困难气道患者全身麻醉术后苏醒期护理个案研究
A Case Study of Nursing Care during Recovery Period of Patients with Difficult Airway after General Anesthesia
摘要: 目的:探讨困难气道患者全身麻醉后苏醒期的护理方法及效果。方法:对1例困难气道患者在全身麻醉苏醒期采用密切生命体征监测、换管导丝辅助拔管等一系列护理措施,并对护理过程进行详细观察和记录。结果:患者在苏醒期平稳度过,未出现严重并发症,顺利康复出院。结论:针对困难气道患者全身麻醉后苏醒期的特点,实施有效的护理措施,包括正确使用换管导丝拔管及全面的监测和护理,可提高患者的苏醒质量和安全性,促进患者康复。
Abstract: Objective: To explore the nursing methods and effects of recovery period in patients with difficult airway after general anesthesia. Methods: A series of nursing measures such as close vital signs monitoring, tube change and wire assisted extubation were adopted in a patient with difficult airway during the recovery period of general anesthesia. The nursing process was observed and recorded in detail. Results: The patient recovered smoothly and was discharged from hospital without serious complications. Conclusion: According to the characteristics of the recovery period of patients with difficult airway, effective nursing measures, including the correct use of tube change and catheter extraction and comprehensive monitoring and nursing, can improve the quality and safety of the recovery of patients.
文章引用:陈丽燕, 胡婉婷, 陈佳露, 姚嘉穗. 困难气道患者全身麻醉术后苏醒期护理个案研究[J]. 护理学, 2025, 14(5): 703-708. https://doi.org/10.12677/ns.2025.145095

参考文献

[1] 聂亮. 全身麻醉气管插管中非预期困难气道处理效果研究[J]. 名医, 2021(17): 38-39.
[2] 马武华, 王勇, 钟鸣, 黎玉辉, 刘慧慧, 李泳兴, 高欢, 张建峰. 中国医疗机构困难气道的调查与分析[J]. 临床麻醉学志, 2020, 36(4): 376-380.
[3] 中华医学会麻醉学分会. 困难气道管理指南[J]. 临床麻醉学杂志, 2013, 29(1): 93-98.
[4] 刘雨睿, 王勇, 李静静, 王霞, 吴文棋, 庄旭辉, 何悦雯, 马武华. 2022年美国麻醉医师协会《困难气道管理实践指南》解读[J]. 临床麻醉学杂志, 2022, 38(6): 643-647.
[5] 刘昌举. 危重患者院前气道管理126例分析[J]. 贵州医药, 2018, 42(1): 84.
[6] 林丽娜, 王雅端. 术后气管拔管[J]. 国外医学. 麻醉学与复苏分册, 1997(2): 114-116.
[7] 陈玉清. 探究麻醉恢复室患者躁动的原因及针对性护理措施[J]. 实用临床护理学电子杂志, 2019, 4(50): 22.
[8] 刘划匀, 蒋沁娟, 韩钱鹏, 姚岚. 经鼻高流量吸氧治疗危重症气管插管拔管后患者的临床疗效与安全性[J]. 现代医学与健康研究电子杂志, 2022, 6(21): 85-88.
[9] 何征宇, 王祥瑞. 危重患者困难气道管理策略[J]. 中国呼吸与危重监护志, 2010, 9(2): 220-222.
[10] 郑宇琪, 李鹏. 经鼻加湿快速通气技术在围术期呼吸道管理中的研究进展[J]. 西部医学, 2025, 37(1): 147-150+156.
[11] 张文文, 张喜维, 何明伟, 邱银燕, 董艳梅. 综合疼痛管理在心脏外科围手术期康复中应用效果的回顾性比较[J]. 心肺血管病杂志, 2023, 42(11): 1143-1148.
[12] 白玲. 麻醉恢复室中对全麻术后患者常见并发症的护理[J]. 临床医药实践, 2014, 23(3): 211-215.