Review of Indications for Endotracheal Intubation in Burn Patients with Suspected Inhalational Injury

IF 16.4 1区化学 Q1 CHEMISTRY, MULTIDISCIPLINARY

Accounts of Chemical Research Pub Date : 2023-03-29 DOI:10.3390/ebj4020014

E. Concannon, Lindsay Damkat Thomas, Lachlan D Kerr, Ivo Damkat, B. Reddi, J. Greenwood, N. Solanki, M. Wagstaff

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引用次数: 0

Abstract

Inhalation injury is a major contributor to mortality following burn injury. Despite recognised clinical criteria to guide the intubation of burn patients, concerns remain regarding overutilisation of intubation. Complications can arise as a result of intubation, including ventilator-associated pneumonia (VAP). This study reviews the indications for intubation against the internationally accepted criteria (American Burns Association (ABA) and Denver criteria) for burn patients treated at the Royal Adelaide Hospital (RAH) burns unit between 2017 and 2020. Burn patients who were intubated on arrival to the RAH or in a pre-hospital setting were identified using the BRANZ database. Indications for intubation were compared to the ABA and Denver criteria. A total of 61 patients were identified with a mean total body surface area of 17.8%. A total of 95% of patients met one of the ABA and Denver criteria. The most common ABA and Denver criteria for intubation was deep facial burns or singed facial hair, respectively. Most adult patients with burns admitted to the RAH are intubated per published criteria. Early nasoendoscopy/bronchoscopy may be useful in determining patients who can be safely extubated within 48 h.

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疑似吸入性损伤烧伤患者气管插管适应证综述

吸入性损伤是烧伤后死亡的主要原因。尽管有公认的临床标准来指导烧伤患者的插管，但对插管过度使用的担忧仍然存在。插管可引起并发症，包括呼吸机相关性肺炎(VAP)。本研究回顾了2017年至2020年期间在皇家阿德莱德医院(RAH)烧伤部门治疗的烧伤患者的插管指征，对照国际公认的标准(美国烧伤协会(ABA)和丹佛标准)。在到达RAH时插管或在院前设置的烧伤患者使用BRANZ数据库进行识别。将插管指征与ABA和Denver标准进行比较。共发现61例患者，平均体表面积为17.8%。共有95%的患者符合ABA和Denver标准中的一项。最常见的ABA和Denver插管标准分别是面部深度烧伤或面部毛发烧焦。大多数住进RAH的成年烧伤患者都是按照公布的标准插管的。早期鼻内窥镜/支气管镜检查可能有助于确定哪些患者可以在48小时内安全拔管。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Accounts of Chemical Research 化学-化学综合

CiteScore

31.40

自引率

1.10%

发文量

312

审稿时长

2 months

期刊介绍： Accounts of Chemical Research presents short, concise and critical articles offering easy-to-read overviews of basic research and applications in all areas of chemistry and biochemistry. These short reviews focus on research from the author’s own laboratory and are designed to teach the reader about a research project. In addition, Accounts of Chemical Research publishes commentaries that give an informed opinion on a current research problem. Special Issues online are devoted to a single topic of unusual activity and significance. Accounts of Chemical Research replaces the traditional article abstract with an article "Conspectus." These entries synopsize the research affording the reader a closer look at the content and significance of an article. Through this provision of a more detailed description of the article contents, the Conspectus enhances the article's discoverability by search engines and the exposure for the research.