Buglass E
Ear, Nose and Throat/Head and Neck Unit, Queen Elizabeth Hospital, Birmingham.
Br J Nurs. 1999;8(8):500-4. doi: 10.12968/bjon.1999.8.8.6627.
Tracheostomy care is a complex nursing activity and has many potential complications. However, aspects of tracheostomy care appear to be carried out without uniformity and with some confusion as to correct techniques, especially outside the ear, nose and throat and intensive care environments. Some aspects of the literature appear contradictory, leaving nurses to make individual judgments about correct procedures. It is the nurse who is accountable for the care given; therefore, with the wealth of evidence available, it is important that the nurse is adequately trained and fully competent in the care of a patient with a tracheostomy. This article discusses particular aspects of tracheostomy care: assessment; tracheal suctioning; suction pressure; suction catheters; and humidity.
气管造口护理是一项复杂的护理工作,存在许多潜在并发症。然而,气管造口护理的各个方面在实施时似乎并不统一,对于正确的操作技术也存在一些困惑,尤其是在耳鼻喉科和重症监护环境之外。文献中的一些方面似乎相互矛盾,这使得护士需要对正确的操作程序做出个人判断。负责护理工作的是护士;因此,鉴于有大量可用证据,护士接受充分培训并完全胜任气管造口患者的护理工作非常重要。本文讨论了气管造口护理的特定方面:评估;气管抽吸;抽吸压力;抽吸导管;以及湿度。