eISSN 2097-6046
ISSN 2096-7446
CN 10-1655/R
Responsible Institution:China Association for Science and Technology
Sponsor:Chinese Nursing Association

Chinese Journal of Emergency and Critical Care Nursing ›› 2025, Vol. 6 ›› Issue (8): 957-959.doi: 10.3761/j.issn.2096-7446.2025.08.009

• Emergency Care Research • Previous Articles     Next Articles

Nursing care of a severely obese patient with acute respiratory distress syndrome after severe trauma

ZHANG Jing(), WANG Lizhu, Huang Xiaoxia, FENG Xiuqin()   

  • Received:2025-02-18 Online:2025-08-10 Published:2025-08-12

Abstract:

To summarize the nursing experience of a severely obese patient with acute respiratory distress syndrome(ARDS) after severe trauma. Key interventions addressed multiple challenges,including severe pain,refractory hypoxemia,contraindications to prone positioning,malnutrition,and infection risks. The phased sedation-analgesia,extracorporeal membrane oxygenation(ECMO) support with stepwise lateral positioning,localized intermittent pressure offloading,intra-abdominal pressure-directed enteral nutrition,and digitalized infection control were adopted. Through multidisciplinary collaborative treatment and technological innovation,the patient was transferred to rehabilitation hospital successfully after 49 days of individualized care,and 5-month follow-up showed good recovery.

Key words: Respiratory Distress Syndrome, Multiple Trauma, Obesity, Extracorporeal Membrane Oxygenation, Critical Care Nursing