Journal of Shanghai Jiao Tong University (Medical Science) >

2021 , Vol. 41 >Issue 3: 406 - 408

DOI: https://doi.org/10.3969/j.issn.1674-8115.2021.03.022

Case report

Airway management in a critically ill patient with novel coronavirus pneumonia undergoing extracorporeal membrane oxygenation

  • Li ZHU ,
  • Yun LI ,
  • Hui-qin XI ,
  • Wei-jun WANG ,
  • Fei CHEN ,
  • Zhan-ting LU ,
  • Ling XIA ,
  • Meng-dian ZHAN ,
  • Tian-yao ZHANG
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  • 1.Department of Cardiovascular Surgery, Renji Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai 200127, China
    2.Department of Nursing, Renji Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai 200127, China

Received date: 2020-04-17

  Online published: 2021-04-06

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Abstract

This article summarizes the nursing experience in a critically ill patient with novel coronavirus pneumonia after extracorporeal membrane oxygenation (ECMO) treatment for lung function improvement. After oral intubation-assisted ventilation, anti-infection, and other symptomatic support treatments, the patient was still unable to breathe without the ventilator. For the sustained carbon dioxide retention and severe gas exchange impairment, he was treated with tracheotomy and ECMO. During the treatment, a series of nursing measures to improve lung function were adopted, such as sputum suction care, atomized inhalation therapy, bronchial irrigation, and lateral ventilation combined with postural drainage. After 7 days of ECMO treatment and nursing, the patient's lung function improved and then he was weaned from the machine.

Key words： new coronavirus pneumonia; extracorporeal membrane oxygenation (ECMO); airway management; nursing

Cite this article

Li ZHU , Yun LI , Hui-qin XI , Wei-jun WANG , Fei CHEN , Zhan-ting LU , Ling XIA , Meng-dian ZHAN , Tian-yao ZHANG . Airway management in a critically ill patient with novel coronavirus pneumonia undergoing extracorporeal membrane oxygenation[J]. Journal of Shanghai Jiao Tong University (Medical Science), 2021 , 41(3) : 406 -408 . DOI: 10.3969/j.issn.1674-8115.2021.03.022

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