Emergency treatment and nursing of children with severe pneumonia complicated by heart failure and respiratory failure: 10 case reports

Li, Wanli; An, Xinjiang; Fu, Mingyu; Li, Chunli

Maintenance of airway patency and administration of various aerosol inhalation therapies. i) This group of children patients took appropriate clinostatism according to the state of disease. Under normal conditions, the children were placed in a horizontal position, with neck raised high, in order that airways would be unblocked. For children patients with severe heart failure and wheezing, semi-recumbent position was taken to reduce the burden on the heart and lungs (29, 30) . For children patients with increased respiratory secretions, the lateral position was useful to expectorate and prevent aspiration. ii) Patients received daily routine aerosol inhalation, turning drugs into aerialfog-like fine particles, inhaled to the bronchioles or alveoli, which diluted secretions and had an anti-inflammatory and anti-allergic function and reduced local inflammatory exudates, in addition to reducing airway resistance and improving ventilation. Aerosol inhalation time was 10-15 min and afterwards sputum suction was carried out immediately in order to clear respiratory secretions.