Once the icu is intubated, it can't be removed
This statement was wrong. In the ICU, although intubated tubes were of great significance to the patient's treatment. For example, the trachea tube was used to assist in breathing, and the gastric tube was used for nutrient delivery or gastric drainage. However, if the tubes were to fall off (for example, the tubes on the patient's body, such as the gastric tube, ureter, drainage tube, etc., accidentally fell off), it was a medical emergency that needed to be dealt with immediately. The medical staff would carry out the corresponding treatment, including checking the patient to determine the situation and possible effects of the tube detachment. If the tube detachment needed to be used again, the tube would be reinserted as soon as possible. Then, the patient would be closely observed to ensure that the tube was maintained in the correct position without any complications. At the same time, the time, reason, treatment measures, and other information of the patient's tube detachment would be recorded for future reference. "The Island of Life" is also a wonderful novel. Everyone is welcome to read it!
Is the ICU the ICU?
The intensive Care unit (ICU) was usually referred to as the Intensive Care unit (ICU). It was also known as the intensive care unit (ICU) and the comprehensive treatment room of the intensive care unit. It was a core department of the hospital that integrated modern medical theory and technology, high-tech modern medical equipment, and excellent medical staff to carry out concentrated monitoring and intensive treatment and care for critically ill patients. "The Island of Life" is also a wonderful novel. Everyone is welcome to read it!
Why is it that old people die when they are intubated?
This statement was not accurate. Although the elderly who were intubated might face a higher risk of death, it was not certain that they would die. In some cases, such as when the elderly had severe pneumonias, acute respiratory distress syndrome, and other diseases that needed to be intubated, if the treatment was timely and the recovery was good, it might not be life-threatening. The cure rate for elderly patients with severe pneumonias was about 50% to 70%. However, the elderly had poor immune system and may have underlying diseases such as chronic obstruction lung disease and cardiovascular disease, which would affect the cure rate. Moreover, the inflammation in the lungs often took several weeks to several months to recover. During the recovery period, it was possible to die from serious complications such as epilepsy, heart and lung failure, and infectious shock. For patients with late-stage lung cancer, the survival time after intubated was shorter. The five-year survival rate was less than 15%, and most people might die within five years. However, this was not absolute. There were also individual differences. In addition, if a patient needed to be intubated to save his life in situations such as gastric bleeding, if the intubated tube was successful and the treatment effect was achieved, the patient could also survive and recover. "The Island of Life" is also a wonderful novel. Everyone is welcome to read it!
Why do many family members refuse to be intubated?
There may be the following reasons why the family refused to be intubated: 1. For elderly patients who suffered from multiple serious underlying diseases and had been bedridden for a long time without consciousness, such as a 91-year-old patient with multiple years of cerebral stroke and new severe lung infection, their family members might think that continuing treatment would only prolong the death process and that there was no hope of actual cure. Treatment measures such as infusion could not change the final outcome. 2. Considering the pain that intubated would bring to the patient, the family members could not bear to let their loved ones suffer such pain. 3. Some of the family members accepted the reality after learning more about the patient's condition, treatment methods, and limitations. They believed that it was no longer necessary to take active treatment measures such as intubated tubes. It was important to note that if the patient had the necessary indication for sterilization (such as severe breathlessness), sterilization could play an auxiliary role in the treatment of the disease. "The Island of Life" is also a wonderful novel. Everyone is welcome to read it!
In the icu
The following are some of the inspirations that may occur in the ICU: 1. He should treat his family better because there were very few other people besides his family and comrades at the entrance of the ICU. 2. One had to endure as much pain as possible in the ICU. If it was really unbearable, they could ask the doctor to give them medicine. They could also encourage themselves to get through these few days by recalling the pain they had suffered. After all, this was only a short-term pain compared to the many years of good life that they might have in the future. 3. If tens of thousands or hundreds of thousands of yuan could save lives and make life meaningful, then it was worth it. To avoid regret because of lack of money when there was a chance to cure. 4. To develop healthy living habits, critically ill patients were often caused by chronic underlying diseases, acute attacks, and body imbalance reactions. Therefore, they had to avoid bad living habits, eat and drink in moderation, play in moderation, and choose appropriate exercise methods to protect their bodies. 5. Mentality was the most important thing. Other than life and death, everything else was trivial. 6. Don't over-treat. If there's a chance of a cure, treat it well. If there's no chance of a cure, don't force it. Otherwise, the patient will suffer and the family members will be sad. 7. Doctors and family members had completely different psychological feelings. Both parties should understand each other. Disagreements could be a problem of communication or flexibility. 8. Other than life and death, everything else was really trivial. One had to cherish the present, because one did not know which would come first, tomorrow or death. 9. If you have love, you should express it in time. If you have a wish, you should do it in time. Don't leave any regrets. 10. There were very few things that could be taken away, so there was no need to be too obsessed with material things. The greatest wish of the deceased was for the living to live a healthy and happy life. " The Island of Life " is also a wonderful novel. Everyone is welcome to read it!
