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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.

  • Dräger T-piece for nebulization with Aerogen nebulizer, 10 pieces

    Original price 315,00 zł - Original price 315,00 zł
    Original price
    315,00 zł (31,50 zł/St) incl. VAT
    315,00 zł - 315,00 zł
    Current price 315,00 zł (31,50 zł/St) incl. VAT
    Dräger

    Connector for nebulizer for use with the Aerogen Solo nebulizer Scope of delivery: 10 pieces

    Original price 315,00 zł - Original price 315,00 zł
    Original price
    315,00 zł (31,50 zł/St) incl. VAT
    315,00 zł - 315,00 zł
    Current price 315,00 zł (31,50 zł/St) incl. VAT
  • Dräger hose heating adapter

    Original price 1.361,00 zł - Original price 1.568,00 zł
    Original price
    from 1.361,00 zł incl. VAT
    1.361,00 zł - 1.568,00 zł
    Current price 1.361,00 zł (1.568,00 zł/St) (1.361,00 zł/St) (1.457,00 zł/St) incl. VAT
    Dräger

    Adapter for Fisher&Paykel humidifier MR850 optionally for reusable or disposable breathing tube system

    Original price 1.361,00 zł - Original price 1.568,00 zł
    Original price
    from 1.361,00 zł incl. VAT
    1.361,00 zł - 1.568,00 zł
    Current price 1.361,00 zł (1.568,00 zł/St) (1.361,00 zł/St) (1.457,00 zł/St) incl. VAT
  • Dräger hose heating

    Original price 1.232,00 zł - Original price 1.290,00 zł
    Original price
    from 1.232,00 zł incl. VAT
    1.232,00 zł - 1.290,00 zł
    Current price 1.232,00 zł (1.269,00 zł/St) (1.265,00 zł/St) (1.290,00 zł/St) (1.232,00 zł/St) incl. VAT
    Dräger

    suitable for reusable breathing hose systems different lengths compatible with: Fisher&Paykel MR 850, 700, 730

    Original price 1.232,00 zł - Original price 1.290,00 zł
    Original price
    from 1.232,00 zł incl. VAT
    1.232,00 zł - 1.290,00 zł
    Current price 1.232,00 zł (1.269,00 zł/St) (1.265,00 zł/St) (1.290,00 zł/St) (1.232,00 zł/St) incl. VAT
  • Dräger mounting set for F&P humidifier

    Original price 692,00 zł - Original price 692,00 zł
    Original price
    692,00 zł (692,00 zł/St) incl. VAT
    692,00 zł - 692,00 zł
    Current price 692,00 zł (692,00 zł/St) incl. VAT
    Dräger

    Mounting bracket for humidifier compatible with Fisher&Paykel MR850 with thread

    Original price 692,00 zł - Original price 692,00 zł
    Original price
    692,00 zł (692,00 zł/St) incl. VAT
    692,00 zł - 692,00 zł
    Current price 692,00 zł (692,00 zł/St) incl. VAT
  • Dräger Oxymixer Silencer

    Original price 510,00 zł - Original price 681,00 zł
    Original price
    from 510,00 zł incl. VAT
    510,00 zł - 681,00 zł
    Current price 510,00 zł (681,00 zł/St) (510,00 zł/St) incl. VAT
    Dräger

    Silencer for noise reduction compatible with the Dräger Oxymixer available in 9/16" and 22/15mm

    Original price 510,00 zł - Original price 681,00 zł
    Original price
    from 510,00 zł incl. VAT
    510,00 zł - 681,00 zł
    Current price 510,00 zł (681,00 zł/St) (510,00 zł/St) incl. VAT
  • Dräger Pneumatic Medication Nebulizer

    Original price 2.134,00 zł - Original price 3.293,00 zł
    Original price
    from 2.134,00 zł incl. VAT
    2.134,00 zł - 3.293,00 zł
    Current price 2.134,00 zł (3.293,00 zł/St) (2.134,00 zł/St) incl. VAT
    Dräger

    for drug inhalation therapy available in standard and neonatal size nebulizes medication

