中华医学杂志（英文版）2011，Vol.124Issue(20)：3309-3313,5.DOI:10.3760/cma.j.issn.0366-6999.2011.20.019
Unplanned decannulation of tracheotomy tube in massive burn patients: a retrospective case series study
Unplanned decannulation of tracheotomy tube in massive burn patients: a retrospective case series study
BEN Dao-feng 1MA bing 2XIA Zhao-fan 2L(U) Kai-yang 3CHEN Xu-lin 4YU Xi-ya 5XI Hui-Jun 6CHANG Fei 2ZHU Shi-hui 2TANG Hong-tai 2LU Wei2
作者信息
- 1. Department of Burns
- 2. Department of Burns First Affiliated Hospital of Anhui Medical University, Hefei, Anhui 230022, China
- 3. Burn and Trauma Intensive Care Unit
- 4. Changhai Hospital, Second Military Medical University,Shanghai 200433, ChinaDepartment of Burns, First Affiliated Hospital of Anhui Medical University, Hefei, Anhui 230022, China
- 5. Department of Anesthesia First Affiliated Hospital of Anhui Medical University, Hefei, Anhui 230022, China
- 6. Department of Emergency First Affiliated Hospital of Anhui Medical University, Hefei, Anhui 230022, China
- 折叠
摘要
Abstract
Background Unplanned extubation is associated with adverse outcomes in intensive care unit.The massive burn patient differs from other critically ill patients in many ways.However,little is known about the unplanned decannulation (UD) in Burn Intensive Care Unit.This paper describes the special features of the circumstances and outcome of UD of tracheotomy tube in massive burn patients.Methods A case series study was performed between January 1999 and December 2008 and UD of tracheotomy tube was analyzed retrospectively.A total of 21 patients with 29 UD events were identified.Demographic data,diagnosis,intervention,UD events and outcome of UD patients were collected.Differences in proportions were compared using the chi-square (X2) or Fisher's exact test.Results Patients with UD were often burned with head and neck (67％) and combined with inhalation injury (62％).The majority of them (76％) were transferred patients,occurred early (55％) and were accidental UD (79％).UD events tended to happen in day shift (90％) and to be associated with the medical procedure that was performing by caregivers at besides (79％).Loose of the stabilizing rope,medical procedure and tracheotomy malposition were the main causes of UD.Early UD and reintubation failure were associated with patients' death.Conclusions UD happened to massive burn patients can lead to patient death.Careful management of respiratory tract was essential for massive burn patients.关键词
unplanned decannulation/airway management/inhalation injury/intubation/mechanical ventilationKey words
unplanned decannulation/airway management/inhalation injury/intubation/mechanical ventilation引用本文复制引用
BEN Dao-feng,MA bing,XIA Zhao-fan,L(U) Kai-yang,CHEN Xu-lin,YU Xi-ya,XI Hui-Jun,CHANG Fei,ZHU Shi-hui,TANG Hong-tai,LU Wei..Unplanned decannulation of tracheotomy tube in massive burn patients: a retrospective case series study[J].中华医学杂志（英文版）,2011,124(20):3309-3313,5.