the ICU
I'm not sure if you mean "ICU" or something else? If he was sent to the ICU, it usually meant that his condition was critical. The ICU was a place where modern medical theory and technology, high-tech modern medical equipment, and excellent medical staff were integrated into one. It carried out concentrated monitoring and intensive treatment and care for critically ill patients. It was equipped with bedside monitors, central monitors, multi-functional respiratory therapy machines, and many other equipment. There were also professional medical staff who were assigned to treat patients according to the proportion. In the ICU, the patient would be monitored and treated comprehensively, such as controlling infection, stabilizing blood pressure, maintaining organ function, and so on. However, the treatment results would be affected by many factors, such as the patient's underlying disease, the severity of the disease, the response to treatment, and economic ability. " The Island of Life " is also a wonderful novel. Everyone is welcome to read it!
The doctor in the ICU
The doctors in the ICU were on standby at all times. Their phones were not turned off 24 hours a day. They guarded the last line of defense at the door of life and death. They put themselves in the shoes of the patients and their families. Their patients 'conditions were often complicated and critical, covering different age groups, from infants as young as a few months to centenarians. Their conditions were mainly acute respiratory failure and circulatory failure. Some patients needed emergency treatment, and some needed close monitoring after major surgery. The patient's vital signs could be unstable at any time, and emergencies often occurred, which required the doctor to respond immediately. For example, Chen Bingyang, the director of the Department of Critical Care Medicine at the Seventh People's Hospital Chengdu City, had successfully rescued an elderly patient with chronic asthma whose vital signs were rapidly declining. In addition, the ICU doctors needed to be familiar with the basic theoretical knowledge of the Department of Critical Care Medicine, various invasive and non-invasive critical diagnosis and treatment techniques, and have rich experience in the diagnosis and treatment of acute and critical diseases such as severe water and solute imbalance, acid and base imbalance, acute heart failure, cardiovascular crisis, acute respiratory distress syndrome, and so on. For example, Li Zhixiang, deputy director of the First Hospital of Harbin City and director of the Department of Critical Care Medicine, had 30 years of clinical work experience. He was appointed by the hospital to study in South Korea and Japan. He was proficient in a variety of critical diagnosis and treatment techniques and had rich experience in a variety of emergency and critical treatment. They would also participate in various academic exchanges and professional competitions to improve their clinical level and comprehensive quality. For example, Wan Xin, the associate chief physician of the Department of Critical Care Medicine of Mindong Hospital in Ningde City, won the title of "Guardian Star of Life" in the national finals of the National Excellent Case Competition for Critical Care hemodynamics Treatment. This was also an affirmation of the hospital's training system for doctors in the Department of Critical Care Medicine. The department would improve the ability of doctors through regular professional learning, case sharing, and discussion of diagnosis and treatment experience. " The Island of Life " is also a wonderful novel. Everyone is welcome to read it!
Is there a signal in the ICU?
