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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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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1. 孙永华.烧伤医学[M].北京:人民卫生出版社, 2009:105-120.
2. 盛志勇, 郭振荣.危重烧伤治疗与康复学[M].北京:科学出版社, 2000:240-241.
3. 马红, 周敏, 陈晓娟.人工鼻在烧伤合并吸入性损伤气管切开术中的应用及护理[J].华西医学, 2014, 29(4):770-771.
4. 权明桃, 江智霞, 袁晓丽, 等.人工气道气囊护理研究进展[J].护士进修杂志, 2008, 23(4):308-310.
5. 赵红, 于湛, 王鹏, 等.气管切开术112例术后一次性气管套管的使用及护理[J].中国误诊学杂志, 2012, 11(11):2687.
6. 吕爱梅, 霍俊霞, 胡玉连.对昏迷患者吸痰深度的探讨[J].菏泽医学专科学校学报, 2002, 14(2):39.
7. 韦晓君, 王玲华, 郑玉香. COPD患者行机械通气时吸痰深度的探讨[J].解放军护理杂志, 2006, 23(4):9-10.
8. 庞爱华.人工气道吸痰导管插入深度的临床研究[J].护理研究, 2004, 18(2):351-352.
9. 熊恩平, 周泽云.不同气道湿化和吸痰方法对预防急性呼吸窘迫综合征患者痰痂形成的影响[J].中华护理杂志, 2011, 16(4):341-343.
10. 刘丽娟. 0.45%氯化钠注射液在喉癌气管切开术后气道湿化中的应用[J].齐鲁护理杂志, 2010, 16(4):91-92.
11. 钱民, 张新黎, 余旻.经皮扩张气管切开术在成批吸入性损伤中的应用观察[J].华西医学, 2013, 28(2):237-239.
12. 马建斌, 刘群.吸入性损伤的治疗进展[J].广东医学, 2013, 34(11):1779-1781.
13. 杨宗城.吸入性损伤的研究进展[J].中华烧伤杂志, 2008, 24(5):372-374.
14. 常双喜, 王锦涛, 禹彩霞, 等.纤维支气管镜在特重度烧伤合并吸入性损伤病人中的应用[J].临床肺科杂志, 2010, 15(9):1316.
15. 黄鑫成, 黄种杰, 洪原城, 等.经纤支镜气道灌洗治疗重度吸入性损伤[J].临床肺科杂志, 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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