气管插管接呼吸机治疗期间的气道护理

The Airway Nursing in the Period of Endotracheal Intubation by Breathing Machine Therapy

在抢救危重患者时,进行呼吸机治疗的目的主要是利用机械装置来代替、控制或改变自主呼吸运动,达到使机体维持适当的通气,并在一定程度上改善气体交换功能,减少呼吸功能的消耗和缓解呼吸肌的疲劳。往往应用时间较长,正确有效的气道护理显得十分重要。应密切观察病情的变化,严格无菌操作,熟练掌握吸痰技巧,保持呼吸道湿润、通畅,严格执行各种消毒、隔离制度,判断并及时处理呼吸机的异常情况。

While rescuing critical patients the main objective of breathing machine therapy is to use the machine to replace, control or change the spontaneous breathing so as to maintain the appropriate ventilation of body, and improve the gas exchange ability of the lung partly ,reduce the consumption of respiratory function, and allay the tiredness of the respiratory muscle. The application time usually is long, so the correct and effective airway nursing is very important. We should observe the changes of the patients closely, operate the aseptic teclmique strictly, master the sputum inhale technique proficiently, maintain airway moist and unobstructed, abide the disinfection and insulation rules, judge and deal with the abnormal occurrences of the breathing machine.