Pulmonary infection after tracheotomy prevention and care.docVIP

 PAGE \* MERGEFORMAT 8 Pulmonary infection after tracheotomy prevention and care [Keywords:] tracheotomy; pulmonary infection; Care Neurosurgical patients because of neurological damage, long-term coma to breathing difficulties, tongue fall, weakening or disappearance of cough reflex, expectoration difficult rescue critically ill patients to early tracheotomy open airway, to maintain airway patency and improve breathing. tracheotomy many complications to the most common complication of pulmonary infection. now prevent 60 cases of pulmonary infection after tracheotomy nursing experience reported below. 1 Clinical data Our department from 2003-2008 in patients with tracheotomy total of 60 cases, including 42 males and 18 females, aged from 15 to 65 years, 40 cases of cerebral hemorrhage, 20 cases of severe head injury. Are as coma, respiratory failure, breathing difficulties, tongue after the fall of oxygen saturation of less than 90% of the tracheotomy. 2 Care 2.1 ward windows open for ventilation 2 times a day, each time less than 30min, keeping the indoor temperature 18 ~ 20 , relative humidity 60% to 70%, 2 times daily ultraviolet air disinfection, the daily use of 1:1000 2 pasteurized liquid clean the ground, and strictly limit access and the accompanying flow of the system control room personnel to prevent cross-infection. 2.2 physical therapy care (call-back and mechanical expectoration) call-back and mechanical expectoration is based on the principle of clinical physical therapy for chest surgery and frail patients to help enhance the exclusion of sputum and other secretions of the respiratory system capacity, improve lung stasis blood circulation conditions, preventive reduce the incidence of respiratory complications. (1) call-back can loosen airway secretions, sputum excluded in favor. percussion Tightlock when the thumb and four fingers do not leak, knock back two side of the lungs should be from the bottom up, each 2h 1 times, e