    Original price 2.134,00 zł - Original price 3.293,00 zł
    Original price
    from 2.134,00 zł incl. VAT
    2.134,00 zł - 3.293,00 zł
    Current price 2.134,00 zł (3.293,00 zł/St) (2.134,00 zł/St) incl. VAT
  • Dräger Pack2Go® Savina® invasive ventilation pack

    Original price 1.981,00 zł - Original price 2.311,00 zł
    Original price
    from 1.981,00 zł incl. VAT
    1.981,00 zł - 2.311,00 zł
    Current price 1.981,00 zł (198,10 zł/St) (231,10 zł/St) incl. VAT
    Dräger

    Set for invasive Ventilation compatible with the Dräger Savina® ventilators disposable product with VentStar® breathing tube system optionally bas...

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    Original price 1.981,00 zł - Original price 2.311,00 zł
    Original price
    from 1.981,00 zł incl. VAT
    1.981,00 zł - 2.311,00 zł
    Current price 1.981,00 zł (198,10 zł/St) (231,10 zł/St) incl. VAT
  • Dräger Pack2Go® Evita® Ventilation Pack

    Original price 1.717,00 zł - Original price 3.005,00 zł
    Original price
    from 1.717,00 zł incl. VAT
    1.717,00 zł - 3.005,00 zł
    Current price 1.717,00 zł (206,40 zł/St) (300,50 zł/St) (171,70 zł/St) (244,30 zł/St) incl. VAT
    Dräger

    complete set for invasive Ventilation compatible with Dräger ventilators Evita® 2 dura, 4 edition and XL Disposable product optionally basic or co...

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    Original price 1.717,00 zł - Original price 3.005,00 zł
    Original price
    from 1.717,00 zł incl. VAT
    1.717,00 zł - 3.005,00 zł
    Current price 1.717,00 zł (206,40 zł/St) (300,50 zł/St) (171,70 zł/St) (244,30 zł/St) incl. VAT
  • Dräger Pack2Go® Carina® NIV Resuscitation Pack, 10 pcs.

    Original price 3.335,00 zł - Original price 3.431,00 zł
    Original price
    from 3.335,00 zł incl. VAT
    3.335,00 zł - 3.431,00 zł
    Current price 3.335,00 zł (343,10 zł/St) (343,10 zł/St) (333,50 zł/St) incl. VAT
    Dräger

    Set for NIV-Ventilation compatible with the Dräger Carina® NIV ventilator. Disposable product with face mask ClassicStar® optionally size S, M or ...

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    Original price 3.335,00 zł - Original price 3.431,00 zł
    Original price
    from 3.335,00 zł incl. VAT
    3.335,00 zł - 3.431,00 zł
    Current price 3.335,00 zł (343,10 zł/St) (343,10 zł/St) (333,50 zł/St) incl. VAT
  • Dräger Pack2Go® Anesthesia Pack, 10 pcs.

    Original price 1.041,00 zł - Original price 1.041,00 zł
    Original price
    1.041,00 zł (104,10 zł/St) incl. VAT
    1.041,00 zł - 1.041,00 zł
    Current price 1.041,00 zł (104,10 zł/St) incl. VAT
    Dräger

    Set for anesthesia ventilation with anesthesia set, water trap and mask Adult size Disposable product Scope of delivery: 10 pieces

    Original price 1.041,00 zł - Original price 1.041,00 zł
    Original price
    1.041,00 zł (104,10 zł/St) incl. VAT
    1.041,00 zł - 1.041,00 zł
    Current price 1.041,00 zł (104,10 zł/St) incl. VAT
  • Dräger Oxymixer High Flow

    Original price 11.401,00 zł - Original price 17.427,00 zł
    Original price
    from 11.401,00 zł incl. VAT
    11.401,00 zł - 17.427,00 zł
    Current price 11.401,00 zł (17.427,00 zł/St) (11.401,00 zł/St) incl. VAT
    Dräger

    Gas mixer for oxygen therapy O2 concentration adjustable in the range 21-100 with bleed function NIST gas input for therapy of newborns, children ...

