Application of tracheotomy in burn patients with inhalation injury
Deng Shili
Abstract
Deng Shili
Abstract
Objective to investigate the rational application of tracheotomy in burn patients with inhalation injury.Methods A retrospective case study on all patients for tracheotomy admitted with burn inhalation injury from 1989 to 2000 (n=174) was carried out.Results The time of tracheotomy in mild,moderate and severe inhalation injury group was 27.6 h,18.6 h and 12.7 h postburn respectively;the average day of intubations was 13.8 d,14.7 d and 18.7 d postoperation respectively;the mortality rate was 3.3%,5.8% and 40% respectively.Conclusion The indications of tracheotomy can be lenient for the patients with severe burned face and neck in closure space.Tracheotomy has preventive and therapeutic effects during 24 hours postburn.
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Objective to investigate the rational application of tracheotomy in burn patients with inhalation injury.Methods A retrospective case study on all patients for tracheotomy admitted with burn inhalation injury from 1989 to 2000 (n=174) was carried out.Results The time of tracheotomy in mild,moderate and severe inhalation injury group was 27.6 h,18.6 h and 12.7 h postburn respectively;the average day of intubations was 13.8 d,14.7 d and 18.7 d postoperation respectively;the mortality rate was 3.3%,5.8% and 40% respectively.Conclusion The indications of tracheotomy can be lenient for the patients with severe burned face and neck in closure space.Tracheotomy has preventive and therapeutic effects during 24 hours postburn.
Key concepts: Tracheotomy, Medicine, Inhalation, Anesthesia, Burn injury, Surgery, Severe burn