Neurological intensive nursing care after tracheotomy.doc

 PAGE \* MERGEFORMAT 8 Neurological intensive nursing care after tracheotomy [Abstract] Most patients with severe neurological nausea, vomiting, coma, coughing, swallowing reflex weakens, or even disappear, an increase in tracheal secretions; tracheostomy is to relieve airway obstruction, an important means to ensure airway patency, we combine the physical characteristics of patients timely use of closed suction, according to airway mucus sterile water for injection + pump sensitive to antibiotics, strict implementation of aseptic and serious implementation of primary care, 56 cases occurred in patients with no wound infection, wound bleeding, subcutaneous emphysema , tracheomalacia, tracheoesophageal fistula, and tracheal tube plugging prolapse and other complications, significantly reduced the incidence of lung infection, shortening the time to extubation, with satisfactory recovery results. [Keywords:] in patients with severe neurological; tracheostomy; Care Most often accompanied by neurological patients with severe nausea, vomiting, coma. Cough, swallowing reflex weakens, or even disappear, an increase in tracheal secretions, sputum is not easy due to discharge, high incidence of lung infection, respiratory tract obstruction, or suffocation, in order to ensure airway patency, often tracheotomy. in our hospital from January 2007 -2009 years 1 month, 56 patients underwent tracheotomy, now nursing experience are summarized below. 1 Clinical data A total of 56 patients in this group, including 37 males and 19 females, aged 18 to 81 years, Glasgow score (GCS) 3 ~ 8 minutes. Craniotomy to open tracheotomy before surgery in 17 cases, 15 cases of intraoperative tracheotomy postoperative day 1 in 10 cases, 14 patients admitted to hospital after 3 days. extubation time of 14 to 62 days, an average of 28 days, 18 cases recovered, 28 patients discharged improved, 10 patients died or abandoned. 2 Care 2.1 Environmental requirements in patients with