電動氣壓止血帶，肢體保護襯墊的選擇和使用
電動氣壓止血帶是采用數(shù)字化控制，通過高效氣壓泵充氣于止血帶，暫時阻斷肢體血液循環(huán)， 減少術(shù)中出血，提供無血手術(shù)視野。
止血帶直接接觸皮膚可能造成皮膚損傷，這時就需要保護襯墊。保護襯墊是放置于皮膚與止血帶之間，避免止血帶與皮膚直接接觸，通常為柔軟的棉 質(zhì)材料，防止皮膚損傷。
今天咱們主要研究一下保護襯墊的選擇和使用
先說說我們選擇襯墊的發(fā)展史吧。剛開始是用的是廢舊的布單，這個比較柔軟也是棉質(zhì)材料，沒有成本，但是它不是筒狀，沒有彈性，纏繞起來非常不方便。，對接處經(jīng)常分開或有褶皺。
后來改成用繃帶纏繞，這可是個技術(shù)活。我就練就了一身用繃帶纏繞肢體做保護襯墊的本優(yōu)先。在實際操作中還是不方便。
再后來，隨著新進的氣壓止血帶廠家贈送了一套專用的保護襯墊，符合所有對保護襯墊的想像。柔軟的棉 質(zhì)材料，有彈性，筒狀。一套成了寶貝。想讓廠家多送兩套而不可得。
后來無意中發(fā)現(xiàn)手術(shù)衣的袖口材料和廠家提供的專用保護墊相近。于是向供應(yīng)室了解手術(shù)衣袖口材料的來源。結(jié)果這種袖口材料價格也不貴。我們支優(yōu)先一些，截成30厘米左右的小段，作為止血帶保護襯墊使用。大號袖口周長50厘米的大腿可以輕松套入，綁好止血帶后反折袖口可以完全包裹止血帶。
比較近手術(shù)室護士交流群的老師提供了更優(yōu)的方案。石膏襪套，成捆的買價格便宜。一次性的，可以多剪一些，一次性使用，這樣止血帶就不存在交叉感染，也不要一用一清洗了!
The electric pneumatic tourniquet is digitally controlled and inflated to the tourniquet by a high-efficiency pneumatic pump, temporarily stopping the limb blood circulation, reducing intraoperative bleeding and providing a bloodless surgical field.
Tourniquet contact with the skin may cause skin damage and a protective liner may be needed. A protective liner is placed between the skin and tourniquet to prevent direct contact between the tourniquet and the skin. It is usually a soft cotton material to prevent skin damage.
Today we mainly study the choice and use of protective gaskets
Let's start with the history of our choice of padding. In the beginning, we used old cloth sheets, which are soft and made of cotton. It has no cost, but it is not cylindrical and has no elasticity, so it is very inconvenient to wind. , the joints are often separated or wrinkled.
And then they wound it with bandages, which was a very technical thing. I've developed a knack for wrapping bandages around my limbs as protective pads. In practice, it is still inconvenient.
Then, with the introduction of pneumatic tourniquets, manufacturers gave away a special protective liner that met all expectations of protective liners. Soft cotton material, elastic, cylindrical. One set became a treasure. Want the manufacturer to send two more sets but can not get.
Later, I accidentally found that the cuff material of the operating gown and the special protective pad provided by the manufacturer are similar. So I asked the supply room for the source of the material for the sleeves. The cuff material turned out to be inexpensive. We'll take some, cut it into 30-centimeter pieces, and use it as a tourniquet protective pad. A large cuff with a circumference of 50 cm can be easily fitted onto the thigh, and the cuff can be folded back to completely wrap the tourniquet after the tourniquet is tied.
A recent teacher from the operating room Nurse Exchange Group offered a better solution. Plaster leg warmers are cheap to buy in bundles. Disposable, you can cut more, use once, so that the tourniquet does not have cross infection, also do not use a clean!