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

The emergency nursing of modified Heimlich maneuver for a patient with asphyxia during interventional embolization

  • YANG Qing ,
  • LI Zhonghui
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Received date: 2022-05-11

  Online published: 2023-01-13

Abstract

The successful nursing experience of sudden massive hemorrhage and asphyxia during interventional embolism in a patient with nasopharyngeal carcinoma was summarized. The patient suffered from sudden maxillofacial bleeding during surgery,and he was immediately turned over,body drainage and the negative pressure attraction were both used,but the blood flowed into the respiratory tract too fast and the negative pressure attraction was incomplete,asphyxia occurred. The modified Heimlich emergency method was immediately adopted. The patient was placed in the right prone position to perform Heimlich maneuver,and the respiratory tract was successfully cleared. During the rescue,the multidisciplinary team cooperated closely to prepare the intraoperative body position,pipeline,airway management and rescue materials. After active rescue and nursing,the patient was saved,and the interventional embolization and hemostasis surgery was successfully completed. The patient was weaned from the invasive ventilator on postoperative day 1,received maxillofacial debridement and flap trans-plantation on day 13,and right nasopharyngeal and oral mucosa reconstruction on day 18,and was discharged with complete wound healing on day 75.

Cite this article

YANG Qing , LI Zhonghui . The emergency nursing of modified Heimlich maneuver for a patient with asphyxia during interventional embolization[J]. Chinese Journal of Emergency and Critical Care Nursing, 2023 , 4(1) : 46 -48 . DOI: 10.3761/j.issn.2096-7446.2023.01.009

References

[1] 陈锐聪,陈锦华,白小欣,等. 鼻咽癌放疗后鼻咽部大出血的血管内栓塞治疗[J]. 福建医科大学学报,2018,52(1):57-59.
Chen RC,Chen JH,Bai XX,et al.Indovascular embolization of massive nasopharyngeal bleeding after radiotherapy for na-sopharyngeal carcinoma[J]. J Fujian Med Univ,2018,52(1):57-59.
[2] 张文静,底瑞青,叶琳,等. 鼻咽癌放疗后鼻出血干预研究现状[J]. 护理研究,2021,35(1):99-104.
Zhang WJ,Di RQ,Ye L,et al.Research status quo of intervention for epistaxis in nasopharyngeal carcinoma patients after radiotherapy[J]. Chin Nurs Res,2021,35(1):99-104.
[3] 吴烽芳,黄艺峰,刘雅雪,等. 鼻咽癌放疗后鼻咽部出血原因分析及治疗对策探讨[J]. 中国耳鼻咽喉颅底外科杂志,2019,25(5):542-545.
Wu FF,Huang YF,Liu YX,et al.The causes analysis and the treatment strategies of hemorrhage after radiotherapy for nasopharyngeal carcinoma[J]. Chin J Otorhinolaryngol Skull Base Surg,2019,25(5):542-545.
[4] 陈净华,娄光明,黄宇勇. 鼻咽癌放疗后大出血的诊治[J]. 中国耳鼻咽喉颅底外科杂志,2017,23(4):359-362.
Chen JH,Lou GM,Huang YY.Management of massive epistaxis after radiotherapy of nasopharyngeal carcinoma[J]. Chin J Otorhinolaryngol Skull Base Surg,2017,23(4):359-362.
[5] 郭纪慈,黄大钡,张健,等. 53例鼻咽癌放疗后急性大出血介入疗效分析[J]. 肿瘤学杂志,2018,24(12):1219-1222.
Guo JC,Huang DB,Zhang J,et al.An analysis of the effect of interventional therapy on acute massive epistaxis post radiotherapy in 53 cases with nasopharyngeal carcinoma[J]. J Chin Oncol,2018,24(12):1219-1222.
[6] Shen L.Empyema associated with vegetable foreign body aspiration[J]. World J Emerg Med,2021,12(2):162-164.
[7] 郭振富. 环甲膜穿刺和海姆立克法在气道梗阻中的应用[J]. 医师在线,2020,10(31):36-37.
Guo ZF.Application of cyclonail puncture and Heimlich method in airway obstruction[J]. J Doctor Online,2020,10(31):36-37.
[8] Chu W,Wang ZZ,Wang TB.Blunt myocardial injury and gastrointestinal hemorrhage following Heimlich maneuver:a case report and literature review[J]. World J Emerg Med,2022,13(3):248-250.
[9] 中国研究型医院学会出血专业委员会,中国出血中心联盟. 致命性大出血急救护理专家共识(2019)[J]. 介入放射学杂志,2020,29(3):221-227.
Haemorrhage Professional Committee of Chinese Research Hospital Association,Alliance CHC. Expert consensus on emergency nursing for fatal haemorrhage(2019)[J]. J Interv Radiol,2020,29(3):221-227.
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