Care of patients with artificial ventilation

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Isolation in accordance with standards for COVID-19 patients.
Continuation of antiviral treatment that has proven effective during previous hospitalization.
Discharge only if lung imaging shows improvement and sputum and stool are negative 3 times in a row (24 hours apart).
Home isolation and follow-up visits after discharge in accordance with the requirements specified above.
Part Three Care
I. Care of patients receiving oxygen therapy via high-flow nasal cannula (HFNC)

1 Rating

Provide detailed information about HFNC oxygen therapy to ensure patient comfort before implementation. Use low-dose sedation with close monitoring if necessary. Select an appropriate nasal catheter based on the patient’s nasal cavity diameter. Adjust head strap tension and use a decompression patch to prevent device-related pressure ulcers on the face. Maintain the water level in the humidifier chamber. Titrate flow, fraction of inspired oxygen (FiO2), and water temperature based on the patient’s respiratory needs and tolerance.

2 Control

Advise the treating physician to make a medical decision to japan number data replace the HFNC with mechanical ventilation if any of the following occur: hemodynamic instability, respiratory failure as evidenced by a clear contraction of the accessory muscles of respiration, persistent hypoxemia despite oxygen therapy, deterioration in consciousness, respiratory rate > 40 breaths per minute on a persistent basis, significant sputum production.

3 Elimination of discharge

Patients' saliva, mucus and sputum should be wiped with sanitary paper and placed in a sealed container with chlorine-based disinfectant (2500 mg/L). Alternatively, secretions can be removed with an oral mucus extractor or suction tube and placed in a sputum collector with chlorine-based disinfectant (2500 mg/L).

1 Intubation procedures

The number of medical personnel should be limited to the minimum that can ensure the safety of the patient. An air-purifying respirator should be worn as PPE. Before intubation, perform sufficient analgesia and sedation, and use a muscle relaxant if necessary. Closely monitor the hemodynamic response during intubation. Reduce staff movement in the room, continuously clean and disinfect the room with plasma air purification technology for 30 minutes after intubation is completed.