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Beatmung & Intubation
Medical supplies

Ventilation & Intubation

Choose from a wide range of high-quality products on the subject of Ventilation and intubation from renowned manufacturers such as Dräger, HUMMcGrath or Rüsch / Teleflex.

  • AERObag® PVC Resuscitation Bag Sets

    Original price 22,07 € - Original price 32,06 €
    Original price
    from 22,07 € incl. VAT
    22,07 € - 32,06 €
    Current price 22,07 € (28,02 €/St) (25,80 €/St) (28,02 €/St) (23,97 €/St) (22,07 €/St) (22,07 €/St) (22,07 €/St) (22,78 €/St) (29,53 €/St) (28,02 €/St) (26,16 €/St) (25,80 €/St) (24,58 €/St) (22,07 €/St) (32,06 €/St) (23,97 €/St) (23,97 €/St) (29,53 €/St) incl. VAT
    HUM

    Resuscitation bag sets choice of adults (1500 ml), children (450 ml) or babies (280 ml) Scope of delivery: resuscitation bag & up to 3 resuscit...

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    Ready to ship: 1-2 working days
    Original price 22,07 € - Original price 32,06 €
    Original price
    from 22,07 € incl. VAT
    22,07 € - 32,06 €
    Current price 22,07 € (28,02 €/St) (25,80 €/St) (28,02 €/St) (23,97 €/St) (22,07 €/St) (22,07 €/St) (22,07 €/St) (22,78 €/St) (29,53 €/St) (28,02 €/St) (26,16 €/St) (25,80 €/St) (24,58 €/St) (22,07 €/St) (32,06 €/St) (23,97 €/St) (23,97 €/St) (29,53 €/St) incl. VAT
  • AERObag® respiratory masks PVC

    Original price 2,92 € - Original price 3,15 €
    Original price
    from 2,92 € incl. VAT
    2,92 € - 3,15 €
    Current price 2,92 € (3,15 €/St) (3,15 €/St) (3,15 €/St) (2,92 €/St) (2,92 €/St) (2,92 €/St) incl. VAT
    HUM

    PVC respiratory masks Single use with valve Sizes 0 - 5 PVC clear body and inflatable air bead color coding of the sizes

    Ready to ship: 1-2 working days
    Original price 2,92 € - Original price 3,15 €
    Original price
    from 2,92 € incl. VAT
    2,92 € - 3,15 €
    Current price 2,92 € (3,15 €/St) (3,15 €/St) (3,15 €/St) (2,92 €/St) (2,92 €/St) (2,92 €/St) incl. VAT
  • McGRATH® MAC spatula for single use

    Original price 53,19 € - Original price 635,26 €
    Original price
    from 53,19 € incl. VAT
    53,19 € - 635,26 €
    Current price 53,19 € (10,01 €/St) (10,64 €/St) (10,01 €/St) (10,64 €/St) (10,01 €/St) (10,64 €/St) (12,71 €/St) (12,31 €/St) (9,70 €/St) (9,70 €/St) (9,70 €/St) (15,24 €/St) incl. VAT
    McGRATH MAC

    For single use Sterile packed Various pack sizes (5, 10 or 50 pcs.)

    Original price 53,19 € - Original price 635,26 €
    Original price
    from 53,19 € incl. VAT
    53,19 € - 635,26 €
    Current price 53,19 € (10,01 €/St) (10,64 €/St) (10,01 €/St) (10,64 €/St) (10,01 €/St) (10,64 €/St) (12,71 €/St) (12,31 €/St) (9,70 €/St) (9,70 €/St) (9,70 €/St) (15,24 €/St) incl. VAT
  • ndd Spirette mouthpiece for the Easy on-PC Spirometer

    Original price 75,89 € - Original price 460,10 €
    Original price
    from 75,89 € incl. VAT
    75,89 € - 460,10 €
    Current price 75,89 € (0,92 €/St) (1,38 €/St) (1,52 €/St) incl. VAT
    ndd

    hygienic mouthpiece for the Easy on-PC spirometer breathing tube with infection protection prevents cross contamination Disposable product Precis...

