- Sécurité de la nutrition entérale
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Respirant
- Tube à oxygène nasal
- Masque à oxygène
- Masque de diagramme de capacité
- Masque non respiratoire
- Couverture intérieure de wenqiu
- Masque Multi - ventilation
- Masque d'atomiseur
- Plaque de port avec atomiseur
- Masque de trachéostomie
- Kit de soufflage et de filtration ABC
- Exercice respiratoire volumétrique
- Respirateur d'excitation
- Exercice respiratoire
- Contrôle du mucus de la soupape de vide
- Cathéter d'aspiration
- Clamp d'échantillon de mucus
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Conduit d'aspiration fermé
- Cathéter d'aspiration fermé à double rotation de type B 24 heures sur 24
- 24 heures B Trach t Seal aspiration Duct
- 24 heures PEDI y connecteur conduit d'aspiration fermé
- Tube d'aspiration à double rotation fermé de type 72H K
- 72H K Trach t - seal Suction Duct
- Disposable closed suction catheter - 翻译中...
- Extracteur de mucus
- Extracteur de mucus avec gaine de protection
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Gestion des voies respiratoires
- Voies respiratoires oropharyngées
- Voies respiratoires nasopharyngées
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Voies respiratoires du masque laryngé
- Masque laryngé en PVC standard
- Amélioration des voies respiratoires du masque laryngé en PVC
- Voies respiratoires en PVC de 90 degrés
- Masque laryngé en silicone standard
- Masque laryngé en silicone renforcé
- Voies respiratoires réutilisables
- Voies respiratoires réutilisables avec masque laryngé renforcé
- Intubation trachéale
- Trachéostomie
- Aiguille d’intubation
- Intubateur trachéal
- Anesthésie
- Laparoscopie
- Chirurgie cardiothoracique
- Procédures de soins endoscopiques et accessoires
- Gynécologie
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Chirurgie d'attraction
- Flexi Clear yankauer Handle
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Poignée yankel
- Yankauer plat
- Bride yankauer
- Pointe conique yankauer
- On / off yankauer with flat end
- On / off yankauer With Conical Tip
- Bulbe APEX yankel
- Pointe de la Couronne
- Pince élastique
- Tige d'aspiration rigide
- Poignée d'aspiration de Poole visible aux rayons X
- Yankauer à deux pièces
- Bec de canard
- Poole Suction Handle - 翻译中...
- Sonde d'aspiration
- Aspirateur orthopédique
- Tube d'aspiration ORL
- Tank yankel
- Yankauer orthopédique
- Extrémité chirurgicale de l'aspirateur
- Paille Fraser
- Paille jetable
- Tuyau d'aspiration
- Revêtement souple du réservoir d'aspiration
- Bidon d'aspiration avec kit de filtre
- Réservoir d'aspiration rigide
- Réservoir extérieur réutilisable
- Ligateur d'hémorroïdes
- Connecteur
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Urologie
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Lave - vessie
- Lave - vessie m - Easy
- Lave - vessie B - cylindre
- Lave - vessie
- Lave - vessie S - Uni
- Rinçage urinaire de la vessie
- Lave - vessie plemi
- J pompe de lavage de la vessie
- J - Tur Bladder Washer
- Rinçage de la vessie par pompe H
- Lave - vessie à débit sup
- Maple Irrigation Set - 翻译中...
- Peony Irrigation Set - 翻译中...
