Objective To construct the artificial airway management in patients undergoing tracheotomy in emergency resuscitation room,thus exploring its application value.Methods The related literature and clinical experience were screened.Delphi method was used to conduct an artificial airway management model for patients undergoing tracheotomy in emergency resuscitation room.A total of 141 patients undergoing tracheotomy in emergency resuscitation room in Beijing Tongren Hospital,Capital Medical University from February to November 2022 were prospectively enrolled in this study.They were randomly divided into the traditional group and the improved group,in which they received conventional artificial airway management intervention and artificial airway management intervention based on Delphi method,respectively.The continuous interventions were up to the transfer of the department.The clinical indicators,sputum traits,arterial blood gas index,postoperative complications were included as comparators.Results The patients in the improved group presented significantly shorter time to artificial airway,duration of mechanical ventilation,time to single sputum suction,significantly less frequency of daily suctioning,and significantly higher success rate of first intubation than those of the traditional group(P<0.05).The sputum traits on days 1 and 3 in the improved group were significantly better than those of the traditional group(P<0.05).The arterial partial pressure of oxygen(PaO2)showed a significant upward trend on days 1 and 3 in the both groups,with significant differences between different time points(P<0.05).However,there was no statistical significant difference in the interaction between groups and time points(P>0.05).The arterial carbon dioxide(PaCO2)showed a significant downward trend on days 1 and 3 in the both groups,with significant differences in the interaction between groups at time point(P<0.05),but there was no statistical significant difference between groups(P>0.05).The postoperative complications were significantly lower in the improved group than in the traditional group(P<0.05).Conclusion For patients undergoing tracheotomy in emergency resuscitation room,artificial airway management can effectively reduce postoperative complications,shorten time to artificial airway,duration of mechanical ventilation,time to single sputum suction,reduce suctioning frequency,increase the success rate of first intubation,and improve sputum traits.
emergency resuscitation roomtracheotomyartificial airwayarterial blood gas index
NETL
NSTL
万方数据
维普
