10.3205/000099
Namdar, Thomas
Thomas
Namdar
Stollwerck, Peter Leonard
Peter Leonard
Stollwerck
Stang, Felix Hagen
Felix Hagen
Stang
Klotz, Karl-Friedrich
Karl-Friedrich
Klotz
Lange, Thomas
Thomas
Lange
Mailänder, Peter
Peter
Mailänder
Siemers, Frank
Frank
Siemers
Early postoperative alterations of ventilation parameters after tracheostomy in major burn injuries
German Medical Science GMS Publishing House
2010
JournalArticle
pulmonary ventilation
pulmonary gas exchange
tracheostomy
critical care
intensive care
610 Medical sciences; Medicine
2010-06-07
2010
en
urn:nbn:de:0183-0000998
000099
text/html
GMS German Medical Science; 8:Doc10; ISSN 1612-3174
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 (FiO2) (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/FiO2-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.
GMS German Medical Science; 8:Doc10; ISSN 1612-3174