Establishment and management of emergency artificial airway in patients with severe craniocerebral injury

YAO Yuan; FANG Zheng-han; YU Chang-jiu

doi:10.3969/j.issn.1009-4237.2017.08.003

Abstract：Objective To explore the establishment and management of emergency artificial airway in patients with severe craniocerebral injury. Methods There were 90 acute severe brain injury patients diagnosed in our hospital emergency department from Jul.2016 to Mar.2017.They were divided into the study group (45 cases) and control group (45 cases), according to the emergency management of artificial airway in different ways.The artificial airway was established on the basis of the actual situation, convenient operation and quick selection, and the smooth method of the ideal airway was ensured.The control group was given routine endotracheal intubation, ventilation and management, and the observation group was given comprehensive management.The emergency intubation time, the average number and success rate of intubation, ICU stay, mechanical ventilation time, ARDS and 30d mortality with aspiration pneumonia between the two groups were compared. Results Establishment of artificial airway time was different;in addition to a relatively low success rate of tracheal intubation, all the other did successfully, and the success rate of recovery was not significantly different.The observation group received comprehensive management by ARDS after treatment, and the complications of aspiration pneumonia and mortality were significantly lower than those of the control group.After treatment the observation group's mechanical ventilation and ICU stay were significantly lower than those of the control group, and the differences were statistically significant [(5.72±1.84)d vs.(13.78±1.62)d, (7.41±2.13)d vs.(17.58±2.67)d, P<0.05]. Conclusion During the establishment of artificial airway for patients with severe craniocerebral injury, it is necessary to choose different construction methods, to ensure the smooth ventilation and to effectively maintain lung function.The comprehensive management can not only reduce the mortality effectively, shorten the mechanical ventilation time and ICU stay, but also can improve the prognosis effectively.It is worthy of clinical reference.