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    Original price 11.401,00 zł - Original price 17.427,00 zł
    Original price
    from 11.401,00 zł incl. VAT
    11.401,00 zł - 17.427,00 zł
    Current price 11.401,00 zł (17.427,00 zł/St) (11.401,00 zł/St) incl. VAT
  • Dräger mouthpiece for inhalette, autoclavable

    Original price 233,00 zł - Original price 233,00 zł
    Original price
    233,00 zł (233,00 zł/St) incl. VAT
    233,00 zł - 233,00 zł
    Current price 233,00 zł (233,00 zł/St) incl. VAT
    Dräger

    Mouthpiece for inhalation therapy for use with Dräger Inhalette® and Aeroneb and Aerogen Pro sterilizable reusable product

    Original price 233,00 zł - Original price 233,00 zł
    Original price
    233,00 zł (233,00 zł/St) incl. VAT
    233,00 zł - 233,00 zł
    Current price 233,00 zł (233,00 zł/St) incl. VAT
  • Dräger inhalation mask

    Original price 197,00 zł - Original price 197,00 zł
    Original price
    197,00 zł (197,00 zł/St) incl. VAT
    197,00 zł - 197,00 zł
    Current price 197,00 zł (197,00 zł/St) incl. VAT
    Dräger

    Mask for inhalation therapy for use with Dräger Inhalette®, Aeroneb and Aerogen Pro sterilizable reusable product

    Original price 197,00 zł - Original price 197,00 zł
    Original price
    197,00 zł (197,00 zł/St) incl. VAT
    197,00 zł - 197,00 zł
    Current price 197,00 zł (197,00 zł/St) incl. VAT
  • Dräger HI-Flow Star® Valve Kit, 15 pieces

    Original price 1.067,00 zł - Original price 1.067,00 zł
    Original price
    1.067,00 zł (71,13 zł/St) incl. VAT
    1.067,00 zł - 1.067,00 zł
    Current price 1.067,00 zł (71,13 zł/St) incl. VAT
    Dräger

    Relief valve Connector for humidification chamber compatible with the HI-Flow Star system essential for use with the Oxymixer disposable product

    Original price 1.067,00 zł - Original price 1.067,00 zł
    Original price
    1.067,00 zł (71,13 zł/St) incl. VAT
    1.067,00 zł - 1.067,00 zł
    Current price 1.067,00 zł (71,13 zł/St) incl. VAT
  • Draeger HI-Flow Star System, 25 pieces

    Original price 5.392,00 zł - Original price 5.392,00 zł
    Original price
    5.392,00 zł (215,68 zł/St) incl. VAT
    5.392,00 zł - 5.392,00 zł
    Current price 5.392,00 zł (215,68 zł/St) incl. VAT
    Dräger

    Heated inspiratory breathing tube system for high-flow therapy including humidification chamber Disposable product Scope of delivery: 25 pieces

    Original price 5.392,00 zł - Original price 5.392,00 zł
    Original price
    5.392,00 zł (215,68 zł/St) incl. VAT
    5.392,00 zł - 5.392,00 zł
    Current price 5.392,00 zł (215,68 zł/St) incl. VAT
  • Dräger Multi-P chassis for Oxymixer

    Original price 3.967,00 zł - Original price 5.334,00 zł
    Original price
    from 3.967,00 zł incl. VAT
    3.967,00 zł - 5.334,00 zł
    Current price 3.967,00 zł (3.967,00 zł/St) (5.334,00 zł/St) incl. VAT
    Dräger

    Multi-P chassis 5 rollers 38 mm ø column optionally with 3 rail holders and basket

    Original price 3.967,00 zł - Original price 5.334,00 zł
    Original price
    from 3.967,00 zł incl. VAT
    3.967,00 zł - 5.334,00 zł
    Current price 3.967,00 zł (3.967,00 zł/St) (5.334,00 zł/St) incl. VAT
  • Dräger Expiration Valve for Evita® Infinity®

    Original price 3.115,00 zł - Original price 3.115,00 zł
    Original price
    3.115,00 zł (3.115,00 zł/St) incl. VAT
    3.115,00 zł - 3.115,00 zł
    Current price 3.115,00 zł (3.115,00 zł/St) incl. VAT
    Dräger

    Multi-way expiration valve compatible with Dräger Evita® Infinity® V500 RFID technology

