Reflux after tracheotomy nursing intervention.docVIP

 PAGE \* MERGEFORMAT 5 Reflux after tracheotomy nursing intervention [Abstract] tracheostomy is brain surgery rescue of a critically ill emergency surgery patients. Tracheostomy in neurosurgical patients, correct and effective care measures can prevent food regurgitation into the trachea to reduce the incidence of complications. [Keywords:] after tracheotomy; esophageal reflux; Care Tracheostomy has become the clinical and surgical rescue airway obstruction maintain the airway and a common procedure. And severe head injury patients after tracheotomy prone to negative nitrogen balance, decrease the overall rate of protein synthesis and must therefore be taken to strengthen nutrition income, enhance the body resistance [1]. Brain surgery generally downward tracheotomy patients are in a coma, feeding nasogastric feeding is required to complete, but prone to cause nasal regurgitation occurs aspiration pneumonia, increase the suffering of patients, even be fatal. now I Division regurgitation of food after tracheotomy care are summarized below. 1 Basic Information I Section 2003-2009, a total of 165 cases of tracheotomy, in which 89 cases of laryngeal cancer, laryngeal papilloma in 13 cases, snoring in 15 cases, 28 cases of laryngeal trauma, foreign body in 20 cases, the oldest 73 years old, the minimum 15 years old. 2 nursing intervention 2.1 to maintain airway patency before nasal endotracheal sputum and oral secretions of net absorption in the nasal and nasal feeding in 30 minutes after the suction operation is not possible to avoid the suction of the stimulus cause vomiting, reflux of gastric contents can be prevented. 2.2 correct posture: head up when the condition allows 15 to 30 , particularly when the head should be elevated nasal feeding 30 to 40 degrees for at least 1 hour, in favor of food digestion, promote gastric emptying, preventing position over due to the low food reflux. The left lateral position and