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    Original price 75,89 € - Original price 460,10 €
    Original price
    from 75,89 € incl. VAT
    75,89 € - 460,10 €
    Current price 75,89 € (0,92 €/St) (1,38 €/St) (1,52 €/St) incl. VAT
  • Rüsch® Super SafetyClear endotracheal tube

    Original price 6,85 € - Original price 83,25 €
    Original price
    from 6,85 € incl. VAT
    6,85 € - 83,25 €
    Current price 6,85 € (8,33 €/St) (8,33 €/St) (8,33 €/St) (8,33 €/St) (8,33 €/St) (8,33 €/St) (8,33 €/St) (8,33 €/St) (8,33 €/St) (8,33 €/St) (8,33 €/St) (8,33 €/St) (0,92 €/St) (0,98 €/St) (0,98 €/St) (0,98 €/St) (0,98 €/St) (0,69 €/St) (0,69 €/St) (0,92 €/St) (0,69 €/St) (0,98 €/St) (0,98 €/St) incl. VAT
    Teleflex

    Made of PVC with low-pressure cuff For nasal and oral use half slide-on connector atraumatic tip, side openings blue control balloon with Luer loc...

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    Ready to ship: 2-3 working days
    Original price 6,85 € - Original price 83,25 €
    Original price
    from 6,85 € incl. VAT
    6,85 € - 83,25 €
    Current price 6,85 € (8,33 €/St) (8,33 €/St) (8,33 €/St) (8,33 €/St) (8,33 €/St) (8,33 €/St) (8,33 €/St) (8,33 €/St) (8,33 €/St) (8,33 €/St) (8,33 €/St) (8,33 €/St) (0,92 €/St) (0,98 €/St) (0,98 €/St) (0,98 €/St) (0,98 €/St) (0,69 €/St) (0,69 €/St) (0,92 €/St) (0,69 €/St) (0,98 €/St) (0,98 €/St) incl. VAT
  • VBM Laryngeal tube LTS-D with syringe, 1 pc.

    Original price 21,75 € - Original price 21,75 €
    Original price
    21,75 € (21,75 €/St) (21,75 €/St) (21,75 €/St) (21,75 €/St) (21,75 €/St) (21,75 €/St) (21,75 €/St) incl. VAT
    21,75 € - 21,75 €
    Current price 21,75 € (21,75 €/St) (21,75 €/St) (21,75 €/St) (21,75 €/St) (21,75 €/St) (21,75 €/St) (21,75 €/St) incl. VAT
    VBM

    Reduction of aerosol dispersion 7 different sizes Atraumatic for patients efficient ventilation latex-free easy placement

    Original price 21,75 € - Original price 21,75 €
    Original price
    21,75 € (21,75 €/St) (21,75 €/St) (21,75 €/St) (21,75 €/St) (21,75 €/St) (21,75 €/St) (21,75 €/St) incl. VAT
    21,75 € - 21,75 €
    Current price 21,75 € (21,75 €/St) (21,75 €/St) (21,75 €/St) (21,75 €/St) (21,75 €/St) (21,75 €/St) (21,75 €/St) incl. VAT
  • Ambu Spur II disposable resuscitation bag incl. mask and reservoir

    Original price 14,49 € - Original price 19,13 €
    Original price
    from 14,49 € incl. VAT
    14,49 € - 19,13 €
    Current price 14,49 € (19,13 €/St) (16,05 €/St) (14,49 €/St) incl. VAT
    Ambu

    incl. disposable face mask PLUS Cuff filling valve latex- and pvc-free O2 reservoir and O2 reservoir tube Feedback can be felt and seen Integrat...

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    Original price 14,49 € - Original price 19,13 €
    Original price
    from 14,49 € incl. VAT
    14,49 € - 19,13 €
    Current price 14,49 € (19,13 €/St) (16,05 €/St) (14,49 €/St) incl. VAT
  • AEROpart® oxygen safety hoses with star lumens

    Original price 1,14 € - Original price 6,16 €
    Original price
    from 1,14 € incl. VAT
    1,14 € - 6,16 €
    Current price 1,14 € (1,14 €/St) (4,39 €/St) (1,25 €/St) (1,34 €/St) (4,15 €/St) (5,19 €/St) (6,16 €/St) incl. VAT
    HUM

    made of transparent PVC kink-proof different lengths and star lumens phthalate-free versions also available

    Ready to ship: 1-2 working days
    Original price 1,14 € - Original price 6,16 €
    Original price
    from 1,14 € incl. VAT
    1,14 € - 6,16 €
    Current price 1,14 € (1,14 €/St) (4,39 €/St) (1,25 €/St) (1,34 €/St) (4,15 €/St) (5,19 €/St) (6,16 €/St) incl. VAT
  • Ambu disposable mask PLUS

