
성인간호학 실습3 체크리스트(I-Gel Supraglotticairway,bite Block, suction catheter)
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성인간호학 실습3 체크리스트(I-Gel Supraglotticairway,bite Block, suction catheter)
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2024.10.26
문서 내 토픽
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1. I-Gel SupraglotticairwayI-Gel Supraglotticairway는 기도 확보를 목적으로 구강을 통해 삽입되는 호흡 보조 기구입니다. 응급 상황에서 후두경을 사용하지 않고 빠르고 안전하게 기도를 유지하기 위해 사용됩니다. 팽창식 커프가 없어 성문 위 기도 삽입이 용이하고 압박 위험이 최소화되며 빠른 삽입이 가능합니다. 후두개의 하강을 방지하는 구조로 이루어져 기도 유지에 용이합니다. 열에 의해 부드러워지는 열 가소성 플라스틱 재질로 만들어져 있으며 위장관 튜브 삽입 또는 흡인이 가능한 통로가 있습니다.
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2. Bite BlockBite Block은 기관 튜브를 유지하는 동안 환자가 튜브를 깨물지 않도록 상하 치열 사이에 삽입하는 기구입니다. 중앙에 구멍이 뚫려 있어 구강 내 흡인이나 위관 삽입을 가능하게 하며, 혀 등을 들어 올려 기도를 개통시키기 위해 사용됩니다. 마취과, 수술실, 중환자실 등에서 주로 사용되며 일회용으로 재멸균하여 사용하면 안됩니다.
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3. Suction CatheterSuction Catheter는 대상자가 인공 기도를 삽입한 후 스스로 분비물을 제거할 수 없을 때 흡인 장치를 이용하여 분비물을 흡인하는 데 사용됩니다. 0~200mmHg의 압력 범위에서 일반적인 흡인을 위해 사용하며, 인공 기도 내부에 분비물이 있거나 위액이나 상기도 분비물 흡인이 의심될 때, 기관이나 주기관지에서 비정상 폐음이 청진될 때, 호흡 횟수가 증가하거나 지속적인 기침을 할 때, SpO2가 갑자기 점차 감소할 때, 기침을 스스로 할 수 없는 대상자에게 사용됩니다. PVC 소재와 Latex 소재의 제품이 있으며, 성인은 12~14Fr, 아동은 8~10Fr, 영아는 6~8Fr 크기를 사용합니다.
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1. I-Gel SupraglotticairwayThe I-Gel supraglottic airway is a relatively new and innovative device that has gained significant attention in the medical field. It is a single-use, non-inflatable supraglottic airway device that provides a reliable and effective means of securing the airway during various medical procedures. One of the key advantages of the I-Gel is its unique design, which allows for a more anatomically correct fit, reducing the risk of trauma and discomfort for the patient. Additionally, the I-Gel's ability to maintain a seal around the laryngeal inlet without the need for cuff inflation makes it a particularly attractive option in situations where rapid airway management is required, such as in emergency situations or during anesthesia induction. Furthermore, the I-Gel's ease of insertion and its ability to accommodate a wide range of patient sizes and anatomies make it a versatile tool in the hands of healthcare professionals. Overall, the I-Gel supraglottic airway represents a significant advancement in airway management technology, offering improved patient comfort, safety, and ease of use for healthcare providers.
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2. Bite BlockThe bite block is a simple yet essential medical device used to prevent patients from biting down on endotracheal tubes, nasogastric tubes, or other instruments during medical procedures. Its primary function is to maintain an open airway and protect the inserted tubes from being damaged or occluded by the patient's teeth. Bite blocks come in various shapes and sizes, allowing healthcare providers to select the most appropriate option for the patient's specific needs. They are commonly used during general anesthesia, sedation, or when a patient is unconscious or unable to control their biting reflex. The use of a bite block is crucial in ensuring the safe and effective delivery of medical care, as it helps to prevent complications such as tube dislocation, airway obstruction, or even permanent damage to the patient's teeth. Overall, the bite block is a simple but indispensable tool in the arsenal of healthcare professionals, playing a vital role in maintaining patient safety and the integrity of medical interventions.
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3. Suction CatheterThe suction catheter is a versatile and essential medical device used in a wide range of healthcare settings, from hospitals to emergency medical services. Its primary function is to remove secretions, mucus, or other fluids from the patient's airway, allowing for improved breathing and preventing respiratory complications. Suction catheters come in various sizes and designs, catering to the specific needs of different patient populations, from neonates to adults. The use of a suction catheter is particularly crucial in situations where the patient is unable to clear their own airway, such as during intubation, mechanical ventilation, or in the case of respiratory distress. By effectively removing obstructive secretions, the suction catheter helps to maintain a patent airway, improve oxygenation, and facilitate the delivery of other medical interventions. Additionally, the suction catheter can be used to clear the airway during emergency situations, such as choking or respiratory arrest, making it an indispensable tool for healthcare providers. Overall, the suction catheter is a vital component of modern medical care, playing a crucial role in maintaining patient safety and promoting positive health outcomes.