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In patients with severe head injury Nursing of tracheotomy
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In patients with severe head injury Nursing of tracheotomy
[Abstract] Objective: To summarize the tracheotomy in patients with severe head injury and experience of care measures. Methods: The hospital in August 2005 ~ October 2007 admitted 38 patients with severe traumatic brain injury care measures were analyzed retrospectively. Results: 38 patients, 31 patients with successful rescue, 7 patients died, causes of death were brain herniation, 81.6% success rate of resuscitation. Conclusion: Patients with severe brain injury after tracheotomy Across effective airway humidification and timely suction, to prevent the occurrence of complications is the key to nursing work.
[Keywords:] severe brain injury; tracheotomy; Care
Tracheotomy in patients with severe traumatic brain injury is the rescue of the most effective first aid measures, it can support breathing, improved ventilation and oxygenation, to help patients to reduce acute airway obstruction, is the primary life-support measures and the rescue of the basic guarantees. Therefore, tracheotomy patients with respiratory care is a clinical nurse must master and skilled operation of a skill, in our hospital from August 2005 ~ October 2007 were treated 38 cases of severe traumatic brain injury patients, the relevant nursing measures and Experience reports are as follows:
A clinical data
The group of 38 patients with severe traumatic brain injury patients, of which 34 cases of males and 4 females, aged from 23 to 75 years old, are using metal casing. 7 cases of death, causes of death were brain herniation, 81.6% success rate of resuscitation.
And experience of two nursing
2.1 Posture
According to the disease, tracheotomy after 24 ~ 48 h taken supine and then in the case of illness does not affect the general patient bed elevation 15 ° ~ 30 ° , to facilitate the improvement of ventilation, increasing tissue oxygen supply. Head position should not be too high or too low, should stand
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