    Original price 3.115,00 zł - Original price 3.115,00 zł
    Original price
    3.115,00 zł (3.115,00 zł/St) incl. VAT
    3.115,00 zł - 3.115,00 zł
    Current price 3.115,00 zł (3.115,00 zł/St) incl. VAT
  • Dräger Expiration Valve for Evita®

    Original price 1.492,00 zł - Original price 3.560,00 zł
    Original price
    from 1.492,00 zł incl. VAT
    1.492,00 zł - 3.560,00 zł
    Current price 1.492,00 zł (3.560,00 zł/St) (152,70 zł/St) (149,20 zł/St) incl. VAT
    Dräger

    One-way expiration valve compatible with Dräger Evita® 2 dura, 4 edition and XL optionally with water trap

    Original price 1.492,00 zł - Original price 3.560,00 zł
    Original price
    from 1.492,00 zł incl. VAT
    1.492,00 zł - 3.560,00 zł
    Current price 1.492,00 zł (3.560,00 zł/St) (152,70 zł/St) (149,20 zł/St) incl. VAT
  • Dräger retractable wire for hose heating

    Original price 320,00 zł - Original price 320,00 zł
    Original price
    320,00 zł (320,00 zł/St) incl. VAT
    320,00 zł - 320,00 zł
    Current price 320,00 zł (320,00 zł/St) incl. VAT
    Dräger

    for reusable breathing hose system Length: 1.5 m Scope of delivery: 1 piece

    Original price 320,00 zł - Original price 320,00 zł
    Original price
    320,00 zł (320,00 zł/St) incl. VAT
    320,00 zł - 320,00 zł
    Current price 320,00 zł (320,00 zł/St) incl. VAT
  • Dräger filler cap for Aerogen Pro (5 pieces)

    Original price 1.190,00 zł - Original price 1.190,00 zł
    Original price
    1.190,00 zł (238,00 zł/St) incl. VAT
    1.190,00 zł - 1.190,00 zł
    Current price 1.190,00 zł (238,00 zł/St) incl. VAT
    Dräger

    Lid for the nebulizer unit of the Aerogen Pro made of silicone Enables refilling of medication without losing ventilation pressure

    Original price 1.190,00 zł - Original price 1.190,00 zł
    Original price
    1.190,00 zł (238,00 zł/St) incl. VAT
    1.190,00 zł - 1.190,00 zł
    Current price 1.190,00 zł (238,00 zł/St) incl. VAT
  • Dräger BlueSet Anesthesia for adults/children

    Original price 3.334,00 zł - Original price 3.334,00 zł
    Original price
    3.334,00 zł (3.334,00 zł/St) incl. VAT
    3.334,00 zł - 3.334,00 zł
    Current price 3.334,00 zł (3.334,00 zł/St) incl. VAT
    Dräger

    complete anesthesia set reusable Silicone breathing tubes Y-piece with Luer Lock Adapter with standard connectors (22 mm/22 mm)

    Original price 3.334,00 zł - Original price 3.334,00 zł
    Original price
    3.334,00 zł (3.334,00 zł/St) incl. VAT
    3.334,00 zł - 3.334,00 zł
    Current price 3.334,00 zł (3.334,00 zł/St) incl. VAT
  • Dräger VentStar® anesthesia set with water trap, 10 pcs.

    Original price 692,00 zł - Original price 831,00 zł
    Original price
    from 692,00 zł incl. VAT
    692,00 zł - 831,00 zł
    Current price 692,00 zł (73,50 zł/St) (69,20 zł/St) (73,50 zł/St) (83,10 zł/St) (83,10 zł/St) (69,20 zł/St) incl. VAT
    Dräger

    Disposable anesthesia set for children or adults 2 breathing tubes with Y-piece 1.8 m / 2.8 m Breathing bag 1 l / 2 l Breathing bag hose 1.1 m / 1...

