36 cases of respiratory failure in organophosphate poisoning when the patient care ventilator.docVIP

 PAGE \* MERGEFORMAT 8 36 cases of respiratory failure in organophosphate poisoning when the patient care ventilator Organophosphate poisoning is a common clinical critical care. Organophosphorus poisoning with severe respiratory failure, often complicated, if not timely and effective emergency treatment, then eventually leads to death. Application of artificial mechanical ventilation in patients with respiratory failure is to save one of the important means . the author of the September 2005 April 2009 36 patients were treated with mechanical ventilation in patients with organophosphate poisoning adopted a series of comprehensive and detailed care measures and achieved good results. 1 Materials and Methods 1.1 General Information September 2005 一 April 2009 author of organophosphate poisoning were treated in hospital patients with respiratory failure in 49 cases, 14 males and 22 females, aged 17-63 years, mean age 32 years old. Use of breathing machines for a maximum of 17d, a minimum of 4d, an average of 8d. poisoning ways: oral poisoning in 26 cases, 10 cases of poisoning, spraying of pesticide exposure. Clinical manifestations: The patient showed salivation, sweating, miosis, and lung wet 哕 tone, irregular breathing, R gt; 35 times / min or more, or lt;15 beats / min less, unstable blood pressure, blood gas tips hypoxemia (PaO: lt;65mmHg) and hypercapnia and so on. 1.2 endotracheal intubation First, clear the mouth and respiratory secretions, first with the simple oxygen mask respirator connected over the line of assisted ventilation, respirator mask and then immediately with easy access to do assisted breathing pure oxygen until the situation improved slightly after hypoxia, SaO: up to 90 % or more, the oral / nasal intubation. intubation depth (the distance from the incisors): Male 24-26cm, female 20-22cm, inflatable balloon catheter is successful, then mechanical ventilation. breathing pattern: the rescue asked the rest used th