Clinical application of adaptive support ventilation on non-COPD patients of long-term ventilation and nursing strategy
10.3760/cma.j.issn.1674-2907.2009.15.009
- VernacularTitle:适应性支持通气模式在长期机械通气非COPD患者中的临床应用及护理对策
- Author:
Su-Mei XING
1
;
Hong ZHANG
;
Shan CAO
;
Lin ZOU
Author Information
1. 解放军总医院
- Keywords:
Adaptive support ventilation;
Non-COPD;
Airway nursing
- From:
Chinese Journal of Modern Nursing
2009;15(15):1426-1428
- CountryChina
- Language:Chinese
-
Abstract:
Objective To study the clinical application of adaptive support ventilation (ASV) on non-COPD patients of long-term ventilation. Methods 12 elderly non-COPD patients of long-term ventilation were selected in elderly wards in our hospital from Jan. 2005 to Mar. 2006. Two modes in which minute volume (MV, volume per minute) was consistent were applied: ASV and PS-SIMV. In all modes for each used, until the patients came into a stable respiration for 30 min, the variables of respiratory mechanics were recorded, meanwhile the variables of hemodynamics and arterial blood analysis were measured. In addition, the gases in blood was analyzed by drawing blood from artery. A psychological nursing was well given before the use of ASV mode, and it needs to keep airway free and take the following nursing of humidification and sucking sputum. Results Compared with PS-S1MV, the variables of respiratory mechanics, hemodynamics and arterial blood analysis had no a statistically significant change in ASV for 12 non-COPD patients (P >0. 05). But, when using ASV, the patients felt more comfortable. Conclusions ASV mode can reduce the force exerted by patients when rospirating, have a good compatibility between man and manchine, and show a high safety. The psychological nursing and the nursing key mesrsures and the experiences may be extended and used in clinical applications.
