DSA引导下气管插管的手术配合与护理

Intraoperative cooperation and nursing for successful performance of DSA-guided trachea cannulation

目的探讨DSA引导下气管插管的手术配合与护理方法。方法 DSA引导下15例严重气管狭窄患者清醒状态以介入技术行气管插管,术中密切配合并实施相应护理。结果通过术中严密监察生命体征及观察病情,保持呼吸道通畅,密切配合医师快速完成手术,15例气道狭窄患者成功完成气管插管,呼吸困难即刻改善,无并发症发生。结论 DSA引导下对严重气道狭窄患者实施气管插管,具有可视、插管时间短、成功率高等优点。通过术前准备和术中医护配合以及术后护理,可避免窒息死亡、减少并发症,为进一步治疗创造机会。

Objective To investigate the effective intraoperative cooperation and nursing in performing DSA-guided trachea cannulation for severe airway stenosis. Methods DSA-guided trachea cannulation with interventional technique was carried out in 15 patients with severe airway stenosis in sober condition. During the procedure close intraoperative cooperation and proper nursing care were carefully adopted. Results During the interventional procedure close cooperation, careful observation of the vital signs and keeping the airway open were effectively and strictly carried out until the trachea cannulation was successfully accomplished in all the 15 patients. After the procedure the shortness of breath was immediately improved. No complications occurred. Conclusion DSA-guided trachea cannulation can solve complicated tracheal stenosis. Clinically, this technique is especially useful when the conventional trachea cannulation manipulation fails. The operation time of the procedure is short, the technical success rate is higher and the occurrence of complications is lower. Moreover, successful trachea cannulation can provide the patients with valuable opportunities for receiving further treatment.