    Original price 2,57 € - Original price 2,57 €
    Original price
    2,57 € (2,57 €/St) (2,57 €/St) (2,57 €/St) (2,57 €/St) (2,57 €/St) (2,57 €/St) incl. VAT
    2,57 € - 2,57 €
    Current price 2,57 € (2,57 €/St) (2,57 €/St) (2,57 €/St) (2,57 €/St) (2,57 €/St) (2,57 €/St) incl. VAT
    Ambu

    Latex-free Anaesthesia / anaesthesia mask With cuff valve Transparent mask dome for optimum patient observation Thumb support for better sealing

    Ready to ship: Immediately
    Original price 2,57 € - Original price 2,57 €
    Original price
    2,57 € (2,57 €/St) (2,57 €/St) (2,57 €/St) (2,57 €/St) (2,57 €/St) (2,57 €/St) incl. VAT
    2,57 € - 2,57 €
    Current price 2,57 € (2,57 €/St) (2,57 €/St) (2,57 €/St) (2,57 €/St) (2,57 €/St) (2,57 €/St) incl. VAT
  • AEROpart® Oxygen Masks

    Original price 1,61 € - Original price 4,99 €
    Original price
    from 1,61 € incl. VAT
    1,61 € - 4,99 €
    Current price 1,61 € (2,59 €/St) (3,02 €/St) (1,61 €/St) (4,99 €/St) (2,72 €/St) (3,02 €/St) (1,61 €/St) (3,68 €/St) incl. VAT
    HUM

    Oxygen masks for adults or children made of transparent PVC malleable nose clip elastic head strap kink-proof safety hose with or without re...

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    Ready to ship: 1-2 working days
    Original price 1,61 € - Original price 4,99 €
    Original price
    from 1,61 € incl. VAT
    1,61 € - 4,99 €
    Current price 1,61 € (2,59 €/St) (3,02 €/St) (1,61 €/St) (4,99 €/St) (2,72 €/St) (3,02 €/St) (1,61 €/St) (3,68 €/St) incl. VAT
  • 2 liter oxygen cylinder filled

    Original price 195,25 € - Original price 367,46 €
    Original price
    from 195,25 € incl. VAT
    195,25 € - 367,46 €
    Current price 195,25 € (367,46 €/St) (195,25 €/St) incl. VAT
    Gase Partner

    Volume: 2.0 liters tested steel cylinder with residual pressure valve Capacity: 400 liters of medical oxygen Diameter of the bottle: 100 mm V...

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    Original price 195,25 € - Original price 367,46 €
    Original price
    from 195,25 € incl. VAT
    195,25 € - 367,46 €
    Current price 195,25 € (367,46 €/St) (195,25 €/St) incl. VAT
    Sold out
  • Nystagmus spectacles according to Frenzel

    Original price 421,05 € - Original price 542,49 €
    Original price
    from 421,05 € incl. VAT
    421,05 € - 542,49 €
    Current price 421,05 € (485,64 €/St) (518,88 €/St) (542,49 €/St) (421,05 €/St) incl. VAT
    DEHAG

    Frenzel glasses in different designs fixed, foldable, with battery handle or variable easy handling Alternative to complex electronystagmography (...

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    Original price 421,05 € - Original price 542,49 €
    Original price
    from 421,05 € incl. VAT
    421,05 € - 542,49 €
    Current price 421,05 € (485,64 €/St) (518,88 €/St) (542,49 €/St) (421,05 €/St) incl. VAT
  • Ambu AuraOnce latex-free disposable laryngeal mask

    Original price 10,43 € - Original price 10,43 €
    Original price
    10,43 € (10,43 €/St) (10,43 €/St) (10,43 €/St) (10,43 €/St) (10,43 €/St) (10,43 €/St) (10,43 €/St) incl. VAT
    10,43 € - 10,43 €
    Current price 10,43 € (10,43 €/St) (10,43 €/St) (10,43 €/St) (10,43 €/St) (10,43 €/St) (10,43 €/St) (10,43 €/St) incl. VAT
    Ambu

    Reinforced cuff tip seals the upper oesophageal sphincter anatomical bend enables easy placement clearly visible marking lines for position contr...

