The Application of "⊥"Trachea Incision in Tracheotomy / 昆明医科大学学报

Objective The study discusses the clinical efficacy, surgical technique and new technology application of "⊥" incision in tracheotomy. Methods From March 2014 to December 2015, a total of 300 patients treated in the First Affiliated Hospital of Kunming Medical University with tracheotomy prospective were studied.The statistics of success rate of incision, balloon cuff rupture and complications of "⊥" form incision (groupA) and"I"form incision (group B) during tracheotomy.Result In group A, 144 out of 150 cases (96%) were inserted successfully for the first try,while the first incision was successful in 90/150 cases of group B (60%) (P＜0.01) . Balloon cuff rupture was found in 3/150 cases (2%) in groupA and 15/150 cases (10%) in group B (P＜0.05) . The postoperative complications (postoperative bleeding, subcutaneous emphysema, pneumothorax,laryngotracheal stenosis) were observed in 10/150 cases (6.7%) in groupA and 25/150 cases (16.7%) in group B (P＜0.05).Conclusion The"⊥" tracheal incision is simple, safe and causes fewer complications. It is worthy of generalization and application.

Different methods of airway moist on wetting effect and pulmonary infection after tracheotomy for elderly patients with cerebral hemorrhage / 现代临床护理

Objective To compare the effects of airway humidification by intermittent atomization inhalation and micro pump control on pulmonary infection after tracheotomy in elderly patients with serebral hemorrhage. Methods From February 2012 to February 2013, 46 elderly patients with heavy craniocerebral injury and tracheotomy were set as the control group, treated with intermittent atomization inhalation. From March 2013 to March 2014, 50 elderly patients with severe craniocerebral injury and tracheotomy were set as the observation group, treated with micro pump controlled continuous airway humidification. The two groups were compared in terms of the satisfaction rate and incidence of pulmonary infection. Result The satisfaction rate of the observation group was higher than that of the control group and the incidence of pulmonary infection was significantly lower than that of the control group (P<0.05). Conclusion Micro pump controlled airway humidification for elderly patients with severe craniocerebral injury can improve the airway humidification effect and reduce the incidence of pulmonary infection.