Application of self-developed rapid tracheotomy apparatus for acute tracheotomy
10.3760/cma.j.cn341190-20220411-00297
- VernacularTitle:自主研制的快速气管切开手术器械在急诊气管切开术中的应用
- Author:
Xiangyu WANG
1
;
Jihui LI
;
Yanxin JU
;
Zhen LIU
;
Jun MA
;
Mingchuan SUN
Author Information
1. 解放军联勤保障部队第九七〇医院威海医疗区麻醉科,威海 264200
- Keywords:
Tracheotomy;
Minimally invasive surgical procedures;
Surgical instruments;
Retractor;
Expansion forceps;
Artificial airway;
Operative time;
Postoperative com
- From:
Chinese Journal of Primary Medicine and Pharmacy
2023;30(7):1056-1060
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To investigate the application effects of self-developed rapid tracheotomy apparatus for acute tracheotomy.Methods:A total of 120 patients who underwent an acute tracheotomy in the Weihai Branch of The 970 Hospital of PLA Joint Logistics Support Force from January 2019 to December 2020 were included in this study. These patients were randomly divided into a rapid group and a conventional group, with 60 patients in each group. Patients in the rapid group underwent tracheotomy with a self-developed rapid tracheotomy apparatus. Patients in the conventional group underwent the standard steps of traditional tracheostomy. The operation time, incision length, amount of bleeding, and incidence of postoperative complications were compared between the two groups.Results:The operation time in the rapid group was significantly shorter than that in the conventional group [(4.5 ± 0.9) minutes vs. (19.3 ± 4.7) minutes, t = 23.86, P < 0.001]. The length of incision in the rapid group was significantly shorter than that in the conventional group [(2.8 ± 0.3) cm vs. (4.2 ± 1.3) cm, t = 8.68, P < 0.001]. The amount of bleeding during the surgery in the rapid group was significantly less than that in the conventional group [(4.4 ± 1.6) mL vs. (11.8 ± 4.1) mL, t = 12.99, P < 0.001]. The incidence of postoperative complications in the rapid group was significantly lower than that in the conventional group ( χ2 = 4.66, P = 0.031). Conclusion:The self-developed rapid tracheotomy apparatus for acute tracheotomy can be used to establish an artificial airway quickly and minimally invasively by simplifying the operational steps. It is remarkably innovative to increase safety with open-view operations and decrease the incidence of complications. It can be repeatedly sterilized and reused, which is worthy of clinical application and popularization.
