Nursing of endotracheal tube in patients with laryngeal cancer after surgery

Patients with laryngeal cancer should pay attention to the care of the endotracheal tube a few days after surgery. Good nursing is a necessary condition for the patient's health recovery. The care content mainly includes the following contents.

First of all, the endotracheal tube should be kept unobstructed to prevent various foreign objects from entering the endotracheal tube. If foreign objects enter the trachea, it will cause an irritation reaction of the tracheal mucosa, and the patient will experience coughing and aspiration pneumonia, which may cause pain and infection in the wound. Do not use towels, cotton sleeves and other items to plug the reflux point of the endotracheal tube to avoid artificial blockage, otherwise the patient will experience difficulty breathing, etc.

If you experience shortness of breath, irritability, bleeding from tracheotomy, obvious swelling of the neck and chest with crepitus, or tracheal cuff dislocation, you should inform medical staff immediately.

7 to 10 days after the operation, the patient should be observed to see whether symptoms such as pharyngeal congestion and edema disappear. The method is to block the tracheal tube for 24 to 48 hours. If the patient's breathing is stable and he can sleep normally at night, it means that the airway obstruction has been relieved and the tube can be removed. If the patient has rapid breathing, irritability and cold sweats, it means that there is still obstruction and the removal of the tracheal cuff should be delayed.

After the tracheal cuff is removed, you still need to pay attention to the patient's breathing. If the patient experiences any discomfort, you should notify the medical staff immediately. In addition, you should pay attention to communication with the patient, and let the patient express his or her wishes through sign language or writing.