79 cases of patients with tracheotomy care.docVIP

 PAGE \* MERGEFORMAT 5 79 cases of patients with tracheotomy care [Keywords:] Tracheostomy Care 9 hospital ICU 2005 Nian Nian 10 Yue Zhi 2007 period, a total of 79 patients underwent tracheotomy, clinical care and to strengthen the airway management, summed up effective care methods, described below. A clinical data The group of 79 cases in men and 51 cases, female 28 cases; aged 25 to 79 years old, with an average age of 67. In which 47 patients with severe head injury, cerebral hemorrhage in 18 cases, seven cases of severe chest trauma, high paraplegia in 3 cases, 4 cases of severe heat stroke. Tracheotomy rear metal casing 54 cases, 25 cases of disposable tracheal tube. Dai tube 10d ~ 8 months. 2 Care 2.1 tracheal tube nursing metallic casing with boiling sterilization method, each 4 ~ 6h replacement of a second, placed along the casing to bend the direction of the trachea. Disposable tracheal tube replaced, until 1 week after the formation of sinus conditions, as determined airway. Local tracheotomy should be kept clean and dry, according to the number of secretion and dressings decided to replace the cleanliness of the number, generally 1 ~ 2 times / d, were sputum impregnated gauze, replaced at any time. Incision around the cotton ball with 0.5% iodophor disinfection, 2 times / d; lace elastic appropriate, to prevent the tracheal tube to slip between the Department of the skin to accommodate a belt and that is appropriate, killing knot. 2.2 Nursing inflatable balloon cuff attached to an endotracheal tube leak-proof device, whose role is to make tight between the catheter and the tracheal wall without gaps, that is, to prevent vomit, blood or secretions into the lungs, but also to avoid mechanical Ventilation and air leakage. Balloon inflated level to just do not leak as the standard, the best balloon pressure should be less than capillary osmotic pressure 25cmH2O [1], the general inflatable 3 ~ 5ml. Balloon pressure is too high may lead to tracheal