




版权说明:本文档由用户提供并上传,收益归属内容提供方,若内容存在侵权,请进行举报或认领
文档简介
Nasalandsinusdressings鼻腔及鼻窦止血材料Forinternaluseonly.NotfordistributionintheUnitedStatesInternaltrainingmaterialDisclaimer免责声明4/8/20232Theinformationpresentedissolelyfortrainingpurposes.
Itisnotintendedfordistributiontocustomers,surgeons,oruserfacilities.
PromotionofArthroCareproductsistobeon-labelandconsistentwithapprovedindicationsandintendeduses.
Theinformationinthispresentationisconsideredproprietaryandisnottobecopiedordistributed.Someoftheinformationpresentedhereinissolelytheopinionofthepresenter,andisnotnecessarilysharedbyArthroCareCorporation.编辑pptOverview4/8/20233Anatomy解剖Pathology病理ArthroCareproducts产品ArthroCareprocedures手术Competition竞争编辑pptAnatomy解剖Forinternaluseonly.NotfordistributionintheUnitedStatesNasalandsinusdressingsAnatomy-noseimage:P/N30547BOpeningtoeachnostrilisthe
nares.鼻孔Theseptum
istheboneandcartilagestructurethatdividesthenoseintotwochambers.鼻中隔Lateralwalliscomprisedofthreeconchasorturbinates.Inferior,middle
andsuperiorturbinate.上、中、下鼻甲4/8/20235Nares编辑pptAnatomy–Kiesselbach’splexus克氏血管丛image:P/NEX003114/8/20236Kiesselbach’splexusisaregionintheantero-inferiorpartofthenasalseptum鼻中隔前下黎氏区克氏血管丛Mostanteriornosebleedsoriginatefromthisarea.前鼻腔的出血多发源于此编辑pptAnatomy–sinuses4/8/20237Sinusesarebony,air-filledspaceswithinthenasalcavity.Theethmoidalsinusisthecentralbonylabyrinththatallothersinusesdraininto.Theostiumisthenaturalopeningtoeachsinus.
窦口Accesstothesinusesismadethroughthespacelateraltothemiddleturbinate.image:编辑ppt蝶窦筛窦上颌窦额窦PathologyForinternaluseonly.NotfordistributionintheUnitedStatesNasalandsinusdressingsPathology4/8/20239Nasalandsinusdressingsareamongothersusedafter:止血材料用于Nasalsurgery鼻腔手术Sinussurgery鼻窦手术Epistaxis鼻衄主要靠“压迫”止血编辑pptNasalsurgery4/8/202310Septoplasty/rhinoplasty鼻中隔成形术/鼻成形术StraightentheseptuminordertoRestoreproperbreathing.气道修复Cosmeticpurposes.美容Inferiorormiddleturbinatereduction下/中鼻甲减容Forbetterairflow.Nasalpolypremoval鼻息肉切除Polypsareveryvascularandbleedingcanbedifficulttocontrol.编辑pptSinussurgery4/8/202311FESS–functionalendoscopicsinussurgery
功能性鼻窦内镜手术BlockageswithinthesinusanatomythatpreventproperdrainageProcedureattemptedtosurgicallyopenblockagestoallowproperdrainage.Polypsarecommonlyoriginatingfromsinuscavities.编辑pptEpistaxis鼻衄
