APPROACHES TO TRACHEOSTOMY IN PATIENTS WITH DEEP NECK BURNS AND INHALATION INJURY
https://doi.org/10.24884/0042-4625-2018-177-4-52-55
Abstract
The OBJECTIVE is to evaluate the results of introduction of the new method of preparation in patients with deep neck burns to the imposition of tracheostomy. MATERIAL AND METHODS. The study included 124 patients with extensive deep burns and inhalation injury. The method of treatment consisted of early (3–4 days from the moment of injury) necrectomy with simultaneous autodermoplasty in the projection of the anterior surface of the neck and torso on the area of 1–1.5% of the body surface. Tracheostomy was performed after graft engraftment. RESULTS. According to the proposed method, 20 patients were operated. 17 of them were subjected tracheostomy through the restored skin on 11.6±1.8 days. CONCLUSION. The method of the early recovery of th skin in the projection of tracheostomy in patients with deep burns of the neck allows to safely subject tracheostomy through the restored skin on 8–14 days from the moment of the burn.
About the Authors
V. A. Porhanov
Federal State Budgetary Institution «Scientific research institute – Ochapovsky regional clinic hospital № 1» of Krasnodar region public health Ministry
Russian Federation
Krasnodar.
Russian Federation
Krasnodar.
D. O. Vagner
Federal State Budgetary Institution «Saint-Petersburg I.I. Dzhanelidze Research Institute of Emergency Medicine»
Russian Federation
St. Petersburg.
Russian Federation
St. Petersburg.
S. B. Bogdanov
Federal State Budgetary Institution «Scientific research institute – Ochapovsky regional clinic hospital № 1» of Krasnodar region public health Ministry
Russian Federation
Krasnodar.
Russian Federation
Krasnodar.
E. V. Zinoviev
Federal State Budgetary Institution «Saint-Petersburg I.I. Dzhanelidze Research Institute of Emergency Medicine»
Russian Federation
St. Petersburg.
Russian Federation
St. Petersburg.
I. V. Shlyk
Pavlov University
Russian Federation
St. Petersburg.
Russian Federation
St. Petersburg.
References
1. Alekseev A. A., Degtjarev D. B., Krylov K. M. i dr. Diagnostika i lechenie ingaljacionnoi travmy: Rekomendacii. Obsherossijskaya obshhestvennaya organizaciya «Federaciya Anestesiologov reanimatologov» and Vserossijskaja obshhestvennaya organizaciya «Ob’edinenie kombustiologov mir bez ozhogov» // Vestnik Anestesiologii i reanimatologii. 2013. Т. 10, № 2. P. 60–64.
2. Alekseev A. A., Bobrovnikov A. Je., Maljutina N. B. Ekstrennaya i neotlozhnaya medicinskaya pomoshch’ posle ozhogovoj travmy // Medicinskii alfavit. 2016. T. 2, № 15. P. 6–12.
3. Pohabova E. Yu., Starkov Yu. G., Krutikov M. G. Bronhoskopiya v diagnostike i lechenii traheobronhitov u pacientov s tyazhelymi ozhogami // Khirurgiya : Zhurnal im. N. I. Pirogova. 2009. № 8. P. 52–56.
4. Ingaljacionnaja travma: sovremennye vozmozhnosti endoskopicheskoj diagnostiki / N. N. Levickaya, A. M. Gasanov, P. A. Brygin, T. P. Pinchuk // Medicinskij alfavit. 2011. Т. 2, № 11. P. 42–47.
5. Krylov K. M., Orlova O. V., Shlyk I. V. Algoritm dejstvii po okazaniyu medicinskoi pomoshchi postradavshim s ozhogami na dogospital’nom jetape // Skoraja medicinskaya pomoshh’. 2010. Т. 11, № 2. P. 55–59.
6. Aggarwal S., Smailes S., Dziewulski P. Tracheostomy in burn patients revisited // Burns. 2009. Vol. 35, № 7. P. 962–966.
7. Porhanov V. A., Bogdanov S. B., Poljakov A. V., Kovalenko A. L., Sirota A. A. Sposob lechenija ingaljacionnoj travmy v sochetanii s ozhogami shei: Patent na izobretenie RUS 2564075. 01.07.2014.
8. Shlyk I. V., Polu shin Y. S., Krylov K. M. Ozogovyi sepsis osobennosti razvitiya rannei diagnostiki // Vestnik аnestesiologii i reanimatologii. 2009. Т. 6, № 5. P. 16–24.
9. Tracheostomy in pediatric burn patients / S. Sen, J. Heather, T. Palmieri, D. Greenhalgh // Burns. 2015. Vol. 41, № 2. P. 248–251.
10. Skvorcov M. B., Nechaev E. V. Traheostomija – vazhnejshii etap v lechenii rubcovych traheal’nych i gortanotraheal’nyh stenozov // Acta Biomedica Scientifica. 2007. № 6. P. 123–126.
11. Osobennosti dlitel’noi iskusstvennoi ventilyacii legkich pri tjazhelych travmach u postradavshih pozhilogo i starcheskogo vozrasta / I. M. Samohvalov, S. V. Nedomolkin, S. V. Gavrilin, D. P. Meshakov // Vestnik anesteziologii i reanimatologii. 2012. Т. 9, № 1. P. 28–34.
12. Smailes S. T., Ives M., Richardson P. et al. Percutaneous dilational and surgical tracheostomy in burn patients : incidence of complications and dysphagia // Burns. 2014. Vol. 40, № 3. P. 436–442.
13. Bogdanov S. B. Khirurgicheskie aspekty vypolneniya plastiki lica cel’nym polnosloinym kozhnym autotransplantatom // Annaly plasticheskoi, rekonstruktivnoi i esteticheskoi khirurgii. 2016. № 1. P. 12–20.
Review
For citations:
Porhanov V.A., Vagner D.O., Bogdanov S.B., Zinoviev E.V., Shlyk I.V. APPROACHES TO TRACHEOSTOMY IN PATIENTS WITH DEEP NECK BURNS AND INHALATION INJURY. Grekov's Bulletin of Surgery. 2018;177(4):52-55. (In Russ.) https://doi.org/10.24884/0042-4625-2018-177-4-52-55
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