Airway management of a series of patients with inhalation injury caused by smoke from smoke pot based on grade classification
10.3761/j.issn.0254-1769.2017.01.016
- VernacularTitle:成批烟雾吸入性损伤患者的分级气道管理
- Author:
Runnü JIN
;
Yuancheng HONG
;
Junhua FAN
;
Yu MIU
;
Yingjie LENG
- Keywords:
Smoke Inhalation Injury;
Ventilators,Mechanical;
Airway Management;
Respiratory Tract Infections
- From:
Chinese Journal of Nursing
2017;52(1):75-79
- CountryChina
- Language:Chinese
-
Abstract:
In this study,we summarized airway management of a series of patients with inhalation injury caused by smoke from smoke pot based on grade classification,which were:establishment of a special team for these classified patients,classifying the patients into four sub-groups including extremely severe,severe,moderate and mild,establishment of a program for trachea management and relevant measures on these classified sub-groups.Key points of management on extremely severe patients were as follows:protective isolation,mechanical ventilation,nursing of extracorporeal membrane oxygenation and pneumothorax and mediastinal emphysema,prevention of tracheo-esophgeal fistula,nursing cooperation of fiberoptic bronchoscopy.Key points of management on severe patients were as follows:disinfection and isolation,rational oxygen therapy,sputum elimination management,observation of illness status,preparation of emergency treatment,prevention and nursing of complications.Key points of management on moderate patients were as follows:ventilation,oxygen uptake,aerosol inhalation,sputum elimination guidance,respiratory function training.For mild patients,there was no special management except ventilation,aerosol inhalation and regular pulmonary function examination.One patient died due to multiple organ failure complicated with massive hemoptysis,four patients recovered with airway scar proliferation and lung fibrosis,and fifty-five patients fully recovered.