- Rinçage arthroscopique
- Sac de drainage urinaire
- Sac de drainage urinaire
- Appareils de bain
- Sac lavement
- Cliquez sur sceller le contenant de l'échantillon
- Sac de drainage par aspiration / sac de drainage urologique
- Cathéter nellaton
- Conduits et raccords de douilles
- Cathéter mâle en silicium
- Ensemble d'irrigation en bois de santal
- Ensemble d'irrigation Freesia
- Ensemble d'irrigation jonquille
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Lave - vessie
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Chirurgie générale
- Doublure / rideau de bassin
- Tube de puisard gastrique
- Dispositif d’administration du sang
- Capsule d’héparine
- Capuchon de protection
- Applicateur
- Manchon de mélange
- Dispositif de décantation
- Tee plug
- Couvercle de la poignée lumineuse
- Adaptateur métallique pour couvercle de poignée de lampe
- Seringue de rinçage à billes
- Seringue auriculaire / ulcère
- Couverture de l'objectif
- Rideau magnétique
- Fixateur chirurgical à main
- Distributeur de sacs de vomissement
- Sac de vomissement
- Brosses médicales
- Barre d'éponge
- Dispositif d'atomisation muqueuse
- Rinçage dentaire
- Compteur d’aiguilles
- Capuchon de rinçage
- Pince nasale
- Tube d'étalonnage jetable
- Seringue d'irrigation Toomey
- Seringue d'irrigation dentaire
- Seringue d'irrigation à bulbe de 100 ml
- Marqueur scléral
- Matériel médical durable
- Équipement de protection individuelle
- Produits et accessoires laparoscopiques
- Produits COVID-19
- Dispositif médical SANS PVC
À travers la voie nasale pour tube d'intubation nasale
Within the nasal cannula, tracheal intubation can be done through the two main passages in the nostrils. The lower pathway is located at the bottom of the inferior nasal concha. The upper pathway is located above the inferior nasal concha and below the middle nasal concha. The lower pathway may be considered a safer route as it is away from the middle nasal concha and ethmoid bone.
92 ASA I and II adult patients undergoing elective maxillofacial surgery requiring nasal intubation tube as a part of anesthesia management were recruited. Exclusion criteria included morbid obesity, nasal trauma, history of surgery or obstruction, gastroesophageal reflux, bleeding diathesis, and anticipated difficulty in tracheal intubation. All patients were asked if they had any difficulty in nasal breathing and only asymptomatic patients able to breathe comfortably through both nostrils were invited to participate in the study.
Nasal cannula endoscopy examination
The endoscopy examination and intubation were randomly assigned among three investigators. Each nostril was inspected in sequence, with a fiber-optic laryngoscope (diameter, 4 mm) connected to a camera system and video recorder. A videotape of the endoscopic examination was made for review. Guidelines for making and using patient visual and audio recordings as specified by the Institutional Review Board were followed. Following nasal inspection, the lower pathway below the inferior nasal concha, upper pathway above the inferior nasal concha and below the middle nasal concha were systematically inspected in both nostrils using the fiberoptic scope. Any presence of nasal internal anomalies was recorded, and the most patent nostril was selected for intubation. If the nostrils were considered equally patent, random selection was made.
Nasal intubation tube laryngoscopy examination
Standardized traditional nasal intubation tube placement was then performed using a laryngoscope. A 7-mm tube was used for male patients and a 6-mm tube for female patients. The pre-formed tubes were warmed and softened by immersion in sterile 0.9% saline maintained at 37℃. All tubes were lubricated with sterile, water-soluble gel and inserted with the aid of forceps, as necessary. All tubes were directed in a standard manner, with the concave aspect of the tube downward, the tip of the tube to the right and the slanted portion to the left. The selected tube was introduced into the selected nostril, with the near end of the tube pulled toward the head side and the tip guided along the nasal floor in an attempt to advance it along the lower pathway. If inappropriate resistance was encountered, the tube was slightly re-directed at the end of the nasal cavity. If resistance persisted, the tube was turned slightly toward the head side in an attempt to intubate through the path offering the least resistance, and the number of attempts required was recorded. The resistance offered by the passage to the tube was characterized as mild or moderate resistance.
If a clear path was not found, an attempt was made to intubate the other nostril in the same manner. Ventilation was re-established with oxygen, air, and isoflurane, and an independent anesthetist who did not witness the intubation examined the pharynx with a laryngoscope and recorded any nasal bleeding. Blood staining, pooling, clotting, or dripping into the oral pharynx was deemed evidence of nasal bleeding. The path of the tube was identified and recorded by passing the fiberoptic scope through the tube from above and below, a distance of 2-3 cm into the nostril. A videotape of the endoscopy following tube placement was made for review.
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