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Early postoperative alterations of ventilation parameters after tracheostomy in major burn injuries

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Author(s): Namdar, Thomas | Stollwerck, Peter Leonard | Stang, Felix Hagen | Klotz, Karl-Friedrich | Lange, Thomas | Mailänder, Peter | Siemers, Frank

Journal: GMS German Medical Science
ISSN 1612-3174

Volume: 8;
Start page: Doc10;
Date: 2010;
Original page

Keywords: pulmonary ventilation | pulmonary gas exchange | tracheostomy | critical care | intensive care

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 (FiO2) (p

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