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    Ready to ship: Immediately
    Original price 10,43 € - Original price 10,43 €
    Original price
    10,43 € (10,43 €/St) (10,43 €/St) (10,43 €/St) (10,43 €/St) (10,43 €/St) (10,43 €/St) (10,43 €/St) incl. VAT
    10,43 € - 10,43 €
    Current price 10,43 € (10,43 €/St) (10,43 €/St) (10,43 €/St) (10,43 €/St) (10,43 €/St) (10,43 €/St) (10,43 €/St) incl. VAT
  • AEROsuc® Rescue hand suction pump and spare parts

    Original price 2,04 € - Original price 42,76 €
    Original price
    from 2,04 € incl. VAT
    2,04 € - 42,76 €
    Current price 2,04 € (42,76 €/St) (14,62 €/St) (3,04 €/St) (3,33 €/St) (2,04 €/St) incl. VAT
    HUM

    hand-operated suction device according to DIN EN ISO 10079-2 for oropharyngeal suctioning maximum vacuum within 10 s (- 60 kPa, - 450 mmHg, - 0.6 ...

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    Ready to ship: 1-2 working days
    Original price 2,04 € - Original price 42,76 €
    Original price
    from 2,04 € incl. VAT
    2,04 € - 42,76 €
    Current price 2,04 € (42,76 €/St) (14,62 €/St) (3,04 €/St) (3,33 €/St) (2,04 €/St) incl. VAT
  • Rüsch® oropharyngeal tube according to Guedel

    Original price 6,05 € - Original price 44,00 €
    Original price
    from 6,05 € incl. VAT
    6,05 € - 44,00 €
    Current price 6,05 € (0,61 €/St) (0,61 €/St) (0,61 €/St) (0,61 €/St) (0,61 €/St) (0,61 €/St) (0,61 €/St) (0,61 €/St) (0,61 €/St) (44,00 €/St) (15,52 €/St) (15,52 €/St) (15,52 €/St) (15,52 €/St) incl. VAT
    Teleflex

    Disposables improved Guedel tube design (no bite block required) completely latex and PVC free individually hygienically packed

    Original price 6,05 € - Original price 44,00 €
    Original price
    from 6,05 € incl. VAT
    6,05 € - 44,00 €
    Current price 6,05 € (0,61 €/St) (0,61 €/St) (0,61 €/St) (0,61 €/St) (0,61 €/St) (0,61 €/St) (0,61 €/St) (0,61 €/St) (0,61 €/St) (44,00 €/St) (15,52 €/St) (15,52 €/St) (15,52 €/St) (15,52 €/St) incl. VAT
  • AERObag® reservoir bag

    Original price 4,61 € - Original price 4,61 €
    Original price
    4,61 € (4,61 €/St) (4,61 €/St) incl. VAT
    4,61 € - 4,61 €
    Current price 4,61 € (4,61 €/St) (4,61 €/St) incl. VAT
    HUM

    PVC or polyethylene reservoir bag for additional oxygenation during ventilation 25 mm ID connector made of polycarbonate to be used with AERObag® ...

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    Ready to ship: 1-2 working days
    Original price 4,61 € - Original price 4,61 €
    Original price
    4,61 € (4,61 €/St) (4,61 €/St) incl. VAT
    4,61 € - 4,61 €
    Current price 4,61 € (4,61 €/St) (4,61 €/St) incl. VAT
  • AERObag® Disposable Resuscitation Wipes

    Original price 2,37 € - Original price 3,51 €
    Original price
    from 2,37 € incl. VAT
    2,37 € - 3,51 €
    Current price 2,37 € (3,51 €/St) (3,51 €/St) (3,51 €/St) (3,51 €/St) (2,37 €/St) (3,51 €/St) (3,51 €/St) incl. VAT
    HUM

    Disposable resuscitation bag made of user printed face apron and incorporated disposable valve Available in 7 colors for adults delivered in pract...

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    Ready to ship: 1-2 working days
    Original price 2,37 € - Original price 3,51 €
    Original price
    from 2,37 € incl. VAT
    2,37 € - 3,51 €
    Current price 2,37 € (3,51 €/St) (3,51 €/St) (3,51 €/St) (3,51 €/St) (2,37 €/St) (3,51 €/St) (3,51 €/St) incl. VAT
  • Dräger NIV full-face mask ClassicStar®

    Original price 92,89 € - Original price 93,46 €
    Original price
    from 92,89 € incl. VAT
    92,89 € - 93,46 €
    Current price 92,89 € (93,46 €/St) (93,46 €/St) (93,46 €/St) (93,46 €/St) (93,46 €/St) (92,89 €/St) (92,89 €/St) (92,89 €/St) (92,89 €/St) incl. VAT
    Dräger

    Covers mouth, nose and eyes Better pressure distribution Adjustable mask cushion 5-point headband for fixation Disposable product Attention: The ...

