Greenhalgh David G
Shriners Hospitals for Children, Northern California, USA.
J Burn Care Res. 2009 Jan-Feb;30(1):196-7. doi: 10.1097/BCR.0b013e3181923f28.
Intubation and mechanical ventilation are necessary adjuncts to airway management of the patient with inhalation injury. However, the ultimate goal of intubation is ultimate removal from mechanical ventilation. Extubation of the inhalation injury patient is often challenging due to the increased work of breathing, multiple operative interventions, and increased metabolic rate that often accompanies inhalation injury. The next two papers in the compendium describe two very different, yet potentially applicable, adjuncts to extubation of the burn patient: steroids and noninvasive positive pressure ventilation.
气管插管和机械通气是吸入性损伤患者气道管理的必要辅助手段。然而，气管插管的最终目标是最终脱离机械通气。由于呼吸功增加、多次手术干预以及吸入性损伤常伴随的代谢率升高，吸入性损伤患者的拔管往往具有挑战性。该论文集接下来的两篇论文描述了两种截然不同但可能适用的烧伤患者拔管辅助手段：类固醇和无创正压通气。
