Expert consensus on the prevention, diagnosis and treatment of cold injury in China, 2020

Jin, Hongxu; Teng, Yue; Dai, Jing; Zhao, Xiaodong

doi:10.1186/s40779-020-00295-z

Cited by 7 publications

(5 citation statements)

References 25 publications

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“…Bronchiolitis is still regarded as one of the most common diseases in children aged under 2 years-in particular, in infants less than 6 months of age-causing the heaviest psychological and economic burden on families in the world (6,10). More than 15% of bronchiolitis cases are severe, and this is even higher in developing countries (11).…”

Section: Discussionmentioning

confidence: 99%

“…Numerous studies have shown that nCPAP was effective in overcoming intrinsic PEEP, reducing airway resistance, reducing airway collapse (especially terminal airways), reducing CO 2 retention, relieving respiratory muscle fatigue, as well as improving ventilation-blood flow ratio (6,12). nCPAP is conducted in children with spontaneous breathing as it is more consistent with the normal breathing cycle than invasive ventilation.…”

Section: Discussionmentioning

confidence: 99%

“…Inclusion criteria for this study required that the participants: (I) were hospitalized children aged ≤1 year; (II) met the diagnostic criteria of bronchiolitis (6); (III) displayed tachypnea with three concave sign or flapping of nasal wings; or 50 mmH 2 O ≤ PaCO2 ≤60 cmH 2 O or TcSO2 ≤95% when oxygen by nasal catheter ≥5 L/min. Patients who met items 1 and 2, and displayed at least one of the clinical signs in item 3, were included.…”

Section: Study Subjectsmentioning

confidence: 99%

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Optimal level of positive end-expiratory pressure during nasal continuous airway pressure for severe bronchiolitis: a prospective study

Yin¹,

Li²,

Peng³

et al. 2021

Transl Pediatr

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Background: Nasal continuous positive airway pressure (nCPAP) has been increasingly applied in the pediatric setting. However, there is no uniform standard for setting and titrating positive end-expiratory pressure (PEEP) level, which is paramount to the effectiveness of the treatment. This study aimed to investigate the optimal parameters for nCPAP in the treatment of severe bronchiolitis based on clinical efficacy and pulmonary function parameters.Methods: A before-after prospective study was conducted with a total of 152 study subjects. These 152 hospitalized patients with severe bronchiolitis were treated and observed from December 2018 to February 2019. Comparisons were made between subjects for clinical symptoms, oxygenation improvement, correction of CO 2 retention, degree of airway obstruction and respiratory mechanics improvement between three different positive end-expiratory pressure levels (PEEP).Results: nCPAP could effectively improve the clinical manifestations, blood gas analysis, pulmonary function and respiratory muscle energy consumption. The m-WCAS score, PaCO 2 , TPTEF/TE, VPEF/ VE, respiratory system compliance (Crs) and resistance (Rrs) were significantly different at different PEEP levels (P<0.05). Although there were no hemodynamic changes at peep parameter levels in the three groups.Group 2 (PEEP: 6 cmH 2 O) had optimal clinical effects, and improvement in airway obstruction and respiratory mechanics compared with the group 1 (PEEP: 4 cmH 2 O) and the group 3 (PEEP: 7 cmH 2 O).Conclusions: PEEP of 6 cmH 2 O via nCPAP is considered as the optimal level in the treatment of infants with severe bronchiolitis.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Study Subjectsmentioning

confidence: 99%

See 1 more Smart Citation

Optimal level of positive end-expiratory pressure during nasal continuous airway pressure for severe bronchiolitis: a prospective study

Yin¹,

Li²,

Peng³

et al. 2021

Transl Pediatr

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“…Furthermore, they can disturb the blood circulation, cause damage to the nerves, and give rise to a lifelong intolerance of cold and pain, not to mention the greater risk of re-injury in the same place. There is the additional risk that re-injury in the same place will be more serious the second time around [ 12 ]. Thus, NFCIs and FCIs can potentially reduce the sufferer’s quality of life and adversely affect the person’s career in the Armed Forces.…”

Section: Introductionmentioning

confidence: 99%

Training videos to prevent cold weather injuries

Teien

Rones

Renberg

2023

International Journal of Circumpolar Health

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Cold weather injuries (CWIs) are a challenge during military training, exercises and operations in Arctic conditions. Soldier performance in these challenging conditions depends on protective equipment, knowledge, personal experience, routines, and leadership. Despite the Norwegian Armed Forces’ goal of zero freezing cold injuries (FCIs), there has been a persistently high incidence of FCIs among the younger soldiers with an average of 120–150 new FCIs recorded each year. Therefore, an expert working group with representatives from medical, defence and research background was established in 2020. Their task was to develop a communication package to help prevent CWIs among military personnel. Training videos and an updated and improved official website were created with a focus on practical recommendations and advice to prevent CWIs and especially FCIs. Risks, prevention and symptoms of FCIs were emphasised. The main goal of the training videos was to supplement current teaching on guidance for CWI prevention in CWOs to prevent FCIs, but following the advice may prevent non-freezing cold injuries (NFCIs) and hypothermia. This informative paper describes the background, working methods and possible implications of the training videos, which may be a potential way forward to improve cold weather training and operations.

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“…Frost injuries and illnesses usually affect military personnel, athletes involved in winter sports, residents of the northern regions, reindeer herders, etc. Today, despite the development of modern methods of invasive and functional diagnostics, the issues of determining the degree and predicting the outcome of a frostbite in the early periods of injury still remain controversial [1,2]. It is not difficult to diagnose systemic cold injury based on core body temperature or the patient's state of consciousness.…”

Section: Introductionmentioning

confidence: 99%

Diagnosis of Cold Weather Injuries Using Ultrasonic Testing

2023

SBB

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This article discusses the limitations in common methods used in diagnosing cold injuries and hence, suggests the use of ultrasonic method in detecting such signs. The proposed method is based on registering a change in the propagation speed of ultrasonic vibrations in the tissue of the tested biological object. Such a change is caused by the resulting change in the physical properties of the object under study in case of cold injury symptoms. Accordingly, the developed ultrasonic device is capable of detecting the degree of frostbites quickly and non-invasively, through detecting the intra-tissular pressure, whose dependence on the propagation speed of ultrasound is conducted.

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Expert consensus on the prevention, diagnosis and treatment of cold injury in China, 2020

Cited by 7 publications

References 25 publications

Optimal level of positive end-expiratory pressure during nasal continuous airway pressure for severe bronchiolitis: a prospective study

Optimal level of positive end-expiratory pressure during nasal continuous airway pressure for severe bronchiolitis: a prospective study

Training videos to prevent cold weather injuries

Diagnosis of Cold Weather Injuries Using Ultrasonic Testing

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