20-23) And we know that patients with artificial airways
and patients who are unconscious are candidates for prophylaxis, (5,8,9) but more evidence-based studies are needed to identify other at-risk groups in order to reduce complication rates.
Other factors, including RLD, immobility, and the complications secondary to the presence of an artificial airway
, increase those risks.
Wolf et al treated 30 patients who had an abrupt onset of symptoms (including stridor and dyspnea) who were not given an artificial airway
, and all 30 patients fared well.
It is also recommended not to orally feed patients immediately after artificial airway
removal (Elpern, 1997).
This requires the caregiver to disconnect the circuit from the patient, interrupting ventilation, disturbing the artificial airway
, exposing themselves to infectious ventilator gases, and potentially contaminating the circuit interior.
The date and reasons for the initiation of MV and mode of artificial airway
6 Stridor, difficulty managing secretions, anxiety, cyanosis, and sitting posture are late signs of impending airway obstruction and indicate the need for an immediate artificial airway
In the presence of increased resistance of the artificial airway
due to obstruction, this driving pressure can be unexpectedly high.
In other words, there are situations in which the artificial airway
is a major barrier, and situations in which it is not.
Suctioning of an artificial airway
is a common procedure in critical care areas.
For patients with an artificial airway
who cannot communicate, it is important to observe pain associated behaviors (movements, facial expression, postures) and physiological parameters (heart rate, blood pressure and respiratory rate).
Use your eyes and hands to inspect the artificial airway
for signs of compromise or excessive dermal pressure on the surrounding tissue.