Callaghan S P, Doremus K A, Wilson D J, O'Donnell M M
Dimens Crit Care Nurs. 1994 Jan-Feb;13(1):38-43.
The critical care nurse is frequently challenged to clear respiratory secretions for patients with thick, copious mucous and a weak cough. The traditional interventions nurses use are chest physiotherapy, incentive spirometry, and "blind" endotracheal suctioning to facilitate the removal of secretions, but these are sometimes ineffective and cause complications. Nurses who identify patients needing a more effective way to remove secretions can request consideration of a new method, suctioning through a minitracheostomy.
重症监护护士经常面临挑战，要为痰液浓稠、量大且咳嗽无力的患者清除呼吸道分泌物。护士们传统的干预措施包括胸部物理治疗、激励性肺量计以及“盲目”经气管插管吸痰，以促进分泌物排出，但这些措施有时并不奏效，还会引发并发症。能够识别出需要更有效排痰方法的患者的护士，可以要求考虑采用一种新方法，即通过迷你气管切开术进行吸痰。