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    Original price 692,00 zł - Original price 831,00 zł
    Original price
    from 692,00 zł incl. VAT
    692,00 zł - 831,00 zł
    Current price 692,00 zł (73,50 zł/St) (69,20 zł/St) (73,50 zł/St) (83,10 zł/St) (83,10 zł/St) (69,20 zł/St) incl. VAT
  • Dräger Infinity® ID breathing bag set

    Original price 907,00 zł - Original price 1.114,00 zł
    Original price
    from 907,00 zł incl. VAT
    907,00 zł - 1.114,00 zł
    Current price 907,00 zł (44,56 zł/St) (44,56 zł/St) (36,28 zł/St) (36,28 zł/St) incl. VAT
    Dräger

    Disposable breathing bag set Resuscitation bag and hose optionally for adults, children or newborns latex free non-slip surface structure Scope of...

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    Original price 907,00 zł - Original price 1.114,00 zł
    Original price
    from 907,00 zł incl. VAT
    907,00 zł - 1.114,00 zł
    Current price 907,00 zł (44,56 zł/St) (44,56 zł/St) (36,28 zł/St) (36,28 zł/St) incl. VAT
  • Dräger SediStar® anesthesia mask (30 pieces)

    Original price 419,00 zł - Original price 419,00 zł
    Original price
    419,00 zł (13,97 zł/St) (13,97 zł/St) (13,97 zł/St) (13,97 zł/St) (13,97 zł/St) (13,97 zł/St) (13,97 zł/St) incl. VAT
    419,00 zł - 419,00 zł
    Current price 419,00 zł (13,97 zł/St) (13,97 zł/St) (13,97 zł/St) (13,97 zł/St) (13,97 zł/St) (13,97 zł/St) (13,97 zł/St) incl. VAT
    Dräger

    Disposable face mask Anatomically shaped sealing lip optimal fit color coding for different sizes

    Original price 419,00 zł - Original price 419,00 zł
    Original price
    419,00 zł (13,97 zł/St) (13,97 zł/St) (13,97 zł/St) (13,97 zł/St) (13,97 zł/St) (13,97 zł/St) (13,97 zł/St) incl. VAT
    419,00 zł - 419,00 zł
    Current price 419,00 zł (13,97 zł/St) (13,97 zł/St) (13,97 zł/St) (13,97 zł/St) (13,97 zł/St) (13,97 zł/St) (13,97 zł/St) incl. VAT
  • Dräger NovaStar® plus headgear, 3 pcs.

    Original price 809,00 zł - Original price 809,00 zł
    Original price
    809,00 zł (269,67 zł/St) incl. VAT
    809,00 zł - 809,00 zł
    Current price 809,00 zł (269,67 zł/St) incl. VAT
    Dräger

    Replacement headgear for the Dräger NovaStar® plus NIV mask. magnetic clips included reusable Scope of delivery: 3 pieces

    Original price 809,00 zł - Original price 809,00 zł
    Original price
    809,00 zł (269,67 zł/St) incl. VAT
    809,00 zł - 809,00 zł
    Current price 809,00 zł (269,67 zł/St) incl. VAT
  • Dräger pump ball for breathing masks

    Original price 92,00 zł - Original price 92,00 zł
    Original price
    92,00 zł (92,00 zł/St) incl. VAT
    92,00 zł - 92,00 zł
    Current price 92,00 zł (92,00 zł/St) incl. VAT
    Dräger

    two-sided for air regulation of breathing masks easy handling

    Original price 92,00 zł - Original price 92,00 zł
    Original price
    92,00 zł (92,00 zł/St) incl. VAT
    92,00 zł - 92,00 zł
    Current price 92,00 zł (92,00 zł/St) incl. VAT
  • Dräger NIV mask NovaStar® plus, 3 pcs.

    Original price 2.247,00 zł - Original price 2.513,00 zł
    Original price
    from 2.247,00 zł incl. VAT
    2.247,00 zł - 2.513,00 zł
    Current price 2.247,00 zł (815,33 zł/St) (815,33 zł/St) (749,00 zł/St) (815,33 zł/St) (831,67 zł/St) (831,67 zł/St) (831,67 zł/St) (837,67 zł/St) (749,00 zł/St) (749,00 zł/St) (749,00 zł/St) (815,33 zł/St) incl. VAT
    Dräger

    reusable NIV mask covers mouth and nose High comfort good seal due to silicone gel cushion Scope of delivery: 3 pieces

