袖) 和灵活的 (形袖) Shiley气管切除管的插入和移除力.
- 每种管类型的三种尺寸都使用通用测试机进行了测试.
主要成果:
- 与传统类型相比,柔性Shiley气管管所需的插入力要少得多.
- 对于灵活的气管切除管,也观察到明显较小的移除力.
结论:
- 灵活的Shiley气管切除管,其形袖口,需要更少的力量插入.
- 减少插入力可能导致气管压缩减少和PDT期间潜在的损伤.
- 这表明灵活的气管切除管在最小化PDT相关的气管外伤方面具有潜在的好处.
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