New tracheal intubation therapy brings the elderly to the elderly

Wuhan Evening News July 14 (Correspondent Liu Fang) Recently, a shocking scene was staged in the Breathing and Critical Medicine Ward of the Third People's Hospital of Hubei Province (Zhongshan Hospital in Hubei Province). Facing the risk of suffocation. After the family members agreed, the medical staff quickly performed the tracheal intubation for the patients, sucking a large amount of purulent sputum, and the elderly turned in danger.

On the same day, Liang Yin, deputy chief physician of the department, found that an elderly patient in the intensive room was restless, and the nurse was rushing to suck sputum. However, because the patient's lung infection is extremely heavy, the routine phlegm absorption effect is not good.

Seeing that the patient was facing the risk of suffocation, Liang Yinzheng thought that through active intubation to fight for treatment, he actively communicated his family members.

Medical staff is sucking sputum for the elderly.

After obtaining the consent of the family members of the patient, Dr. Li Wei, who had been waiting for a long time, was ready to prepare the tracheal mirror immediately. With the assistance of Dr. Du Chuan and Dr. Du Chuan, the tracheal intubation was successfully taken. The saturation of blood oxygen quickly returned to stability.

Wang Xinwei, director of the department, said that clinically, patients with critical condition, especially patients with respiratory failure, often used directly laryngoscopy to guide the tracheal intubation under the mouth. For patients with heavy infection and sputum volume, this therapy frequently absorbs sputum through mouth, which is easy to damage the airway mucosa, and cannot go deep into the lower respiratory tract. Repeated operation also increases the risk of the hospital. The effect is also difficult to guarantee.

"Meridum (nasal) tracheal mirror guidance tracheal intubation is a new technology carried out in the Department of breathing and critical condition in recent years." Director Wang Xinwei said that the new therapy is far smaller than the stimulation of the airway mucosa. patient. In addition, in the process of tracheoscopy or treatment, if the patient has accidents such as major bleeding and stopping respiratory cardiac, during the rescue process, it is too late to intubate the anesthesia tracheal (nasal) bronchoscopy to guide the tracheal intubation. Patients with difficulty in the difficulty in the difficulty of stretching (facial burns, deformity of the mouth), and the back -ups of the head (cervical unstable, cervical deformity, cervical nerve root disease, vertebral artery incomplete) patients directly throat The mirror tracheal intubation is difficult to complete, and it can only rely on bronchoscopy to guide the intubation.

Director Wang Xinwei said comfortablely that the passage (nasal) tracheal mirror guidance of the tracheal intubation can increase the success rate of treatment, and it is becoming more and more widespread in clinical applications.

[Edit: Yu Lina]

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