文章基本信息

标题：Ventilation practices in burn patients—an international prospective observational cohort study
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作者：Marcus J Schultz ; Janneke Horn ; Markus W Hollmann 等
期刊名称：Burns & Trauma
印刷版ISSN：2321-3876
出版年度：2021
卷号：9
DOI：10.1093/burnst/tkab034
语种：English
出版社：BioMed Central
摘要：Abstract Background It is unknown whether lung-protective ventilation is applied in burn patients and whether they benefit from it. This study aimed to determine ventilation practices in burn intensive care units (ICUs) and investigate the association between lung-protective ventilation and the number of ventilator-free days and alive at day 28 (VFD-28). Methods This is an international prospective observational cohort study including adult burn patients requiring mechanical ventilation. Low tidal volume ( V T) was defined as V T ≤ 8 mL/kg predicted body weight (PBW). Levels of positive end-expiratory pressure (PEEP) and maximum airway pressures were collected. The association between V T and VFD-28 was analyzed using a competing risk model. Ventilation settings were presented for all patients, focusing on the first day of ventilation. We also compared ventilation settings between patients with and without inhalation trauma. Results A total of 160 patients from 28 ICUs in 16 countries were included. Low V T was used in 74% of patients, median V T size was 7.3 [interquartile range (IQR) 6.2–8.3
关键词：Mechanical ventilation; Inhalation trauma; Lung-protective; Critical care