Contemporary Nursing

Objective To develop effective strategies for preventing pulmonary infection in artificial airway care for comatose patients in neurosurgery, in order to further reduce the risk of pulmonary infection. Methods Fifty comatose patients with artificial airway (tracheotomy/intubation) admitted to the neurosurgery department of our hospital from January 2023 to May 2025 were selected. They were randomly divided into two groups using a random number table method. The control group received routine nursing care, while the observation group received comprehensive preventive intervention measures. The intervention effects of the two groups were compared. Results The incidence of pulmonary infection in the observation group after 3-5 days and 6-10 days of artificial airway establishment was lower than that in the control group, and the difference between the groups was significant (P<0.05). Conclusion In the nursing of artificial airway (tracheotomy/intubation) for comatose patients in neurosurgery, comprehensive preventive interventions such as environmental management, airway humidification, position management, tracheotomy maintenance, and prevention of aspiration can effectively prevent the occurrence of pulmonary infections, which is worthy of recommendation.

Neurosurgery; Coma patients; Artificial airway; Pulmonary infection; Prevention strategy