The importance of "vibration sputum discharge" for critically ill patients

The importance of vibration sputum discharge for critically ill patients

Severe infectious pneumonia is a common critical illness in ICUs, often caused by Gram positive or negative bacterial infections. Due to the complexity and severity of the condition, the mortality rate has also increased year by year, reaching up to 30% -40%, and has become a major disease that endangers human physical and mental health and quality of life. The most commonly used method in clinical practice is to provide mechanical ventilation, but after establishing an artificial airway, the patient's respiratory tract loses normal function, increases airway secretion, and sometimes affects normal ventilation. If sputum is not discharged in a timely manner, it can endanger life. In addition, with the application of bronchoscopy lung lavage, many patients with severe pneumonia see hope, but the results are often not satisfactory. Although the application of this technology can effectively improve the patient's ventilation ability and make up for the shortcomings of antibiotic treatment, sputum often stays in the small airway and is difficult to clear. If the patient's airway secretion is large and viscous, using bronchoscopy often prolongs the treatment time, which is not conducive to the improvement of severe pneumonia.

With the improvement and development of medical technology, it is believed in clinical practice that when secretions accumulate in the small airways, using vibration to expel phlegm has a better effect, reducing the use of drugs, thoroughly clearing blocked sputum, maintaining respiratory patency, and improving lung function. Vibration sputum excretion is based on the principle of directional percussion, using both vertical and horizontal forces to relax the surface mucus and metabolites of the bronchial mucosa, and promote the discharge of liquefied mucus from the bronchial mucosa. Studies have shown that bronchoscopy lung lavage combined with vibration sputum evacuation has a definite therapeutic effect in the treatment of severe pneumonia with mechanical ventilation

In summary, "vibration sputum discharge" plays an important role in critically ill patients, shortening mechanical ventilation time and ICU treatment time, and is worthy of promotion and application.