- 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
Quelles précautions de sécurité devez-vous connaître à propos des sondes endotrachéales ?
There are often respiratory, circulatory, and other problems after general anesthesia tube removal, which can be life-threatening in severe cases. Data has shown that the incidence of serious breathing abnormalities during or after tube removal is 4%-9%, and about 0.19% of cases require re-intubation. If the tube removal is "ideal" after surgery, the patient should have satisfactory ventilation, normal respiratory freedom, complete airway protective reflex, and normal lung function. However, in clinical practice, a small number of patients are unable to completely meet these conditions before tube removal, leading to various respiratory and circulatory function abnormalities.
Preparation before endotracheal tube removal
At the end of the surgery, anesthesia has generally stopped, and the patient has entered the recovery stage. If vital signs are stable, autonomous breathing has recovered satisfactorily, tidal volume is sufficient to meet the needs of the body, and consciousness is gradually clear, then tube removal preparation can begin.
Before endotracheal tube removal, the oral and tracheal secretions should be aspirated from the patient. When aspirating the trachea, a finer and more elastic aspirating tube should be used, and its diameter should not exceed half of the tracheal inner diameter. The suction time should not exceed 30 seconds at a time, to avoid lung atelectasis and suction hypoxia. Repeat this intermittently a few times until the site is clear. Positive pressure ventilation may be required before tube removal, especially for thoracic surgery, to allow the lungs to be adequately inflated.
Timing of endotracheal tube removal
The indicators for tube removal should be based on the patient's postoperative condition and the anesthesiologist's own experience. Generally, when the patient's blood pressure, heart rate, and breathing are stable, especially when breathing is adequate, consciousness is basically clear, and all reflexes have basically recovered to normal, and if muscle relaxants have been used, their effects should have completely disappeared. Non-depolarizing muscle relaxants should be appropriately reversed after their actions have disappeared, and then tube removal can be considered.
Issues to pay attention to during and after endotracheal tube removal
Before removing the endotracheal tube, a mask, laryngoscope, and endotracheal tube should be prepared in case re-intubation is necessary due to any unusual occurrences after tube removal.
Pure oxygen ventilation should be continued for 3-5 minutes or synchronous hand-controlled breathing bag-assisted breathing before removal, to ensure sufficient oxygen reserves.
The gas in the endotracheal tube cuff should be extracted to avoid missing the release of gas, which may cause compression on the vocal cords (the tension in the vocal cords has been restored after the anesthesia has ended), resulting in hoarseness, vocal cord paralysis, or epiglottic cartilage dislocation. The tracheal tube should be removed with its curvature to reduce stimulation to the glottis.
After tube removal, observe the patient's respiratory freedom and any abnormalities that may have occurred before removal. If there is a posterior tongue displacement or tracheal secretions, adjustment and suction should be provided to keep the upper respiratory tract unobstructed.
In the event of difficult breathing after endotracheal tube removal, the pharynx should be observed directly through a laryngoscope, and systemic treatments should be given accordingly.
For patients with difficult airways or for whom intubation before surgery was challenging, various rescue equipment should be prepared in advance, and re-intubation or other appropriate measures should be taken when necessary.
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