Respiratory failure patients with Respirator care emergency treatment of airway.docVIP

 PAGE \* MERGEFORMAT 7 Respiratory failure patients with Respirator care emergency treatment of airway Of: Shen Xing Yan, Pang Huijuan, Shidong Dong, Qin Cuiping [Keywords:] respiratory failure, ventilator therapy, airway care Because respiratory failure caused by severe hypoxemia and hypercapnia in patients with life-threatening direct cause of respiratory failure, in addition to the right oxygen therapy, the mechanical ventilation, ventilator treatment is very important, more important is monitoring and management of airway, breathing machine seeks to avoid lung injury caused by iatrogenic or other complications of mechanical ventilation [1]. in our hospital from February 2000 since the establishment of ICU ward, the application of various ventilator rescue kinds of causes of respiratory failure patients, 18 cases are as follows. 1 Clinical data The patients in 18 cases, 11 males and 7 females, aged 18 to 76 years old. The reasons are: after thoracotomy-induced acute respiratory distress syndrome, emphysema, tuberculosis, pulmonary heart disease caused by respiratory failure, nervous system disease, meningitis, respiratory failure caused by breathing. with a machine the longest time 12 d, the shortest 50 min. rescued 16 patients, 2 died, the success rate of 88%. not because of improper care Qigong airway pressure serious complications such as wound oxygen toxicity. 2, airway care Normal tidal volume per kilogram of body weight 8 ~ 12 mL, when the airway leak, the tidal volume or minute ventilation lower limit alarm, because patients in clinical agitation, turning, body position change, etc. To intubation and ventilator pipe connections loose or separating should be immediately given to connect the pipes. ventilatory circuit off access, the endotracheal tube cuff rupture or inflated, the airway pressure limit alarm, then off to quickly connect the pipes or replacement cuff inflated amount, the amount of each inflatable about 2 mL, the s