Elderly patients with respiratory tract tracheotomy.docVIP

 PAGE \* MERGEFORMAT 8 Elderly patients with respiratory tract tracheotomy [Keywords:] Aged; tracheotomy; airway management Rescue Intensive tracheotomy is poor in patients with respiratory tract to take urgent and effective treatment [1]. Tracheostomy in critically ill patients often used in emergency rescue, and the various causes of airway obstruction, respiratory dysfunction, or under retention of respiratory secretions caused by breathing difficulties. Postoperative care and to take effective measures to strictly manage the airway, to prevent the occurrence of lung infection, to save and extend lives of patients is of great significance. I Division 1, 2005 months to January 2008 on a variety of diseases caused by breathing in elderly patients with tracheotomy were 28 cases, now nursing are described below. 1 Clinical data The 28 cases, male 16, female 12 cases, 61 to 82 years old. Acute myocardial infarction and respiratory failure in 12 cases, obstructive bronchitis, emphysema elderly with respiratory failure in 13 cases, diabetic ketoacidosis, respiratory failure 3 cases, the use of mechanical ventilation time was 10 to 720 hours, of which lt;24 hours in 4 cases, 24 to 72 in 14 patients, 72 ~ 140 hours in 8 patients,gt; 140 hours in 2 cases. in this group were not due to improper care complications. 2 Respiratory Care 2.1 The correct position placed lower in order to reduce airway pressure, airway wall damage and to prevent reflux of gastric contents caused by aspiration pneumonia, tracheostomy patients should take a half sit-bit, neck amp; c. booster, so that the neck extended, to keep the airway unobstructed. 2.2 Department of casing fixed to a solid operation with a dozen knots, tightness of fit, too tight can compress the neck vessels, and too easy to loose tube prolapse, often observed with or without active bleeding, subcutaneous emphysema, pneumothorax, infection appear. Artificial airway humidification 2.3 (1) wet method t