Neurological intensive care patients after tracheotomy in progress.docVIP

 PAGE \* MERGEFORMAT 13 Neurological intensive care patients after tracheotomy in progress [Keywords:] in patients with severe neurological; tracheostomy; post-operative care Neurological critically ill patients, have different levels of consciousness, tongue after the fall, weakened cough reflex and swallowing or loss of airway secretions, sputum failed to effectively remove, easily lead to respiratory obstruction, a life-threatening. Tracheotomy surgery is to save critically ill patients do not open the airway emergency measures, postoperative patient breathing directly through the ETT, when the inspiratory upper airway lost the original heating, humidification and filtration, combined with repeated suctioning tracheal mucosa have different degree of damage, the lower the resistance in the case of the patient, concurrent respiratory tract infection more likely, therefore, an effective postoperative respiratory care, to reduce infection rates, reduce complications and improve the cure rate has an important role. now suctioning timing and suction techniques; tracheal tube fixed airway humidification; iatrogenic tracheal infection control measures and other issues were reviewed. suction time and the suction technique based on the patient cough, uh, cough sputum sound smell difficulty breathing or breath; blood oxygen pressure and oxygen saturation drop and so on. should immediately suction, airway open, you can take to give back, and then suck out the residual line of sputum or sputum. suctioning suitable thickness when used , soft round outside diameter of tracheal tube diameter not exceeding 1 / 2 of the silicone tube. there are authors [1,2] that the adult tracheal diameter of 7 ~ 9 mm, in children is 4 ~ 6 mm, select the suction tube diameter of adult 3 ~ 4 mm, 1.5 ~ 2.5 mm of children is appropriate. NS wall lubrication effect, the remote suction when suction tube placed in bottles filled with saline or bowl, test suction pipe is smooth , appeal their