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Modified dental suction tube in artificial saliva of airway

Wu Xin-stained diagnostic criteria of evaluation criteria with reference to endotracheal intubation or tracheotomy 3d, WBC> 15 × 10 '/ L, temperature> 38oC. Cough, increased sputum or sputum artificial airway catheter increased pulmonary 哕 sound auscultation, X-ray suggestive of pneumonia. 2.3.2 determine the oral mucosa of oral infection in the local ulcer,[link widoczny dla zalogowanych], erosion,[link widoczny dla zalogowanych], there bad breath, oral inflammation. Judgement of facial skin damage: skin redness of facial skin,[link widoczny dla zalogowanych], erosion. 2.3.3 nursing workload calculation method changed every day with the fixation of artificial airway, the time and tape spills wipe or attract the sum of oral secretions of time,[link widoczny dla zalogowanych], clean, attractive spillover calculation of oral secretions 30s each time,[link widoczny dla zalogowanych], the replacement of artificial airway with a fixed line, tape each time 120s calculation. 2.4 Results of the two groups of lung infections, oral infections, facial, and the incidence of broken skin to compare nursing workload and data applications SPSS12.0 software package for statistical analysis, count data by inspection, measurement data using t test specific data in Table 1, Table 2. Table 1, two groups of lung infections, oral infections, facial skin lesions compared n (%) Note: z = 9.75, P <O. 0l, significant differences in Table 2 compared two groups of nursing workload Note: l = 6.69 and 4.85, P <0.01, significant difference was 3 Discussion 3.1 timely and effective removal of oral secretions and keep the airway patency, to prevent infection in patients with artificial airway important measures to establish artificial airway of patients in critical condition, accompanied with disturbance of consciousness, swallowing weaken or even lose, the relative increase in oral secretions of oral and cleaning effect of the buffer capacity was declining, oral microorganisms to multiply rapidly, prone to oral infections J. Aspiration for the critically ill patients is a common phenomenon. Even patients with mechanical ventilation to maintain proper air bag pressure, aspiration also occurred J. Artificial airway for bedridden patients, their weakened immunity, aspiration and other factors, are prone to lung infections. Therefore, strengthening the patient's oral care, effective removal of oral secretions and prevent aspiration of oral bacteria to reduce and maintain airway patency, there are of particular importance. In addition, patients with artificial airway, the phenomenon of more than a drooling, saliva using the modified dental suction tube continued to attract oral secretions, has been able to stop drooling, oral secretions to prevent spillover of facial skin damage caused by patients, increased patient comfort . In this study, the experimental group were treated with modified dental suction tube care after saliva, pulmonary infection 20% infection rate of 6% mouth, facial skin damage rate of 2% lower incidence than the control group (P <0. 01). 3.2 The modified dental suction tube characteristics and advantages of saliva improved dental saliva suction tube shape similar to the small, sober patients with oral secretions can also change the location in their own circumstances. For patients and nurses frequently saves clean or replace the moisture attracting fixed oral secretions and lace, tape time, significantly reducing the workload of ICU nurses, but also saves the repeated use of gloves to attract spending of oral secretions. And in terms of occupational protection of nurses, to minimize the chance of occupational exposure. Experimental nursing workload in this group were significantly lower than the control group (p <0.01). 3.3 a modified dental suction tube continue to attract the attention of saliva in patients with a modified dental matters saliva suction tube must continue to attract attention to safety, avoid prolonged use, the use of closely observed during the attraction pressure, viscosity of oral secretions, oral dry mouth mucosa and whether the patient is feeling, etc., to ensure effective to attract the same time be safe, comfortable care. Regularly clean the suction tube at the same time, kept clean and changed regularly, someone special, to prevent cross infection.
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