Objective: To develop a certificate nursing scheme for respiratory care after tracheotomy in patients with severe neurosurgery. Methods: On the basis of fully evaluating the patient's condition, according to the PICO principle, clinical questions were asked and converted into a form that was easy to retrieve. Search the Cochrane Library () WANFANGMEDONLINE () original literature database. RESULTS: A total of 2 systematic evaluations of trachea casing care, airway wetting care, and infection prevention care were found in patients with severe neurosurgery after tracheotomy, and 1 randomized controlled trial was found. According to the results of the search, and combined with the patient's condition and wishes, to develop an effective circular care program for patients: regular implementation of trachea care, airway wetting care, effective sputum care, infection prevention care. After three months of basic treatment, no complications occurred in the patient, the tracheotomy basically healed. Conclusion: The consultation nursing has a remarkable effect in respiratory care after heotheoperative patients, and it is suitable for wide application in postoperative tracheotomy.<BR>(keywords) certificate care; patients with severe neurosurgery; tracheotomy; respiratory care
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