Nursing care for 3 patients with severe hypercapnia in AECOPD treated with extracorporeal carbon dioxide removal
10.3761/j.issn.0254-1769.2025.05.004
- VernacularTitle:体外二氧化碳清除治疗3例慢性阻塞性肺疾病合并高碳酸血症患者的护理
- Author:
Yu ZHANG
1
;
Yu JIN
1
;
Shuqin WANG
1
;
Na WAN
1
;
Chunyan ZHANG
1
Author Information
1. 100020 北京市 首都医科大学附属北京朝阳医院呼吸与危重症医学科RICU
- Publication Type:Journal Article
- Keywords:
Extracorporeal Carbon Dioxide Removal;
Pulmonary Disease,Chronic Obstructive;
Hypercapnia;
Critical Care
- From:
Chinese Journal of Nursing
2025;60(5):539-544
- CountryChina
- Language:Chinese
-
Abstract:
To summarize the nursing experience of 3 patients with severe hypercapnia during the acute exacer-bation of chronic obstructive pulmonary disease(COPD)undergoing extracorporeal carbon dioxide removal(ECCO2R),as well as adjustment of oxygen therapy support strategy and implementation of non-pharmacological airway clearance techniques.Additionally,the nursing focus includes all process nursing of ECCO2R,which covers the key aspects such as catheter selection and placement management,pre-flush setting and bubble handling,dual connection with initial parameter setting for patients,heparin pathway management and bleeding monitoring,observation of thrombosis formation and pressure monitoring during operation and self-examination,evaluation of carbon dioxide removal effi-ciency and implementation of decommissioning tests.After careful treatment and nursing,2 patients recovered and were discharged,and a patient's condition improved and was transferred to the respiratory ward for further treat-ment,and was discharged after 5 days.
