Children with obstructive sleep apnea syndrome, monitoring and care


Chang group of 34 patients, in addition to two cases of rhinitis, sinusitis children, conservative treatment, are under general anesthesia adenoidectomy or tonsillectomy. After general anesthesia in children have a hand guard is not clear before, lying head to one side, so that is more conducive to saliva, oozing discharge, to prevent aspiration or suffocation. Who after the fall of the tongue,ugg boots outlet, or oropharynx with tongue forceps catheter to keep the airway patency. While close observation of respiratory rate, depth, and oxygen saturation changes. 2.2.1.2 close observation of respiratory changes in children's throat surgery, especially after early extubation, there is increased airway obstruction, so as to cause a choking hazard. The mechanism of asphyxia and decrease the excitability of the respiratory center. Under normal physiological conditions, the excitability of medullary respiratory center is by the blood CO: concentration of stimulus to maintain. OSAS patients, the night when sleep apnea, blood CO: concentration is relatively high, long-term respiratory center stimulation at high CO concentration, its CO: reduced sensitivity of upper airway obstruction disease once removed, the blood sudden drop in CO concentration at this time can produce respiratory center paralysis caused by respiratory arrest, so the children after the observation of breathing during sleep changes are particularly important. After 2-3d analyzer need oxygen saturation monitoring, once the shortness of breath should be promptly treated with low-flow oxygen,abercrombie fitch madrid, if necessary, artificial respiration or respiratory stimulant injection. Oxygen must be prepared after the bedside equipment, suction,oakley france, positive pressure breathing devices, endotracheal intubation and emergency medicine, so at any time. 2.2.1.3 observe whether the bleeding due to surgical trauma, postoperative bleeding may, therefore should be carefully observed in the oral secretions of patients with or without fresh blood,ralph lauren paris, anesthesia unawakened or sleep without frequent swallowing movements. El cavity secretions, blood, spit gently to visions were not to swallow, it is a good observation of the wound bleeding situation. If there is a lot of frequent swallowing or vomiting fresh blood, the description of the wound have more bleeding, should contact their doctor immediately, while making preparations to stop bleeding, timely monitoring visit blood pressure, pulse, respiration, observed facial changes and so on. 2.2.1.4 diet usually after 4h can flow into the whole food, children's tonsillectomy, often due to fear of pain or bleeding wounds do not want to eat. Our children love to eat ice cream according to the hobby, generally best to encourage adequate consumption of the first ice cream, ice cream products containing milk {} j, increase nutrition, but also to use its low-temperature, play a pain, bleeding effect, than after conventional cold packs to the neck better. The group of 34 down after surgery without 1 case of bleeding, may also have a certain relationship with the consumption of ice cream. At the same time after 1 week to avoid eating hard food and irritant food, to encourage children gargle a speech Shenshe, to promote blood circulation, prevent infection and wound scar formation. 2.2.2 Monitoring the timing of surgery after preoperative monitoring deep and the same project, the purpose is to help doctors understand the effect of surgery, but time should be monitored 1 week after surgery, local swelling subsided completely after, due to adenoids scraped In addition to or within 1 week after tonsillectomy, with local swelling, does not reflect the actual outcome. If you need line of PSG examination, preferably two weeks later. The group of 34 patients, 25 cases of apnea disappeared completely, 9 patients with mild sleep snoring. Because OSAS children are chronically hypoxic, can affect their growth and development. Therefore,ugg españa, early diagnosis of the disease, early treatment is particularly important. Our data indicate that OSAS in children's preoperative and postoperative monitoring, the doctor's diagnosis, the choice of surgical indications and postoperative results play an important role in evaluation and observation of targeted care can prevent complications to ensure that outcome. Acknowledgements This article courtesy of the Fourth Military Medical University, Professor Liu Wenzhong guidance and review, thank you.