The approach on methods of replacing tracheostomy tube after incision of trachea in 48 hours
10.3760/cma.j.issn.1673-4904.2009.22.01l
- VernacularTitle:气管切开48小时内更换气管切开套管的方法探讨
- Author:
Yalin LI
;
Weihua QIN
;
Jiajun SUN
;
Haiying YOU
;
Lingling WANG
- Publication Type:Journal Article
- Keywords:
Tracheostomy;
Tracheostomy tube;
Replace
- From:
Chinese Journal of Postgraduates of Medicine
2009;32(22):29-31
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the more secure and available methods in replacing traeheostomy tube.Methods Sixty patients with incision of trachea were divided into group A(29 eases)and group B (31 cases)randomly.The new method was used in group A with putting a catheter into the old tracheostomy tube before taking it out,and placing the new tracheostomy tube under the guide of catheter.While the traditional method was used in group B.The heart rate,SpO2,manipulation time,perioperative haemorrhage, and the condition of entering the false passage were recorded.Results The heart rate,SpO2 were no significant difference before and after manipulation in group A,but the heart rate increased and SpO2 decreased in group B(P<0.01 or<0.05).The manipulation time was(50.5±4.2) s in group A,and (84.9±5.3) s in group B(P<0.05).The perioperative haemorrhage >3 ml and the condition of entering the false passage in group A(2 Cases,o cage)were less than those in group B(15 cases.5 cases)(P<0.01 or<0.05).Conclusion The new method in replacing tracheostomy tube which use an input catheter is more security and more availability.
