TREATMENT BY
ENDOTRACHEAL LAVEMENT CAUSED ATELECTASIS PRODUCED AFTER EXTUBATION OF
ARTIFICIAL VENTILATOR
CAO Xumei, YU Renjie
Department of Pediatrics Jiuxianqiao Hosptial of
Beijing, China
Objective: To observe the effects
by using trachea lavement in atelectasis after extubation
Method: Artificial ventilator
was used in 158 cases in our NICU from 1993 -1997. 7 cases of atelectasis
happened after extubation (4.4%). Endotracheal lavement was used in all
cases. At least 2 experienced doctors were present in carried of out of the
whole procedure under heart and lung monitor. Trachea tube was introduced
through oral carity and approach near carina. Patient was lied on same side
of atelctasis, 1-2ml N.S. sdation was injected through the endotracheal tube.
Entratrachea suction was performed after adequate blap on the back of the
patient: Times of lavement was dependent upon the condition of patient or
twice a day.
Results: The clinical standard of
convalescence in as following: (1) Disappearance of clinical symptoms, (2)
Increment of TcSO2 and PaO2, PaCO2 decreased, (3) Chest film is clear. The
range of pH was 7.108~7.256, PO2 was 46-54.7mmHg and PaCO2 was
52.1-92.1mmHg. After lavement the above value is changed to pH 7.235~7.388,
PaO258-80.4mmHg, PaCO2 44-51mmHg respectively. Only one time of lavement
was taken in 2 patients, and two times in 3 patients, and 3-5 times in
another two cases .All the patients will be cured.
Conclusion: Treatment by trachea
lavement caused atelectasis produced after extubation of artifical
ventilator is safety econimic and effectable also to avoid using vantilator
again.