Micro-injection pump in continuous humidification after tracheotomy in the clinical application of.docVIP

 PAGE \* MERGEFORMAT 4 Micro-injection pump in continuous humidification after tracheotomy in the clinical application of Artificial respiration tracheotomy is OK to save all kinds of respiratory disorders, the most effective means of critically ill patients, one of the tracheotomy after the wet of care is the implementation of this measure to be an important part. I Bureau since 1999 to 2004, a total of 107 patients treated tracheotomy patients were randomized in 57 patients with sustained airway wet syringe pump bolus of liquid wetting respiratory tract achieved satisfactory results. Summary report are as follows. 1 Data and methods 1.1 The clinical data from April 1999 ~ June 2004, the 107 cases of tracheotomy patients were randomly divided into two groups and the control group, the former continued to push the syringe pump to inject liquid wetting wetting, a total of 57 cases, of which male 25, female 32 cases; age from 14 to 70 years old, with an average 48-year-old, of which 36 cases coma. The control group of 50 patients using the traditional method of intermittent infusion, of which 23 male and female 27 cases, aged 16 to 72 years, mean 49 years; of these 32 cases of coma. Both groups of patients with acute organophosphate poisoning, and in the age, sex, disease, etc., the difference was not significant. 1.2 Methods 1.2.1 Preparation of wet-based solution of 0.45% sodium chloride solution 250ml dexamethasone 5mg, α -chymotrypsin 5mg, gentamicin 80000 u, or by sputum bacterial culture, drug sensitivity test results to replace the corresponding antibiotics. 1.2.2 the degree of airway humidification judgment (1) humidifier bad: sputum viscosity, less and difficult to suction out the lungs breathing sound thick or dry. (2) humidifier is good: sputum thin, the amount of moderate, easy to suck out the lungs breathing sound clarity. (3) excessive wetting: sputum showed foamy, quantity, smoking endless, pulmonary rales lot of foul language, or s