Routine nursing care after laryngeal cancer surgery

Routine nursing after laryngeal cancer surgery? The principle of surgical treatment of laryngeal cancer is to reconstruct and restore the three major functions of the larynx, namely, pronunciation, breathing and swallowing, as much as possible, under the premise of completely removing the tumor, so as to achieve the goal of curing the cancer and improving the patient's quality of life after surgery. Therefore, except for larger or more advanced tumors, various laryngeal resections should be used to remove the tumor as much as possible, and neck lymph node dissection should be performed at the same time for patients with cervical lymph node metastasis; selective neck dissection or zonal neck lymph node dissection should also be performed for supraglottic laryngeal cancer with no lymph node enlargement.

Postoperative care routine for laryngeal cancer?

1. Avoid increasing wound tension: Lie flat before waking up from general anesthesia, and raise it 10 to 30 degrees after waking up. Tilt the head forward and do not turn the head and neck significantly to avoid excessive tension that affects wound healing.

2. Tracheotomy care: Aspirate bloody secretions in the trachea promptly and clean the cannula in time, change the cannula and boil it for disinfection every day, change the dressing, and disinfect the area around the wound with 75% alcohol twice a day. In addition, the air should be humidified. When the secretions are viscous, dilute the mucus-diluting drugs to keep the airway open.

3. Observe wound bleeding: report any problems to the doctor immediately and record the fluid intake and output for 24 hours after surgery.

4. Rational use of antibiotics after surgery: perform good oral care, once in the morning and once in the evening after surgery, reduce unnecessary movement of people in the ward, and perform regular ultraviolet disinfection.

5. Supportive therapy: intravenous administration of amino acids, fat emulsion, glucose, etc.; nasogastric feeding: liquid food, such as mixed milk, fruit juice, etc., can be taken 4 to 6 hours after waking up from general anesthesia. The gastric tube is usually removed in 7 to 14 days.

6. Prevent the formation of pharyngeal fistula and false passage: due to the stimulation of the gastric tube, oral secretions increase in patients with nasogastric feeding, causing patients to swallow frequently or feel nauseous.

7. Early activities: After major laryngeal cancer surgery, patients should do active limb activities in bed within 3 days, get out of bed and move around 4 days after surgery, and be able to do basic activities on their own in about 1 week.

8. Swallowing function training: Before removing the gastric tube, eat a small amount of mushy food for 1 to 2 days. If there is no choking or less choking during the feeding, the gastric tube can be removed and the patient can eat mushy food for 2 to 4 weeks.