The "buffer zone" between ICU and general ward -Hyperbaric Oxygen Department HDU Ward

? Can "critically ill patients" also recover? The doctor's answer is yes. Moreover, the earlier the intervention in rehabilitation, the more the patients will benefit. For this reason, under the leadership of Director Huang Huai, our department set up the first High Dependency Rehabilitation Unit (HDU) in our hospital.

HDU ward was set up in the Southern Theater General Hospital, Building 5, 2nd floor, next to the Hyperbaric Oxygen Section nurses' station, each bed unit configuration of the central oxygen supply, central attraction, cardiac monitoring, and other components of the perfect medical support equipment; ward establishment of nine beds, which is configured with a three-person ward, the hall configuration of the six beds, electric upright beds, multi-directional care beds, etc., have been equipped with a full range of. The whole process is accompanied by medical personnel, if the patient encountered changes in condition can be quickly found in time and timely resuscitation.

? The doctors, nurses and therapists in our HDU not only have solid basic knowledge of various clinical disciplines, but also have a good grasp of rehabilitation therapy techniques. Doctors in our department must have comprehensive basic knowledge of the full range of diseases, and also need to have complete knowledge of rehabilitation, nurses must all master the basic nursing operations of critically ill patients, therapists must have engaged in the rehabilitation of critically ill patients. For some bedridden for a long time, limb muscle weakness, swallowing function weakened patients for rehabilitation. While relieving the patient's pain and suffering, promote the establishment of the patient's ability to return to society and return to the family.

Our department is equipped with a series of rehabilitation facilities in addition to some of the basic facilities of the ICU, which play an important role in the transition of patients from ICU to general wards.

1, motorized standing compound bed training: HDU critically ill patients should be bedside standing training as early as possible, in order to effectively prevent a variety of complications caused by prolonged bed rest, but due to the critically ill patients at this stage of the inconvenience of bed and chair transfers, and therefore, the traditional standing training can not be carried out normally.

In order to solve this clinical pain point, our department uses the electric stand-up rehabilitation bed to solve the problem of early stand-up training for HDU patients with severe illnesses, providing a safe and effective way of stand-up training for patients with early severe rehabilitation.

2, lung expansion technology and pulmonary rehabilitation: due to long-term bedridden patients in the icu, lung infections are more common, the respiratory capacity will be relatively weakened, in order to make the patient's lung function to reach the normal level, the department uses position management, chest relaxation training, respiratory muscle training, airway contouring technology to help solve the problem of sputum expectoration of the patient.

3, motor function training: due to the patient long-term bedridden people limb tissue strain, some patients with peripheral neuropathy damage, resulting in muscle atrophy, the future return to the family and society has great difficulties, in response to this problem, our department of rehabilitation for patients with this problem.

4, tracheotomy patients plugging/extubation: some patients' sanity is gradually recovered after treatment, and they are able to have independent breathing, independent cough reflex, and cough out the tracheal secretion, then the doctor will consider extubation of the patient, and we need to train the respiratory function of the patient before extubation.

5, swallowing function rehabilitation: swallowing dysfunction is a major obstacle to the recovery of critically ill patients, our department has a specialized therapist for swallowing function of the patient for swallowing training.

? In order to make more patients with critical illnesses recover, hyperbaric oxygen section of all medical staff will move forward, living up to expectations, aiming at the forefront of medicine, constantly study theoretical knowledge, improve specialized treatment technology, bearing in mind the "virtue, fine medicine, loyalty, dedication" motto. For the majority of soldiers and the whole society to contribute to the power of rehabilitation medicine!

Edited by Jiang Wenlu

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