Document Detail


Early postoperative alterations of ventilation parameters after tracheostomy in major burn injuries.
MedLine Citation:
PMID:  20577645     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
PURPOSE: In patients with major burn injuries mechanical ventilation is often required for longer periods. Tracheostomy (TS) plays an integral role in airway management. We investigated the effect of TS on ventilation parameters within 8 hours after TS.
MATERIALS: A retrospective analysis of severely burned patients admitted to the burn unit of a German University Hospital was performed. Ventilation parameters 8 hours before and after TS were registered.
RESULTS: A retrospective analysis of 20 patients which received surgical TS was performed. Mean age was 52+/-19 years. Mean abbreviated burned severity index (ABSI) was 8.3+/-2.2. A mechanical ventilation was required for 14.3+/-4.8 days. TS was performed on day 7+/-4. Inspiratory oxygen concentration (FiO(2)) (p<0.001), peak inspiratory pressure (p<0.001), positive end-expiratory pressure (p=0.003) and pulmonary resistance (p<0.001) were reduced significantly after TS. The arterial partial pressure of oxygen/FiO(2)-ratio increased significantly after TS (p<0.001).
CONCLUSIONS: We demonstrate that TS reduces invasiveness of ventilation in severely burned patients and by this can optimize lung protective ventilation strategy.
Authors:
Thomas Namdar; Peter Leonard Stollwerck; Felix Hagen Stang; Karl-Friedrich Klotz; Thomas Lange; Peter Mailänder; Frank Siemers
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Publication Detail:
Type:  Journal Article     Date:  2010-06-07
Journal Detail:
Title:  German medical science : GMS e-journal     Volume:  8     ISSN:  1612-3174     ISO Abbreviation:  Ger Med Sci     Publication Date:  2010  
Date Detail:
Created Date:  2010-06-25     Completed Date:  2010-09-29     Revised Date:  2013-05-29    
Medline Journal Info:
Nlm Unique ID:  101227686     Medline TA:  Ger Med Sci     Country:  Germany    
Other Details:
Languages:  eng     Pagination:  Doc10     Citation Subset:  IM    
Affiliation:
Department of Plastic Surgery, Hand Surgery, Burn Unit, University Hospital Schleswig-Holstein, Campus Lübeck, 23538 Lübeck, Germany. thomas.namdar@uk-sh.de
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MeSH Terms
Descriptor/Qualifier:
Adult
Aged
Airway Resistance
Burns / surgery*
Critical Care / methods*
Female
Humans
Intubation, Intratracheal
Male
Middle Aged
Oxygen Inhalation Therapy
Positive-Pressure Respiration
Postoperative Complications / prevention & control*
Pulmonary Gas Exchange
Respiration, Artificial / methods*
Retrospective Studies
Tracheostomy / methods*
Trauma Severity Indices
Treatment Outcome
Comments/Corrections

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