Artificial Airway Management for Inhalation Injury Patients Undergoing Tracheotomy_West China Medical Journal

Authors：

 ZhuYazhu ,  LiuLu , JiangLiang

Department of Burns and Plastic Surgery, Dazhou Central Hospital, Dazhou, Sichuan 635000, P. R. China;

Corresponding?author：

LiuLu, Email: 370849192@qq.com

Keywords：

Inhalation injury; Tracheotomy; Artificial airway management

DOI：

10.7507/1002-0179.201600386

Video：

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Abstract Full text Figures/Tables Video References Cited by

Objective To summarize the experiences of artificial airway management for inhalation injury patients undergoing tracheotomy. Methods A retrospective analysis was made on the clinical data of 16 patients with inhalation injury who accepted artificial airway implantation after tracheotomy from January 2012 to October 2014. Certain measures were taken for the patients such as timely sputum suction in a correct way, effective airway moist, timely airway lavage, strict aseptic operation, reasonable position management, dynamic observation and health education. Results Fifteen patients were cured, and one died. Among the cured patients, there were one case of catheter change due to blocked sputum, and one case of catheter outward portion sliding depth adjusting. Conclusion Strengthening artificial airway management after tracheotomy is the key to keep airway unobstructed, to prevent complications, and to guarantee the safety and a speedy recovery of patients.

Citation： ZhuYazhu, LiuLu, JiangLiang. Artificial Airway Management for Inhalation Injury Patients Undergoing Tracheotomy. West China Medical Journal, 2016, 31(8): 1420-1422. doi: 10.7507/1002-0179.201600386 Copy

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2. 盛志勇, 郭振榮.危重燒傷治療與康復學[M].北京:科學出版社, 2000:240-241.
3. 馬紅, 周敏, 陳曉娟.人工鼻在燒傷合并吸入性損傷氣管切開術中的應用及護理[J].華西醫學, 2014, 29(4):770-771.
4. 權明桃, 江智霞, 袁曉麗, 等.人工氣道氣囊護理研究進展[J].護士進修雜志, 2008, 23(4):308-310.
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6. 呂愛梅, 霍俊霞, 胡玉連.對昏迷患者吸痰深度的探討[J].菏澤醫學專科學校學報, 2002, 14(2):39.
7. 韋曉君, 王玲華, 鄭玉香. COPD患者行機械通氣時吸痰深度的探討[J].解放軍護理雜志, 2006, 23(4):9-10.
8. 龐愛華.人工氣道吸痰導管插入深度的臨床研究[J].護理研究, 2004, 18(2):351-352.
9. 熊恩平, 周澤云.不同氣道濕化和吸痰方法對預防急性呼吸窘迫綜合征患者痰痂形成的影響[J].中華護理雜志, 2011, 16(4):341-343.
10. 劉麗娟. 0.45%氯化鈉注射液在喉癌氣管切開術后氣道濕化中的應用[J].齊魯護理雜志, 2010, 16(4):91-92.
11. 錢民, 張新黎, 余旻.經皮擴張氣管切開術在成批吸入性損傷中的應用觀察[J].華西醫學, 2013, 28(2):237-239.
12. 馬建斌, 劉群.吸入性損傷的治療進展[J].廣東醫學, 2013, 34(11):1779-1781.
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14. 常雙喜, 王錦濤, 禹彩霞, 等.纖維支氣管鏡在特重度燒傷合并吸入性損傷病人中的應用[J].臨床肺科雜志, 2010, 15(9):1316.
15. 黃鑫成, 黃種杰, 洪原城, 等.經纖支鏡氣道灌洗治療重度吸入性損傷[J].臨床肺科雜志, 2012, 17(6):1051-1052.

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West China Medical Journal

Artificial Airway Management for Inhalation Injury Patients Undergoing Tracheotomy

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