Tracheostomy in the management of patients with thermal injuries

Indian Journal of Critical Care Medicine : Peer-reviewed, Official Publication of Indian Society of Critical Care Medicine
Mónica MoureloEva Campos

Abstract

To assess the use and clinical impact of tracheostomy in burn patients. The role of tracheostomy in the management of burn patients is controversial, with only a few recent studies conducted in this population. Retrospective study of all adult burn patients who underwent a tracheostomy in a Burns Unit between 1995 and 2013. These were compared with a control group (1:1) who underwent orotracheal intubation. Hospital records were reviewed to obtain demographic and clinical information, including those related to respiratory support and tracheostomy. The McNemar's Chi-square and Signed-Rank Tests were used to study differences in morbimortality between both groups. A total of n = 20 patients underwent tracheostomy (0.9% of admissions, 56.0 ± 19.5 years, 60.0% women). The most common indication was long-term ventilation (75%), 24.6 ± 19.7 days after admission. Thirteen patients were successfully decannulated with a fatal complication observed in one case. Patients in the tracheostomy group were found to require longer-term mechanical ventilation (43.2 vs. 20.4 days; P = 0.004), with no differences in respiratory infection rates (30.0% vs. 31.6%; P = 0.687) or mortality (30.0% vs. 42.1%; P = 0.500). Ventilator weaning times (15.7 v...Continue Reading

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Citations

May 16, 2017·Deutsches Ärzteblatt International·Eckart Klemm, Andreas Karl Nowak

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Methods Mentioned

BETA
sedation
dissection

Software Mentioned

SPSS

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