    Original price 2.247,00 zł - Original price 2.513,00 zł
    Original price
    from 2.247,00 zł incl. VAT
    2.247,00 zł - 2.513,00 zł
    Current price 2.247,00 zł (815,33 zł/St) (815,33 zł/St) (749,00 zł/St) (815,33 zł/St) (831,67 zł/St) (831,67 zł/St) (831,67 zł/St) (837,67 zł/St) (749,00 zł/St) (749,00 zł/St) (749,00 zł/St) (815,33 zł/St) incl. VAT
  • Dräger NIV nasal mask ClassicStar® plus (5 pieces)

    Original price 1.278,00 zł - Original price 1.278,00 zł
    Original price
    1.278,00 zł (255,60 zł/St) (255,60 zł/St) (255,60 zł/St) (255,60 zł/St) (255,60 zł/St) (255,60 zł/St) (255,60 zł/St) (255,60 zł/St) incl. VAT
    1.278,00 zł - 1.278,00 zł
    Current price 1.278,00 zł (255,60 zł/St) (255,60 zł/St) (255,60 zł/St) (255,60 zł/St) (255,60 zł/St) (255,60 zł/St) (255,60 zł/St) (255,60 zł/St) incl. VAT
    Dräger

    Nasal mask for prolonged NIV therapy optimal fit for every patient with silicone sealing lip stable fixation by 4-point headband available in...

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    Original price 1.278,00 zł - Original price 1.278,00 zł
    Original price
    1.278,00 zł (255,60 zł/St) (255,60 zł/St) (255,60 zł/St) (255,60 zł/St) (255,60 zł/St) (255,60 zł/St) (255,60 zł/St) (255,60 zł/St) incl. VAT
    1.278,00 zł - 1.278,00 zł
    Current price 1.278,00 zł (255,60 zł/St) (255,60 zł/St) (255,60 zł/St) (255,60 zł/St) (255,60 zł/St) (255,60 zł/St) (255,60 zł/St) (255,60 zł/St) incl. VAT
  • Dräger anesthesia set VentStar® coaxial

    Original price 881,00 zł - Original price 881,00 zł
    Original price
    881,00 zł (88,10 zł/St) (88,10 zł/St) incl. VAT
    881,00 zł - 881,00 zł
    Current price 881,00 zł (88,10 zł/St) (88,10 zł/St) incl. VAT
    Dräger

    Disposable anesthesia set with coaxial breathing tube 2 coaxial breathing hoses with Y-piece 1.9 m Breathing bag 2 l breathing bag hose 1.2 m ...

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    Original price 881,00 zł - Original price 881,00 zł
    Original price
    881,00 zł (88,10 zł/St) (88,10 zł/St) incl. VAT
    881,00 zł - 881,00 zł
    Current price 881,00 zł (88,10 zł/St) (88,10 zł/St) incl. VAT
  • Dräger BlueSet Ventilation HME

    Original price 1.638,00 zł - Original price 1.638,00 zł
    Original price
    1.638,00 zł (1.638,00 zł/St) incl. VAT
    1.638,00 zł - 1.638,00 zł
    Current price 1.638,00 zł (1.638,00 zł/St) incl. VAT
    Dräger

    Reusable ventilation set HME filter (Heat and Moisture Exchanger) 2-piece for children and adults

    Original price 1.638,00 zł - Original price 1.638,00 zł
    Original price
    1.638,00 zł (1.638,00 zł/St) incl. VAT
    1.638,00 zł - 1.638,00 zł
    Current price 1.638,00 zł (1.638,00 zł/St) incl. VAT
  • Dräger BlueSet Anesthesia with water trap

    Original price 3.812,00 zł - Original price 3.812,00 zł
    Original price
    3.812,00 zł (3.812,00 zł/St) incl. VAT
    3.812,00 zł - 3.812,00 zł
    Current price 3.812,00 zł (3.812,00 zł/St) incl. VAT
    Dräger

    complete anesthesia set with water trap 10 pieces reusable for adults and children

    Original price 3.812,00 zł - Original price 3.812,00 zł
    Original price
    3.812,00 zł (3.812,00 zł/St) incl. VAT
    3.812,00 zł - 3.812,00 zł
    Current price 3.812,00 zł (3.812,00 zł/St) incl. VAT
  • Dräger BlueSet Anesthesia for neonates

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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!