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    Original price 92,89 € - Original price 93,46 €
    Original price
    from 92,89 € incl. VAT
    92,89 € - 93,46 €
    Current price 92,89 € (93,46 €/St) (93,46 €/St) (93,46 €/St) (93,46 €/St) (93,46 €/St) (92,89 €/St) (92,89 €/St) (92,89 €/St) (92,89 €/St) incl. VAT
  • ndd FlowTube disposable mouthpiece for EasyOne AIR spirometer

    Original price 75,89 € - Original price 460,10 €
    Original price
    from 75,89 € incl. VAT
    75,89 € - 460,10 €
    Current price 75,89 € (0,92 €/St) (1,76 €/St) (1,52 €/St) incl. VAT
    ndd

    individually hygienically packed for a free flow of breath complete contamination protection precise shape material: polypropylene Scope of delive...

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    Original price 75,89 € - Original price 460,10 €
    Original price
    from 75,89 € incl. VAT
    75,89 € - 460,10 €
    Current price 75,89 € (0,92 €/St) (1,76 €/St) (1,52 €/St) incl. VAT
  • Dräger silicone anesthesia mask

    Original price 15,61 € - Original price 22,10 €
    Original price
    from 15,61 € incl. VAT
    15,61 € - 22,10 €
    Current price 15,61 € (22,10 €/St) (20,95 €/St) (19,97 €/St) (18,81 €/St) (17,58 €/St) (16,68 €/St) (15,61 €/St) incl. VAT
    Dräger

    well adjustable masks thanks to high quality silicone flexible, transparent mask body comfortable grip for the anesthesiologist reusable produ...

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    Original price 15,61 € - Original price 22,10 €
    Original price
    from 15,61 € incl. VAT
    15,61 € - 22,10 €
    Current price 15,61 € (22,10 €/St) (20,95 €/St) (19,97 €/St) (18,81 €/St) (17,58 €/St) (16,68 €/St) (15,61 €/St) incl. VAT
  • Rüsch® Nasopharyngeal tube according to Wendl, 5 pcs.

    Original price 51,16 € - Original price 54,17 €
    Original price
    from 51,16 € incl. VAT
    51,16 € - 54,17 €
    Current price 51,16 € (10,23 €/St) (10,23 €/St) (10,23 €/St) (10,23 €/St) (10,23 €/St) (10,23 €/St) (10,23 €/St) (10,23 €/St) (10,23 €/St) (10,83 €/St) incl. VAT
    Teleflex

    Material: Wirupren® (latex-free) Disposable article High kink resistance inner glide textile grooves 5 pieces each individually & sterile packed

    Original price 51,16 € - Original price 54,17 €
    Original price
    from 51,16 € incl. VAT
    51,16 € - 54,17 €
    Current price 51,16 € (10,23 €/St) (10,23 €/St) (10,23 €/St) (10,23 €/St) (10,23 €/St) (10,23 €/St) (10,23 €/St) (10,23 €/St) (10,23 €/St) (10,83 €/St) incl. VAT
  • Shiley™ oral/nasal endotracheal tube with cuff, 10 pcs.

    Original price 30,19 € - Original price 30,19 €
    Original price
    30,19 € (3,02 €/St) (3,02 €/St) (3,02 €/St) (3,02 €/St) (3,02 €/St) (3,02 €/St) (3,02 €/St) (3,02 €/St) (3,02 €/St) (3,02 €/St) (3,02 €/St) (3,02 €/St) (3,02 €/St) (3,02 €/St) (3,02 €/St) incl. VAT
    30,19 € - 30,19 €
    Current price 30,19 € (3,02 €/St) (3,02 €/St) (3,02 €/St) (3,02 €/St) (3,02 €/St) (3,02 €/St) (3,02 €/St) (3,02 €/St) (3,02 €/St) (3,02 €/St) (3,02 €/St) (3,02 €/St) (3,02 €/St) (3,02 €/St) (3,02 €/St) incl. VAT
    Shiley

    Shiley™ oral/nasal endotracheal tube for all ages Sizes from 5.0-10.0 mm with high volume low pressure cuff Sizes from 3.0-4.5 mm with low-profile...

