Respiratory support in severely burned patients treated in the nursing progress.doc

 PAGE \* MERGEFORMAT 14 Respiratory support in severely burned patients treated in the nursing progress [Keywords:] extensive burns, respiratory support treatment, care management Patients with extensive burn wound sepsis after respiratory and systemic complications of sepsis [1], accompanied by a large area of #8203;#8203;moderate or severe burns with inhalation injury patients often complicated by multiple organ failure (MOF, and lung is the first organ involvement [2]. keep the airway open and maintain normal gas exchange is the key to treatment of patients with early tracheotomy and ventilator-assisted therapy plays an important role in [3]. This article reviewed the recent years reported in the literature on respiratory support in severely burned patients treated as summarized below. First, the artificial airway of choice and management Previous head of foreign doctors, first consider the application of facial burn patients tracheal intubation, but intubation should not be placed there too long, easily blocked secretion, difficult cleaning, after extubation laryngeal edema and temporary aphasia and other defects, so In recent years, they also tend to use tracheotomy [4,5]. Wu Boyu, etc. [1,6] that any large area burn (including the head, face, neck, patients are advised to choose in the trachea, or airway edema before edema is not serious When cut, and early use of ventilator-assisted treatment to prevent severe burns, inhalation injury caused by pulmonary complications, particularly adult respiratory distress syndrome (ARDS). Artificial airway management is the most important airway humidification, the establishment of artificial airway due to loss of the upper respiratory tract heating, humidification function, respiratory mucociliary system in order to maintain the normal physiological function, respiratory domestic demand to maintain a constant temperature and humidity [7]. Therefore, the application should be normal breathing machine b