Aggarwal Abhinav, Chittoria Ravi Kumar, Chavan Vinayak, Reddy Chirra Likhitha, Gupta Saurabh, Mohan Padmalakshmi Bharathi, Pathan Imran, Shijina K
Department of Plastic Surgery, Jawaharlal Institute of Postgraduate Medical Education and Research (JIPMER), Pondicherry, 605006, India.
World J Plast Surg. 2020 Jan;9(1):10-13. doi: 10.29252/wjps.9.1.10.
Various studies have reported different conclusions over the safety and benefits of early tracheostomy in burns. Our study aimed to assess the role of prophylactic tracheostomy in treatment and improvement of outcomes in inhalational burns in India.
In a retrospective descriptive analysis of burns admitted over 1 year in Jawaharlal Institute of Postgraduate Medical Education and Research (JIPMER) Tertiary Burns Center in India, patients with thermal burns of TBSA less than 60% and those with indirect evidence of airway burns were enrolled and divided into two groups who underwent prophylactic tracheostomy vs. patients for whom prophylactic tracheostomy was not done. Mortality was the final point and primary variable measurement.
Totally, 10 patients with inhalational burns were admitted. Out of the 4 patients for whom prophylactic tracheostomy was undertaken, three patients survived, while one died. Out of the 6 patients for which prophylactic tracheostomy were not performed, 4 patients died; while 2 survived. The average percentage of burns TBSA in the prophylactic tracheostomy group was 34%. Average age of patients in the prophylactic tracheostomy group was 31.3 years. The average percentage burns TBSA in the group, where prophylactic tracheostomy was not carried out was 42%. Average age of patients in the prophylactic tracheostomy group was 36.2 years.
Our study is a pilot study to investigate the possibility and a way to improve outcomes in patients with inhalational injuries. Larger trials may be needed to facilitate or disprove the same.
多项研究就早期气管切开术在烧伤治疗中的安全性和益处得出了不同结论。我们的研究旨在评估预防性气管切开术在印度吸入性烧伤治疗及改善预后方面的作用。
在印度贾瓦哈拉尔尼赫鲁研究生医学教育与研究学院（JIPMER）三级烧伤中心对1年内收治的烧伤患者进行回顾性描述性分析，纳入烧伤总面积（TBSA）小于60%的热烧伤患者以及有气道烧伤间接证据的患者，并将其分为两组，一组接受预防性气管切开术，另一组未进行预防性气管切开术。死亡率是最终的观察指标和主要变量测量值。
共收治10例吸入性烧伤患者。在接受预防性气管切开术的4例患者中，3例存活，1例死亡。在未进行预防性气管切开术的6例患者中，4例死亡，2例存活。预防性气管切开术组的平均烧伤TBSA百分比为34%。预防性气管切开术组患者的平均年龄为31.3岁。未进行预防性气管切开术组的平均烧伤TBSA百分比为42%。预防性气管切开术组患者的平均年龄为36.2岁。
我们的研究是一项初步研究，旨在探讨改善吸入性损伤患者预后的可能性和方法。可能需要进行更大规模的试验来证实或反驳这一结论。