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    Original price 30,19 € - Original price 30,19 €
    Original price
    30,19 € (3,02 €/St) (3,02 €/St) (3,02 €/St) (3,02 €/St) (3,02 €/St) (3,02 €/St) (3,02 €/St) (3,02 €/St) (3,02 €/St) (3,02 €/St) (3,02 €/St) (3,02 €/St) (3,02 €/St) (3,02 €/St) (3,02 €/St) incl. VAT
    30,19 € - 30,19 €
    Current price 30,19 € (3,02 €/St) (3,02 €/St) (3,02 €/St) (3,02 €/St) (3,02 €/St) (3,02 €/St) (3,02 €/St) (3,02 €/St) (3,02 €/St) (3,02 €/St) (3,02 €/St) (3,02 €/St) (3,02 €/St) (3,02 €/St) (3,02 €/St) incl. VAT
  • Woodbridge spiral endotracheal tube - all sizes

    Original price 22,04 € - Original price 24,41 €
    Original price
    from 22,04 € incl. VAT
    22,04 € - 24,41 €
    Current price 22,04 € (24,41 €/St) (22,04 €/St) (22,04 €/St) (24,41 €/St) (24,41 €/St) (24,41 €/St) (24,41 €/St) (22,04 €/St) incl. VAT
    icu medical

    made of PVC with low pressure cuff for nasal and oral use half pushed on connector atraumatic tip, lateral openings length graduation and continuo...

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    Ready to ship: Immediately
    Original price 22,04 € - Original price 24,41 €
    Original price
    from 22,04 € incl. VAT
    22,04 € - 24,41 €
    Current price 22,04 € (24,41 €/St) (22,04 €/St) (22,04 €/St) (24,41 €/St) (24,41 €/St) (24,41 €/St) (24,41 €/St) (22,04 €/St) incl. VAT
  • AEROvent® bacteria and virus filter for suction units

    Original price 5,19 € - Original price 14,50 €
    Original price
    from 5,19 € incl. VAT
    5,19 € - 14,50 €
    Current price 5,19 € (6,05 €/St) (5,19 €/St) (14,50 €/St) incl. VAT
    HUM

    Virus and bacteria filters Protection against liquid penetration Filtration efficiency: 99.9999% (viruses, bacteria) individually packed high...

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    Original price 5,19 € - Original price 14,50 €
    Original price
    from 5,19 € incl. VAT
    5,19 € - 14,50 €
    Current price 5,19 € (6,05 €/St) (5,19 €/St) (14,50 €/St) incl. VAT
  • AEROpart® Oxygen goggles

    Original price 1,16 € - Original price 4,51 €
    Original price
    from 1,16 € incl. VAT
    1,16 € - 4,51 €
    Current price 1,16 € (3,46 €/St) (1,16 €/St) (2,51 €/St) (4,46 €/St) (4,51 €/St) (1,17 €/St) (1,19 €/St) (1,26 €/St) (1,31 €/St) (1,17 €/St) incl. VAT
    HUM

    Made from transparent PVC with kink-proof O2 safety tube for different patient groups straight or curved nose pieces "soft", "supersoft" and/or ph...

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    Original price 1,16 € - Original price 4,51 €
    Original price
    from 1,16 € incl. VAT
    1,16 € - 4,51 €
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Mechanical ventilation

Mechanical ventilation or assisted ventilation is the medical term for artificial ventilation, in which mechanical means are used to support or replace spontaneous breathing. This can be a device called ventilation device, or breathing can be supported manually by a correspondingly qualified specialist, such as an anesthetist, respiratory therapist or paramedic, by pressing a bag valve mask.

Mechanical ventilation is called "invasive" when it affects an instrument within the trachea through the mouth, such as an endotrache alubus or skin, such as a tracheostomy tube. Facial or nose masks are used for non-invasive ventilation in the case of non-selected non-unconscious patients.

The two most important types of mechanical ventilation are the overpressure ventilation, in air (or another gas mixture) through the airways into the lungs, and the vacuum ventilation, in which air is essentially sucked into the lungs by stimulating movement of the breast. Apart from these two main types, there are many specific types of mechanical ventilation, and their nomenclature has been revised over the decades in the course of the continuous further development of the technology.

 

When does a patient have to be ventilated?

