Effects and Nursing for Modified Prone Position Ventilation in Aged Patients with Pulmonary Complications after Abdominal Surgery

Objective To explore the effect and nursing of modified prone position ventilation in the aged patients with acute lung injury(ALI)/acute respiratory distress syndrome(ARDS) after abdominal surgery.Methods From April 2010 to April 2011,modified prone position ventilation was used in 18 aged patients with ALI/ARDS after abdominal surgery.HR、MAP、SpO2、oxygenation index(Pao2/Fio2) were measured before ventilation and at 1 hour after modified prone position ventilation and at 2 hour after modified prone position ventilation to observe the effect on circulatory and oxygenation parameters.Results SpO2、Pao2/Fio2 were significantly higher at 1 hour after modified prone position ventilation and 2 hour after modified prone position ventilation than before ventilation(P0.01),while no significant difference was found in HR and MAP(P0.05).Conclusion Modified prone position ventilation improves oxygenation in the aged patients with ALI/ARDS after abdominal surgery.There were no significant effects on HR、MAP.Modified prone position ventilation is an effective method in the treatment of the aged patients with ALI/ARDS after abdominal surgery.During the implementation process,close observation should be conducted on the changes of disease with intensive nursing performance.