4/8/202312AnteriorepistaxisAccountsfor90%ofallnosebleeds.Kiesselbach’splexuslocatedontheanteriorseptalmucosa.Usuallylessseriousforthepatient.通常出血不凶PosteriorepistaxisOriginatesviabranchesofthesphenopalatineartery.Oftenlifethreateningforthepatient.凶——甚至危及生命编辑pptArthroCare产品Forinternaluseonly.NotfordistributionintheUnitedStatesNasalandsinusdressingsArthroCareproductsKnittedCMC(nonylon–dissolvable)(非尼龙—可分解-非取出)Sinu-Knit™(invertedmultilayerofCMC)RR600StammbergerSinu-Foam™RR650KnittedCMCreinforcedwithnylon(removable)(尼龙—取出)Gel-Knit™RapidRhino™epistaxispacks4/8/202314编辑pptCMC(羧甲基纤维素钠)technologyCarboxymethylcellulose(CMC)isthebasisofallourRapidRhinoproducts.Verycommonmaterialusedinvariedapplicationssuchasfoodadditive,cosmetics,eyedrops,toothpaste,pharmaceuticals,…食品添加剂,药物,牙膏等Commonlyasapowder.Odorlessandflavorless无色无味Soluble可溶Advantages:优点Easyremoval易放入和取出Staysmoistforseveraldaysallowingeasy,pain-freeremoval.数天内保持湿润舒适度高Providesamoistbarrier湿性屏障防粘连Separatedanatomypreventingadhesionsfromforming.BleedcontrolControlsoozingandminorbleedings.减少渗血4/8/202315编辑pptCMC(羧甲基纤维素钠)characteristicsGel-likesurfaceallowsforeasyinsertionandremovalofdressings.胶状物易放入和取出Providesamoistbarrier.湿性屏障防粘连Conformstothenasalanatomy.解剖顺应性Dissolvable.可分解NeutralpH(lowpHcausesinflammation/burningsensation).中性pHHydrocolloid:asubstancethatturnstogelwithwater.遇水成胶CMCcancarryupto20timesitsownweightofwater.吸收承载20倍的水4/8/202316编辑pptSinu-KnitandStammbergerSinu-FoamDissolvingCMC.可分解Usedinoperatingroom(post-op).用于术后渗血Donotneedtoberemoved.Last7-10days.可放置7~10天4/8/202317StammbergerSinu-FoamRR650Sinu-KnitRR600编辑pptHowtouseStammbergerSinu-Foam?Drawsterilewateruptotheblackline(ca.8cc)ofthesmallsyringe.Screwandconnectthetwosyringestogether.4/8/202318编辑pptGel-KnitFoamwrappedinCMCwithnylon.带尼龙的CMCUsedinemergencyandoperatingroom.急诊室和手术室Needtoberemovedafter2-3days.2~3天后取出Availableindifferentsizes.不同大小4/8/202319Riemann3and4cmRR300andRR400Goodman5.5cmRR500Mannheim8.0cmRR800SinussurgerySeptoplasty/Rhinoplasty编辑pptEpistaxistamponades鼻衄的鼻腔填塞InflationballoonswrappedinCMCwithnylon
带尼龙的CMM包裹气囊.Usedinemergencyroom.常用在急症室Needtoberemovedafter2-3days.需2~3天后取出Availableindifferentmodelsandsizes.不同型号和大小4/8/202320InflationcatheterButterflyswallowguardInflationvalvePilotcuff7.5cmw/airway编辑pptRapidRhinoproductsforepistaxisRR450 4,5cmforpaediatric/smallanatomy.儿童RR550 5,5cmisthestandardanteriorsize.标准RR551 5,5cmwithairway带通气管RR750 7,5cmisusedforposteriorbleeds.
