Clinical application of pneumatic mechanical resuscitator Zhong Zhengjiang Qian Xiangkai Zhang Lixiang No. 81 Hospital Nanjing 2100021998 Our department introduced a Ding only 1 foot cardiopulmonary resuscitator, which is a pneumatic mechanical product of Linbphos Company of the United States, and carried out 48 cases of respiratory and circulatory failure. Cardiopulmonary resuscitation, the current clinical application report is as follows: 1 material and methodological data in the whole group of 48 cases, 30 males and 18 females, age 18,88 years old; cardiac sudden death, non-cardiac sudden death 10 cases, 4 cases of severe traumatic shock, chronic exhaustive disease caused respiratory failure heartbeat arrest including 21 cases of advanced terminal tumors, 2 cases of electric shock. The resuscitator was used for 2,180 minutes.
12 River, the cardiopulmonary resuscitation column to be composed of two parts is the base ventilation part, including the bottom plate, ventilator, gas circuit; is the arm pump part, there is a piston massage pad, the power is driven by the cylinder oxygen, no power supply. If there is no ventilator manual support ventilation, the open end of the gastrostomy tube can be connected and artificial respiration is performed.
1.3 Operation method, the components of the ruler are installed into a whole machine that can be applied at any time, and the fixed location of the emergency room is used; when the application is carried out, the whole machine is carried out, the right hand is attached to the base of the whole machine, and the left hand grasps the handle to rise. Insert the base vent into the back of the patient; turn the qi of the arm to the upper part of the patient's sternum, lower the arm to the top of the piston and the dome, mark the line, and tighten the arm lock; 0 see the number after the pump, just in the Arrow 1 side, measure the chest compression depth required by the patient, and verify that the control switch is fully rotated counterclockwise, open the heart press control switch, adjust the number to 60, 80 times! The resuscitator appears to be rhythmically attached to the tracheal intubation or mask and adjusted to the appropriate ventilation pressure.
2 Results of successful recovery in 33 cases, the success rate of recovery was 68.75.
3 experience 3.1 The use of the resuscitator can improve the standard of recovery, more standardized than manual resuscitation, in line with human hemodynamic requirements.
3.2 The resuscitator is highly mechanized and automated, does not fatigue the operator, and can be used continuously for a long time. One case in this group lasts for up to 180 minutes.
3.3 The resuscitator has a simple structure, easy operation, no power supply, and the regenerator can be driven by an oxygen source with a cylinder.
3.4 The resuscitator is more effective in re-jumping of the heart. According to clinical observations, if the cardiac arrest is not more than 5 minutes, the effect of resuscitation is better than manual method; if it exceeds 6 minutes, the survival rate of resuscitation is significantly reduced. .
The basic principles that should be mastered in the collection of instruments and reagents in the laboratory, He Jiakun, Wei Changchun, Ling Yueming, 180th Hospital, Quanzhou 362000, the construction of the examination section is very important, that is, the inspection equipment is as follows: 1 rationalize the update order. In recent years, the hospital leadership medical machinery committee attached importance With the support, we have introduced the automatic and biochemical analyzer automatic blood analyzer, the enzyme analyzer, the blood coagulation instrument and the higher-grade instruments such as the refrigerated centrifuge, which have produced good social benefits in a short period of time. Economic Benefits Among them, the 00177 automatic biochemical analyzer and the CULTEKNYX automatic blood analyzer have benefited from the year. It has changed the situation in which the department of the past worked hard and the gross income was between 30,000 and 400,000 yuan. The hospital has increased income, which has increased medical investment and solved the shortage of hospitalization funds for military personnel. On this basis, we will strive to acquire new equipment with medium-range benefits, and finally consider those instruments with slow cost recovery. Strive to upgrade the inspection equipment to the next level within 3 or 5 years.
2 Strengthening the pre-purchase inspection and inspection of medical technology equipment and reagent supply channels, various brands are uneven. It is necessary to understand the quality of the instruments and reagents before the purchase. Our experience is to first analyze and compare the functional price quality of similar instruments, so that we can choose the best. Although the right to negotiate is not in the department, as a device reagent, you should participate in quality as a master.
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