同质化气道护理在序贯性建立人工气道救治重症脑损伤中的应用  

Application of homogenous quality airway care based on the sequential establishment of artificial airway for severe traumatic brain injury

作　　者：徐燕[1] 吴春燕[1] 郑鹏[2] 张文青[2] 

机构地区：[1]江苏靖江市人民医院护理部,江苏靖江214500 [2]江苏靖江市人民医院重症医学科,江苏靖江214500

出　　处：《中西医结合护理（中英文）》2017年第12期148-150,共3页Journal of Clinical Nursing in Practice

摘　　要：目的总结序贯性建立人工气道救治重症脑损伤患者中同质化气道护理的措施。方法重症脑损伤患者35例采用序贯性建立人工气道,全过程使用呼吸机辅助通气。护理人员定时评估吸痰指征,做好气道内吸引、气道湿化和气囊管理。结果 35例重症脑损伤患者在序贯性气管切开过程中病情平稳,手术顺利实施。结论在序贯性建立人工气道救治重症脑损伤中实施同质化气道护理举措,能改善机械通气患者气道护理质量,同时规范ICU护士危重症护理行为,对降低重症脑损伤患者并发症风险、提高救治成功率具有积极意义。Objective To summarize the homogenous quality airway nursing measures based on sequential establishment of artificial airway for severe traumatic brain injury. Methods Totally35 patients with severe traumatic brain injury received sequential establishment of artificial airway and mechanical ventilation. The homogenous quality nursing interventions included endotracheal suctioning assessment,airway suction,airway humidification and balloon management. Results During the process of sequential establishment of artificial airway,the conditions of 35 patients were all steady,and the surgeries were successfully operated without any accidents. Conclusion Homogenous quality airway nursing measures based on sequential establishment of artificial airway can improve the airway condition of patients,standardize the nursing behaviors in ICU,and reduce the risk of complications and accidents of patients with severe traumatic brain injury.

关 键 词：序贯性治疗 人工气道 脑损伤 机械通气 同质化护理 气道湿化 

分 类 号：R473.6[医药卫生—护理学]