The effect of programmed airway assessment in ICU patients with emergency and severe disease established artificial airway

Abstract

Objective To study the application effect of programmed airway assessment in ICU patients with emergency and severe disease established artificial airway, and to provide reference for ICU airway assessment. Methods 40 cases of ICU patients established artificial airway in our hospital from January 2016 to August 2016 were selected as control group; 40 cases of ICU patients established artificial airway in our hospital from September 2016 to July 2017 were selected as observation group. The control group received routine management of artificial airway, and the observation group received programmed airway assessment and management on the basis. Observed artificial airway humidification effect during establishing artificial airway, the pressure of the balloon, bedside elevation compliance, intubation time of the two groups. Results After the intervention, the satisfaction rate of humidification effect, the percent of pass of balloon pressure, the compliance of bedside elevation of the observation group (77.5%, 80%, 75%) were significantly higher than those of the control group (37.5%, 30%, 47.5%), the average intubation time, the rate of unexpected extubation of the observation group [(25.54±5.34)h, 2.5%] were significantly less than those of the control group [(36.38±7.27)h, 12.5%], with statistically significant differences (P<0.05). Conclusion Programmed airway assessment in ICU patients established artificial airway can achieve satisfactory and ideal humidification effect, ensure airway patency, strengthen the supervision of bedside elevation, regulate airbag pressure management, reduce the rate of unexpected extubation, is conducive to patients’ recovery. Key words: ICU; Artificial airway; Programmed airway assessment and management; Humidification; Balloon pressure; Bedside elevation