后鼻道出血RR752 7,5cm双气囊RR900 9,0cmforposteriorepistaxis.无证4/8/202321编辑pptRR的使用Forinternaluseonly.NotfordistributionintheUnitedStatesNasalandsinusdressingsHowtouseRapidRhinonasaltamponade?4/8/202323ButterflyswallowguardInflationvalvePilotcuffInflationcatheterBlueindicatorring编辑ppt使用录像11.Soak60secondsinsterilewater浸泡
无菌注射用水中浸泡60秒4/8/202324Removetheblueplasticsheath.SoaktheRapidRhinoinsterilewaterfor60secondstoconvertthehydrocolloidfabrictoaself-lubricatingsurface.DONOTusesalineorANYtopicalointmentsasmayinhibittheeffectivenessoftheCMCfabric.不能用生理盐水,会抑制CMC效应编辑pptHowtouseRapidRhinonasaltamponade?2.Insertion放入4/8/202325InserttheRapidRhinointothenasalcavityalongtheseptalfloorandparalleltothehardpalateuntiltheblueindicatorringiswellwithinthenares.沿鼻中隔面平行硬腭放入鼻腔编辑ppt3.Inflate充气4/8/202326Usinga20ccsyringe,inflatethedevicewithAIRonly.Monitorthepilotcufffordirecttactilefeedback.指示气囊触觉反馈Stopinflationwhenthepilotcuffbecomesroundedandfeelsfirmwhensqueezed.Similartothewaythepilotcufffeelswhenanendotrachealtubeisinflated.指压指示气囊鼓胀较硬时停止充气MaximumInflationVolumes不同型号最大充气量
4.5cm25cc5.5cm30cc7.5cm40cc编辑ppt4.Cuffconformstothepatientanatomy4/8/202327Asthecuffinflatesitconformstothepatient’suniqueanatomytherebyprovidingagentle,lowpressuretamponadethatdeliverstheCMCfabricdirectlytothebleedsite.指示气囊充盈,较低压力下降外层
CMC挤压入出血部位,贴合不同解
剖形状的鼻腔Theamountofairisdeterminedbythesizeofthenasalanatomy.据鼻腔大小差异调节充气量编辑pptHowtouseStammbergerSinu-Foam?Drawsterilewateruptotheblackline(ca.7~8cc)ofthesmallsyringe.7~8毫升无菌注射水溶解RR650Screwandconnectthetwosyringestogether.4/8/202328编辑ppt使用录像2CompetitionForinternaluseonly.NotfordistributionintheUnitedStatesNasalandsinusdressingsCompetition–topremovablenasaldressings4/8/202330Ribbongauzepacking凡士林砂条Merocel(Medtronic/Xomed)美敦力膨胀海绵Epistatballoon(Medtronic/Xomed)硅胶球囊编辑pptCompetition–ribbongauzepacking凡士林砂条填塞4/8/202331Patientispackedwithupto180cmofVaseline-coated1,25cmwideribbongauze.ENTdoctorswilllayeritfrombottomtotopinsidetheanteriornasalcavitytofillthenasalc
温馨提示
- 1. 本站所有资源如无特殊说明,都需要本地电脑安装OFFICE2007和PDF阅读器。图纸软件为CAD,CAXA,PROE,UG,SolidWorks等.压缩文件请下载最新的WinRAR软件解压。
- 2. 本站的文档不包含任何第三方提供的附件图纸等,如果需要附件,请联系上传者。文件的所有权益归上传用户所有。
- 3. 本站RAR压缩包中若带图纸,网页内容里面会有图纸预览,若没有图纸预览就没有图纸。
- 4. 未经权益所有人同意不得将文件中的内容挪作商业或盈利用途。
- 5. 人人文库网仅提供信息存储空间,仅对用户上传内容的表现方式做保护处理,对用户上传分享的文档内容本身不做任何修改或编辑,并不能对任何下载内容负责。
- 6. 下载文件中如有侵权或不适当内容,请与我们联系,我们立即纠正。
- 7. 本站不保证下载资源的准确性、安全性和完整性, 同时也不承担用户因使用这些下载资源对自己和他人造成任何形式的伤害或损失。
最新文档
- 调岗人员管理办法
- 递延收入管理办法
- 课程替代管理办法
- 运营阶段管理办法
- 铜陵车站管理办法
- 采集管理办法暂行
- 长寿水面管理办法
- 门市现金管理办法
- 许可管理办法修订
- 营销样品管理办法
- 2025年内蒙古交通投资(集团)有限责任公司所属天骄航空有限公司招聘笔试参考题库含答案解析
- 2025-2030特钢产业发展分析及政府战略规划实施研究报告
- 飞灰资源化处置项目可行性研究报告-持续完善碳市场建设,补全飞灰处理
- T/CCAA 39-2022碳管理体系要求
- HIV核酸检测技术课件
- 2025人工智能笔试题及答案
- 草场协议书范本
- 电子版简单个人劳务合同5篇
- 《益生元与益生菌》课件
- 2025年上半年山东菏泽市巨野县事业单位招聘征集普通高等院校本科毕业生入伍15人重点基础提升(共500题)附带答案详解
- 零售行业半年工作总结
评论
0/150
提交评论