The role of airway management group in tracheotomy decannulation in patients with severe acquired brain injury

LIU, Yuewei; Yuan, Wei; ZHANG, Jimin; Song, Lu

doi:10.55111/j.issn2709-1961.202207046

Cited by 2 publications

(3 citation statements)

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“…It has been reported that hyperbaric oxygen therapy can accelerate the diffusion rate of oxygen into tissues, increase the oxygen content in tissues, improve the utilization rate of oxygen, correct the hypoxia of airway tissue cells, and accelerate airway repair [24] . However, patients with large area burn combined with inhalation injury are often in critical condition, and the rescue conditions in the hyperbaric oxygen chamber are limited, which is not suitable for hyperbaric oxygen treatment.…”

Section: Atmospheric Pressure High Concentration Oxygen Therapymentioning

confidence: 99%

The Progress of Diagnosis and Management in Inhalation Injury

2023

FMSR

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Inhalation injury is one of the important causes of death in critically burned patients, and rich experiences have been accumulated in the diagnosis and treatment. However, the understanding of some new biomarkers, evidence-based evidences, and diagnosis and treatment measures is still very limited. In this review, on the basis of our team's experiences in clinical treatment, we discuss the new diagnostic principles (such as dynamic diagnosis, airway depth grading theory, biomarkers, etc.) and the new treatments (such as chest physical therapy, artificial nose and high flow respiratory humidification therapeutic apparatus in airway management, atmospheric pressure high concentration oxygen therapy, extracorporeal membrane oxygenation (ECMO) support, etc.). New comprehensive protocols and evidence-based evidences for the diagnosis and treatment of inhalation injury are summarized. The treatment of inhalation injury is a multi-faceted and multi-disciplinary comprehensive diagnosis and treatment. It is of great clinical significance to explore new measures to improve the early diagnosis and management.

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Section: Atmospheric Pressure High Concentration Oxygen Therapymentioning

confidence: 99%

The Progress of Diagnosis and Management in Inhalation Injury

2023

FMSR

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“…Intraoperative-acquired pressure injury (IAPI) is an injury limited to the skin and/or underlying subcutaneous soft tissues caused by continuous pressure or pressure combined with shear forces during surgery 1 . These injuries typically occur within 6 days of the operation, with development on postoperative days 1 to 3 being the most common 2,3 . Pressure injury (PI) prevalence and incidence are important indicators for monitoring the quality of medical care.…”

Section: Introductionmentioning

confidence: 99%

“…1 These injuries typically occur within 6 days of the operation, with development on postoperative days 1 to 3 being the most common. 2,3 Pressure injury (PI) prevalence and incidence are important indicators for monitoring the quality of medical care. Studies have reported PI incidences of 1.87% to 5.85% among inpatients and IAPI incidences of 4.6% to 66%.…”

Section: Introductionmentioning

confidence: 99%

Using a Decision Tree Approach to Analyze Key Factors Influencing Intraoperative-Acquired Pressure Injury

Shi,

Jiang,

Liu

et al. 2023

Adv Skin Wound Care

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OBJECTIVE To determine the key factors influencing intraoperative-acquired pressure injury (IAPI). METHODS Researchers assessed 413 surgical patients in a Shanghai tertiary hospital using an information collection form and an IAPI occurrence record form. Analysis took place using the classification and regression tree algorithm and multiple logistic regression. RESULTS A total of 43 surgical patients (10.4%) had IAPI, including 32 stage 1 cases (74.4%), and 11 stage 2 cases (25.6%). The multiple logistic regression analysis indicated that operation duration, surgical position, preoperative hypertension, and preoperative Braden Scale risk score were independently associated with IAPI development. The decision tree showed that preoperative Braden Scale score, surgical position, operation grade, operation duration, age, prealbumin level, and body mass index were important factors and that preoperative Braden Scale score was the most critical decision variable. The cross-validation method was used to indicate a model accuracy of 91.8%. CONCLUSIONS The decision tree effectively identified key factors for IAPI, complementing the logistic regression analysis and providing a scientific basis for the further development of structural risk assessment, prevention, and treatment strategies for IAPI.

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The role of airway management group in tracheotomy decannulation in patients with severe acquired brain injury

Cited by 2 publications

References 0 publications

The Progress of Diagnosis and Management in Inhalation Injury

The Progress of Diagnosis and Management in Inhalation Injury

Using a Decision Tree Approach to Analyze Key Factors Influencing Intraoperative-Acquired Pressure Injury

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