Application and effect evaluation of airtight shallow ventilator lung dilated suction in postoperative cardiac patients

ZHU Ji-rong; LIU Dan-dan; GE Jian-jun

doi:10.16766/j.cnki.issn.1674-4152.002661

Volume 20 Issue 9

Sep. 2022

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Article Navigation > Chinese Journal of General Practice > 2022 > 20(9): 1612-1614

ZHU Ji-rong, LIU Dan-dan, GE Jian-jun. Application and effect evaluation of airtight shallow ventilator lung dilated suction in postoperative cardiac patients[J]. Chinese Journal of General Practice, 2022, 20(9): 1612-1614. doi: 10.16766/j.cnki.issn.1674-4152.002661

Citation:

ZHU Ji-rong, LIU Dan-dan, GE Jian-jun. Application and effect evaluation of airtight shallow ventilator lung dilated suction in postoperative cardiac patients[J]. Chinese Journal of General Practice, 2022, 20(9): 1612-1614. doi: 10.16766/j.cnki.issn.1674-4152.002661

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Application and effect evaluation of airtight shallow ventilator lung dilated suction in postoperative cardiac patients

doi: 10.16766/j.cnki.issn.1674-4152.002661

1.
Intensive Care Unit, Department of Cardiac and Macrovascular Surgery, the First Affiliated Hospital of University of Science and Technology of China, South Zone. Hefei, Anhui 230036, China

Funds:

2008085MH240

Received Date: 2022-05-16
Available Online: 2022-11-29

Abstract

Abstract

Objective During cardiac surgery, the lung is inevitably affected by cardiac surgery because the surgery requires incision of the sternum and disrupts the continuity of the sternum. Cardiac surgery is time-consuming, resulting in longer alveolar collapse time during surgery, which requires higher requirements for postoperative airway care. This study investigates the application and effect of airtight shallow ventilator lung dilated suction in postoperative cardiac patients, aiming to provide reference for the selection of suction method for postoperative cardiac patients. Methods A total of 221 postoperative cardiac patients admitted to the First Hospital of the University of Science and Technology of China from February 2020 to August 2020 were taken as the study subjects. They were divided into control group (110 cases) and observation group (111 cases) using random number table method. The patients in the control group were given conventional lung dilated suction and patients in the observation group were given airtight shallow ventilator lung dilated suction. The mechanical assisted ventilation time, heart rate recovery time after suctioning, terminal oxygen saturation recovery time and sputum sound improvement scores of the patients in the two groups were compared. Results The time of mechanical ventilation was (11.93±5.83) h in the control group and (9.92±3.61) h in the observation group, and the difference was statistically significant (t=3.083, P < 0.05). The heart rate recovery time and oxygen saturation recovery time after the end of sputum aspiration in patients in the observation group after cardiac surgery were significantly lower than those in the control group (t=2.707, 4.591, all P < 0.05). The sputum sound improvement score was (2.69±0.55) points in the control group and (2.86±0.35) points in the observation group, and the difference was statistically significant (t=2.641, P < 0.05). Conclusion Compared with conventional manual lung dilated suction, airtight shallow ventilator lung dilated suction can shorten the duration of mechanical ventilation in adult postoperative cardiac patients, stabilize the patients'vital signs and improve the sputum sound in postoperative patients. Airtight shallow ventilator lung dilated suctioning is recommended as the preferred method of endotracheal suctioning in these patients.
- Adult heart disease,
- Surgery,
- Sputum aspiration,
- Method study

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References(20)

References

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Application and effect evaluation of airtight shallow ventilator lung dilated suction in postoperative cardiac patients

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Application and effect evaluation of airtight shallow ventilator lung dilated suction in postoperative cardiac patients

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