Extubation time to improve nursing.docVIP

 PAGE \* MERGEFORMAT 6 Extubation time to improve nursing [Abstract] Objective To find the right time to extubation to reduce pulmonary complications after cardiopulmonary bypass. Methods 230 patients after cardiopulmonary bypass, patients with tracheal intubation 115 patients were randomly divided into experimental group and control group 115 cases, the experimental group, 1-3 hours of extubation in the control group extubation 2-6 hours. Comparison of two groups of patients the incidence of lung infection, hospital stay and ICU stay time. Results The lung infection rate, length of stay, ICU time was significantly lower than the control group, P lt;0.01, significant difference. Conclusion CPB, early endotracheal intubation pulling lung infection can significantly reduce the incidence and shorten hospital stay, reduce hospital costs. [Keywords:] cardiopulmonary bypass time, pull out the effect of different endotracheal intubation In order to maintain respiratory function after cardiopulmonary bypass, intraoperative oxygen debt repayment, to support heart and lung function, protect the lung and kidney function, often with endotracheal intubation for treatment with a breathing machine. Respirator the longer the treatment, the lungs higher incidence of infection, longer hospital patient, the higher cost of hospitalization in November -2006 .2003 In November, 115 cases of our department the patient after cardiopulmonary bypass, the successful early extubation, while strengthen the respiratory care, received good results, are as follows. 1 Materials and Methods 1.1 General information on control group 115 patients, aged 9-29 years, of which 60 cases of congenital heart disease, valvular disease, 30 cases, 25 cases of coronary artery bypass surgery. 1.2 Methods 1.2.1 Surgery and Anesthesia Are used intravenous plus inhaled anesthesia, low temperature or room temperature, cardiopulmonary bypass, surgery generally do not have a sed