Mechanical ventilation is indicated if the patient's spontaneous breathing is not sufficient to maintain life. It is also used as prophylaxis if the collapse of other physiological functions or ineffective gas exchange in the lungs is also used. Since mechanical ventilation only serves to support breathing and does not heal an illness, the basic state of the patient should be identified and treated in order to solve it over time. In addition, further factors must be taken into account, since mechanical ventilation is not uncomplicated.

In general, mechanical ventilation is used to correct blood gases and reduce breathing work.

 

The usual medical indications for the application include:

  • Acute lung damage, including acute respiratory nympia (ARDS) and trauma.
  • Apnea with respiratory arrest, including cases of intoxication
  • Acute heavy asthma that requires intubation.
  • Acute in chronic airway acidosis, most often in chronic obstructive lung disease (COPD) and obesity hypoventilation syndrome.
  • Acute respiratory acidosis with carbon dioxide partial printing (PCO2)> 50 mmHg and ph <7.25, which can be attributed to paralysis of the diaphragm by the Guillain-Barré syndrome, myastenia gravis, motor neuron diseases, spinal cord injuries or the effect of naxwork and muscle relaxation.
  • Increased breathing work, as shown by significant tachypnea, retraction and other physical signs of shortness of breath.
  • Hypoxemia with arterial oxygen partial pressure (PAO2) <55 mm Hg with an additional proportion of inspired oxygen (FIO2) = 1.0
  • Hypotony including sepsis, shock, congestive heart failure
  • Neurological diseases such as muscular dystrophy and amyotrophic lateral sclerosis (ALS)

 

Risks:

  • Barotrauma - Lung baro trauma is a well -known complication of mechanical overpressure ventilation. This includes pneumothorax, subcutaneous emphysema, pneumomediatinum and pneumoperitoneum.
  • Ventilation -associated lung damage - Beating -associated lung damage (vali) relate to acute lung damage that occurs in mechanical ventilation. It cannot be distinguished clinically from acute lung injury or acute respiratory nympia (Ali/ARDS).

 

Complications:
Mechanical ventilation is often a life -saving intervention, but has potential complications such as pneumothorax, respiratory injuries, alveolar damage and breathing associated pneumonia. Further complications are membranetrophy, reduced cardiac volume and oxygen toxicity. One of the primary complications occurring in mechanically ventilated patients is the acute lung injury (ali)/acute respiratory nympia (ARDS). Ali/ARDS are recognized as significant contributions to the morbidity and mortality of the patients.

 

In many health systems, long -term ventilation as part of intensive care medicine is a limited resource (since there are only so many patients who can be cared for at any time). It is used to support a single failing organ system (the lungs) and cannot reverse a underlying disease process (e.g. cancer in the final stage). For this reason, there can be (occasionally difficult) decisions about whether it is suitable to start with mechanical ventilation. Just as many ethical questions concern the decision to cease mechanical ventilation.

 

The design of the modern overpressure fans were mainly based on technical developments in the military during the Second World War to supply the oxygen of fighter aircraft at great height. Such ventilation devices replaced the iron lungs because safe endotrachealt tubes with cuffs with high volume/low pressure were developed. The popularity of overpressure fans rose in Scandinavia and the USA during the polio epidemic in the 1950s and was the beginning of modern ventilation therapy. The overpressure by manual supply of 50% oxygen via a tracheostomy cannula led to a reduced mortality rate in patients with polio and respiratory paralysis. Due to the enormous personnel requirement for such manual interventions, mechanical overpressure fans have become increasingly popular.

 

Overpressure ventilation devices work by increasing the patient's respiratory pressure through an endotracheal or tracheostomic hose. The overpressure lets air flow into the airway until the ventilation of the ventilation device is over. Then the respiratory pressure drops to zero, and the elastic recoil of the breast wall and lungs press the tidal volume - exhalation through passive exhalation.

 

The time of withdrawal from mechanical ventilation - also called weaning or weaning - should be carefully weighed. Patients should consider their ventilation for the withdrawal if they are able to support their own ventilation and oxygen supply, and this should be assessed continuously. There are several objective parameters that you have to look for if you think about a withdrawal, but there are no specific criteria that generalize themselves to all patients.

 

One of the main reasons for the admission of a patient to an intensive care unit is the implementation of mechanical ventilation. The monitoring of a patient in mechanical ventilation has many clinical applications: improvement in understanding pathophysiology, help in diagnosis, guidance for patient management, avoidance of complications and evaluation of trends.

Medical advice

Dr. Daniel Pehböck will be happy to advise you!