There were some signal-related situations in the ICU. For example, for patients with mild illnesses, once they had difficulty breathing, it was a signal that they needed to quickly go to the ICU ward and use a breathing machine to save their lives. From the perspective of shock-related conditions, the early warning signals of shock included low blood pressure (including absolute low blood pressure, relative low blood pressure, orthostatic low blood pressure, severe low blood pressure, etc.), as well as signals of tissue low infusion, such as changes in consciousness (irritability, apathy, delirium, coma, etc.), decreased urine output (urine output still <0.5ml/kg*h after adequate fluid replacement), clinical manifestations such as cold and wet skin, cyanosis, paleness, mottled skin, and the refill time of capillaries>2s. In addition, from the situation of patients admitted to the hospital's ICU, such as the number of people admitted to the ICU who needed to use invasive ventilation machines every day, the proportion of seriously ill patients who needed to be intubated, as well as the increase in the proportion of patients transferred out of the ICU, the number of patients admitted to the ICU dropped to single digits, etc., could all be regarded as ICU-related signals. These signals reflected the condition of ICU patients, the pressure of the ICU, and the utilization of medical resources. "The Island of Life" is also a wonderful novel. Everyone is welcome to read it!
ICU Division
There were many ways to divide the ICU: - According to the functional division, three areas could be considered, namely the medical area, the medical auxiliary area, and the pollution area, which was convenient for the formation of airflow organization and pressure grade. - According to the purification function, it could be divided into clean area, buffer area, and clean area. - According to the medical process, it could be divided into clean areas, semi-polluted areas, and polluted areas. - According to cleanliness, it was divided into medical area, medical auxiliary area, and sewage area. Each area should be relatively independent to reduce mutual interference. With the medical area (monitoring area) as the core, the medical staff, patients, family members and various functional areas formed a complete and organic intensive care system. In addition, there were four areas that were divided by critical care experts, namely the multi-drug resistant infection treatment area, the critical care area, the critical buffer area, and the infectious disease buffer ward. "The Island of Life" is also a wonderful novel. Everyone is welcome to read it!
Experience in the icu
Working in the ICU would give him a lot of profound experiences. From the perspective of career growth, newcomers often experienced the process of going from unfamiliar and fearful to gradually becoming familiar and proficient. When they first joined the department, they would feel uneasy about the new environment. However, with the help of their colleagues, they would slowly familiarize themselves with the equipment, specialized techniques, and theories. They would start to welcome many firsts, such as working independently and accepting patients. As time passed, they would see the patient getting better and being transferred to another department. They would witness miracles and realize that they were growing. In terms of job requirements, nurses working in the ICU had very high demands. Because the patient was in a critical condition and did not have family members to accompany him, all the nursing operations were completed by the medical staff. This required the nurse not only to be patient, hardworking, and serious in her work, but also to have a high sense of responsibility, establish the concept of " putting the patient as the center," respect, understanding, and care for the patient. Moreover, there were many patients, various diseases, and many tubes here. The nurses needed to have comprehensive theoretical knowledge and skilled operating standards, such as proficiency in various operations such as placing gastric tubes, urethral drainage, and artery blood collection. They also needed to have keen insight and be able to see and hear everything. In terms of the importance of nursing work," 30% treatment, 70% nursing " was especially evident in the ICU. The nursing work was not just about simply treating the patient's illness. It was about treating the patient as a whole and carrying out systematic nursing care. This required nurses to devote themselves wholeheartedly and treat each other sincerely. They had to constantly improve themselves in theoretical learning, such as mastering the reading of blood gas analysis reports, invasive pressure monitoring and nursing, etc. They also had to actively participate in various forms of teaching activities to enhance their understanding of specialized nursing care and the observation and nursing of critically ill patients. However, they would also find their shortcomings in the process of work, such as their operating skills were not exquisite enough, their cooperation with doctors was not good enough, and their understanding of certain diseases was not deep enough. All of these needed to be improved by continuous learning and experience. " The Island of Life " is also a wonderful novel. Everyone is welcome to read it!
Is there surveillance in the icu?
Most hospitals 'intensive care units (ICUs) were not equipped with monitoring equipment. For example, the ICU of many provincial hospitals such as the First Affiliated Hospital of Zheng University and the Central Hospital Affiliated to Zhengzhou University were not equipped with monitoring equipment. This was mainly to protect patient privacy, medical safety, medical ethics, and other factors. However, in 2011, the intensive care unit of the Heart Center of the Women and Children's Hospital in Shandong Province installed a camera on every bed. This was a unique move in Shandong Province and even the whole country. At present, there was no policy document on whether the ICU must be installed with surveillance cameras. "The Island of Life" is also a wonderful novel. Everyone is welcome to read it!