Postoperative patients with cervical respiratory depression care.doc

 PAGE \* MERGEFORMAT 7 Postoperative patients with cervical respiratory depression care [Keywords:] Cervical complications of respiratory depression Postoperative respiratory depression is a serious complication of cervical spondylosis, is one of the most common postoperative patients with cervical cause of death. Therefore, early detection, diagnosis and care are particularly important. Our department from January 2005 to 11, 2007 months, were treated 68 cases of cervical spondylosis, 12 patients had varying degrees of respiratory depression, the clinical observation of such patients now and care characteristics were analyzed. clinical data in 68 patients in this group, 46 cases of male and 22 females, aged 18 to 82 years, mean age 39.6 years, 32 cases of cervical myelopathy, cervical spine fracture in 23 cases, 38 cases require surgery, postoperative respiratory depression in varying degrees in 12 cases, 8 cases were successfully rescued, 2 dead cases, 2 cases of respiratory transfer. Nursing 1. Posture Care Postoperative care is the key position to prevent excessive flexion and extension cervical spine rotation, resulting in graft loss. Therefore, the preoperative nurse should instruct the patient to understand and adapt to the correct position after surgery. Anesthetic regained consciousness, moving the patient and the turning head should be made shoulder and hip to keep in the same plane, in order to maintain cervical spine immobilization. After 24 hours, in principle, the activities of the head and neck to minimize the number and range of [1], to reduce vibration and graft loss, if the stand sudden respiratory depression, patients should be flat immediately. The group 1 patients underwent anterior cervical decompression and fusion after 26 hours, the nurses will stand up for the patient supine to lateral position, 5 s after the patients difficulty breathing, gas hold back, lip cyanosis, nurses immediately to its flat, 2 min dyspnea relief.