Chinese Journal of Emergency and Critical Care Nursing >
Nursing care of a severely obese patient with acute respiratory distress syndrome after severe trauma
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.
ZHANG Jing , WANG Lizhu , Huang Xiaoxia , FENG Xiuqin . Nursing care of a severely obese patient with acute respiratory distress syndrome after severe trauma[J]. Chinese Journal of Emergency and Critical Care Nursing, 2025 , 6(8) : 957 -959 . DOI: 10.3761/j.issn.2096-7446.2025.08.009
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