neck burns in patients with tracheal tube safety issues and nursing(颈部烧伤患者的气管套管安全问题和护理).docVIP
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- 2017-09-05 发布于浙江
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neck burns in patients with tracheal tube safety issues and nursing(颈部烧伤患者的气管套管安全问题和护理)
Neck burns in patients with tracheal tube safety issues and Nursing
[Abstract] Objective To investigate the and neck burns patients the tracheal tube safety issues and clinical care measures. Undergraduate June 2007 -2011 April neck burns 10 patients were observed with seven cases and casing the security problem, using a variety of care measures desired therapeutic purposes. Conclusions The the tracheal tube safety issues, closely observed changes in condition, and to take effective care measures is to ensure that the neck burns patients successfully treated key.
[Keywords] neck burns; tracheal tube; safety; care
Neck burns patients after tracheotomy wound exudate many other reasons to increase the difficulty of care and security issues of common endotracheal tube endotracheal tube obstruction, esophageal fistula, catheter prolapse, bleeding. Taken through clinical care measures, early detection, early treatment, reduce risk, and ensure the safety of the patients. now hospital ICU from June 2007 -2011 April tracheal tube neck of the security issues in burn patients reported as follows.
1 Clinical data
10 cases of neck burn patients, 6 males and 4 females; aged 32 to 65 years of age. Neck Ⅲ degree burns, deep second-degree burns five cases of superficial second-degree burns three cases. Appear tracheal tube seven cases of security issues, which was mainly due to catheter obstruction, tube prolapse, bleeding, inner sleeve placed difficulties esophageal fistula.
2 security issues
2.1 tracheal tube occlusion secretions bonded into scab obstruction such as the presence of respiratory burns more secretions should be removed in a timely manner. Scab difficult to remove secretions, tracheal tube should be replaced immediately.
The 2.2 tube prolapse the often fixed is not strong neck too much subcutaneous fat, trachea incision too large lead tube prolapse subcutaneous; suction stimulation caused the severe coughing, frequent change of posture are more
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