Novel Tracheal Dressing

新型气管敷料（NTD）设计用于解决气管切开术患者使用敷料的问题。气管切开术是在颈部开一个口，直接通向气管。它是由一个中空的塑料管连接外部环境与气管和肺保持开放。气管包括多个软骨环。由于气管的结构，从气管中取出插管会留下一个开口。一般来说，需要两周的时间来愈合，在这段时间里，病人的所有痰都从这个口排出。不幸的是，由于缺乏适合患者和家属在社区使用的敷料，几乎所有患者都在医院待到洞被堵住。由于COVID-19大流行，气管切开术的数量和防止气溶胶传播的必要性正在增加。气管切开术后留下的空洞以及如何修补是一个世界性的未解决的问题。由于缺乏一种简单、易储存、易涂抹、易拆卸和一次性的敷料，患者要忍受频繁的敷料和中断，这意味着他们不能及时回家。目前，在任何地方都没有常规使用的敷料。因此，护士们开始从零开始定制敷料。这些敷料耗时且经常更换，使护理流程复杂、昂贵且对患者不舒服。然而，我们在英国制造的GB专利创新已经通过NHS的早期可行性研究证明了它的价值。NTD的好处很多，举几个例子：1\。易于存储，应用和删除。显著减少对环境的影响。与手工定制敷料相比，减少了所需的护理时间，从而节省了更多的护理时间。4 .使患者和家属能够在社区环境中使用NTD敷药，并使护理团队能够让气管切开术患者出院。减少提前出院对病床的阻塞，支持减少候诊名单7\。减少地区护士的每日出诊次数。我们的创新项目将定义如何在复杂、竞争、成本确定的NHS环境中扩展、生产和实施NTD。这笔拨款将使我们能够将英国的创新带到当地社区和全球市场。

The Novel Tracheal Dressing (NTD) has been designed to address issues surrounding dressings used for patients who have undergone a tracheostomy procedure.A tracheostomy is an opening in the neck leading directly into the trachea. It is maintained open with a hollow plastic tube connecting the external environment with the windpipe and lungs. The trachea comprises a plurality of cartilaginous rings. As a result of the structure of the trachea, removal of the cannula from the trachea leaves an opening. Typically, it takes two weeks to heal, and during this time, all expectoration by the patient passes out through this opening. Unfortunately, due to the lack of dressing suitable for patients and relatives to use in the community, nearly all patients stay in the hospital until the hole is closed. Due to the COVID-19 pandemic, the number of tracheostomies and the need to prevent aerosol spread is increasing.The hole left post-tracheostomy and how to dress it is a worldwide unsolved problem. Due to the lack of a simple, easy-to-store, easy-to-apply, easy-to-remove and disposable dressing, patients endure frequent dressings and interruptions, meaning they cannot be sent home in a timely manner.At present, there is no dressing adopted for routine use anywhere. As a consequence of this, nurses are making bespoke dressings from scratch. These dressings are time-consuming and frequently changed, making care flow complex, expensive, and uncomfortable for patients. However, our GB patented innovation, manufactured in the UK, has proved its value through an early feasibility study in the NHS.Benefits of the NTD are numerous, to mention some:1\. Easy to store, apply and remove2\. Significant reduction in the Environmental impact3\. Reduction of the nursing time required over that needed for hand-made bespoke dressings, allowing more time for care.4\. Empowering patients and relatives to use NTD dressing in the community environment and Enabling care teams to discharge patients with open tracheostomy holes.5\. Reduction of bed blockade by early discharge, supporting waiting list reduction7\. Reducing daily visits by district nurses.Our Innovate Project will define how to scale, produce, and implement NTD in a complex, competitive, cost-defined NHS environment.This Grant will enable us to bring a UK innovation to the local communities and to the Global market.