Early postoperative alterations of ventilation parameters after tracheostomy in major burn injuries
Year: 2010
Type: article
Study design: Observational Study
Abstract: 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.
Source: Europe PMC (PubMed Central)
DOI: 10.3205/000099
Authors: Namdar, Thomas, Stollwerck, Peter Leonard, Stang, Felix Hagen, Klotz, Karl-Friedrich, Lange, Thomas, Mailänder, Peter, Siemers, Frank
Institution: University Hospital Schleswig-Holstein
Language: English
Subfield: Pulmonary and Respiratory Medicine
Field: Medicine
Domain: Health Sciences
Open Access status: green
OpenAlex ID: W96029992