Xiansong Wen1, Yan Li2. 1. Department of Otolaryngology Head and Neck Surgery, Ganzhou People's Hospital Ganzhou 341000, Jiangxi, China. 2. Department of Cardiac Surgery, Ganzhou People's Hospital Ganzhou 341000, Jiangxi, China.
Abstract
OBJECTIVE: To investigate the effects of perioperative continuous humidification on patients with laryngeal cancer undergoing tracheotomy. METHODS: Eighty patients with laryngeal cancer underwent tracheotomy in our hospital were selected as the subjects and divided into the observation group and the control group according to random table method. Patients in the control group were given routine tracheotomy care, including regular open endotracheal suction, tracheotomy nursing, oral care, dietary intervention, etc., while those in the observation group were given continuous airway humidification on the basis of the control group. The differences in sputum pH, viscosity, comfort, cough frequency, and respiratory ventilation were compared between the two groups at three postoperative time points. The incidence of complications such as pulmonary infection, bloody sputum and sputum crust, and the improvement of clinical symptoms were compared between the two groups. RESULTS: The sputum pH of patients in the observation group was higher than that in the control group at the 4th and 7th postoperative days (P<0.001). The observation group showed significantly lower percentage of grade 3 viscous sputum and higher comfort scores than the control group at the 7th postoperative day (P=0.020, P<0.001). The observation group showed lower cough frequency and higher airway patency than the control group at the 4th and 7th postoperative days (P<0.001, P<0.001, P<0.001, P=0.007). CONCLUSION: Perioperative continuous airway humidification in patients with laryngeal cancer undergoing tracheotomy could reduce sputum consistency and cough frequency, improve comfort and respiratory patency of patients, and has positive significance in accelerating their postoperative rehabilitation. AJTR
OBJECTIVE: To investigate the effects of perioperative continuous humidification on patients with laryngeal cancer undergoing tracheotomy. METHODS: Eighty patients with laryngeal cancer underwent tracheotomy in our hospital were selected as the subjects and divided into the observation group and the control group according to random table method. Patients in the control group were given routine tracheotomy care, including regular open endotracheal suction, tracheotomy nursing, oral care, dietary intervention, etc., while those in the observation group were given continuous airway humidification on the basis of the control group. The differences in sputum pH, viscosity, comfort, cough frequency, and respiratory ventilation were compared between the two groups at three postoperative time points. The incidence of complications such as pulmonary infection, bloody sputum and sputum crust, and the improvement of clinical symptoms were compared between the two groups. RESULTS: The sputum pH of patients in the observation group was higher than that in the control group at the 4th and 7th postoperative days (P<0.001). The observation group showed significantly lower percentage of grade 3 viscous sputum and higher comfort scores than the control group at the 7th postoperative day (P=0.020, P<0.001). The observation group showed lower cough frequency and higher airway patency than the control group at the 4th and 7th postoperative days (P<0.001, P<0.001, P<0.001, P=0.007). CONCLUSION: Perioperative continuous airway humidification in patients with laryngeal cancer undergoing tracheotomy could reduce sputum consistency and cough frequency, improve comfort and respiratory patency of patients, and has positive significance in accelerating their postoperative rehabilitation. AJTR
Authors: M Gellerfors; E Fevang; A Bäckman; A Krüger; S Mikkelsen; J Nurmi; L Rognås; E Sandström; G Skallsjö; C Svensén; D Gryth; H M Lossius Journal: Br J Anaesth Date: 2018-05 Impact factor: 9.166
Authors: Olivier Castagna; Jacques Regnard; Emmanuel Gempp; Pierre Louge; François Xavier Brocq; Bruno Schmid; Anne-Virginie Desruelle; Valentin Crunel; Adrien Maurin; Romain Chopard; David Hunter MacIver Journal: Sports Med Open Date: 2018-01-03