Respiratory care and mechanical ventilation of patients.doc

 PAGE \* MERGEFORMAT 5 Respiratory care and mechanical ventilation of patients Mechanical ventilation is the clinical treatment of acute and chronic respiratory failure patients an effective way, while there are many complications, including respiratory infections, especially ventilator-associated pneumonia is more common, leading to difficulties in clinical treatment. Therefore, we should strengthen the machinery ventilation in respiratory care of patients .2007 May to April 2009, through various means of clinical care in our hospital ICU15 routine respiratory care ventilator patients received satisfactory results. now experience described below: 1 Clinical data 15 patients, including 13 males, aged 39-72 years old, 2 females, aged 31-57 years old. These cases, 1 case of acute respiratory and cardiac arrest, spontaneous pneumothorax in 1 case, 3 cases of severe head injury, 6 cases of acute respiratory failure, cerebral vascular accident in 4 cases. 2 Care 2.1 to maintain airway patency Mechanically ventilated patients with severe illness, many different levels of consciousness, often the loss of cough reflex, resulting in respiratory secretions can not be discharged, discharge deposition, the formation of sputum, airway blockage, causing suffocation, lung infection and other complications . Therefore, the timely and effective airway suctioning is to keep the key. specific method: When the sputum of patients with laryngeal sound department, high airway pressure, pulse rate, lower oxygen saturation should be timely and effective suction. suction one negative sputum suction tube should be used to prevent cross infection, suction tube diameter shall not exceed the tracheal tube diameter of 1 / 2, when the suction action should be light, from deep out Rotary proposed to prohibit the blind plug mucous plug to avoid injury, a single negative pressure suction for no more than 15s, negative pressure maintained at 100-150mmHg [1]. In order to preven