Email Alerts
RSS
Volume 38 Issue 4
Apr.  2022
Turn off MathJax
Article Contents
Article Navigation >  CHINESE JOURNAL OF BURNS AND WOUNDS  > 2022  >  38(4): 373-377
Chen HQ,Feng XQ,Xu CJ,et al.Application effects of feedforward control theory in the rollover bed treatment of mass patients with burn-explosion combined injury[J].Chin J Burns Wounds,2022,38(4):373-377.DOI: 10.3760/cma.j.cn501120-20201202-00514.
Citation: Chen HQ,Feng XQ,Xu CJ,et al.Application effects of feedforward control theory in the rollover bed treatment of mass patients with burn-explosion combined injury[J].Chin J Burns Wounds,2022,38(4):373-377.DOI: 10.3760/cma.j.cn501120-20201202-00514.
shu

Application effects of feedforward control theory in the rollover bed treatment of mass patients with burn-explosion combined injury

doi: 10.3760/cma.j.cn501120-20201202-00514

  • Department of Burn and Wound Repair, the Second Affiliated Hospital of Zhejiang University School of Medicine, Hangzhou 310009, China

Funds:

Key Project of Major Health Science and Technology Plan of Zhejiang Province of China WKJ-ZJ-2123

More Information
  • Corresponding author: Feng Xiuqin, Email: fengxiuqin@zju.edu.cn
  • Received Date: 2020-12-02
    Abstract
  •   Objective  To explore the application effects of feedforward control theory in the rollover bed treatment of mass patients with burn-explosion combined injury.  Methods  A retrospective observational research was conducted. From June 13 to 14, 2020, 15 patients with severe burn-explosion combined injury caused by liquefied natural gas tank car explosion and conforming to the inclusion criteria were admitted to the Second Affiliated Hospital of Zhejiang University School of Medicine. There were 13 males and 2 females, aged 33-92 (66±17) years. All the patients were treated with rollover bed from 48 h post admission, and the feedforward control theory was introduced, including establishing a special feedforward control management team for rollover bed, clarifying the duties of the medical staff in the rollover bed treatment of patients, implementing the cooperation strategy of multidisciplinary physician, training and examining for 80 nurses in the temporarily organized nurse team in the form of "rollover bed workshop", and formulating the checklist and valuation list of rollover bed treatment for continuous quality control. The frequency and the total number of turning over, and successful rate of one-time posture change with the rollover bed of patients within 30 days of admission were recorded, the occurrences of adverse events caused by improper operation for the rollover bed during the treatment were observed, including respiratory and cardiac arrests, treatment interruption, unplanned extubation, bed falling, and skin graft displacement. The lowest levels of arterial partial pressure of oxygen (PaO2) and arterial partial pressure of carbon dioxide (PaCO2), the number of patients with oxygenation index>300 mmHg (1 mmHg=0.133 kPa), and the occurrence of acute respiratory distress syndrome (ARDS) of patients within 2 days of admission and on the 30th day of admission were recorded.  Results  Within 30 days of admission, the patients were turned over with the rollover bed for 2 to 6 times each day, with a total of 1 320 turning over operations, the successful rate of one-time posture change reached 99.9% (1 319/1 320), and no adverse event occurred. Within 2 days of admission, the lowest levels of PaO2 and PaCO2 of the patients were (100±19) and (42±4) mmHg, respectively, and the number of patients with mild, moderate, and severe ARDS were 10, 2, and 3, respectively, and none of the patients had oxygenation index>300 mmHg. On the 30th day of admission, the lowest levels of PaO2 and PaCO2 of the patients were (135±28) and (37±8) mmHg, respectively, 3 patients developed moderate ARDS, 1 patient developed severe ARDS, and 11 patients had oxygenation index>300 mmHg.  Conclusions  The introduction of feedforward control theory in the treatment of rollover bed of mass patients with burn-explosion combined injury can ensure safe and successful completion of turning over with the rollover bed, promote the repair of burn wound, and improve respiratory function, and therefore improve the treatment quality of patients.

     

    • FullText(HTML)
  • loading
    • References(29)
  • [1]
    崔凤瑞,邓佩玲.突发应急事件中成批烧伤患者的护理对策[J/CD].中华卫生应急电子杂志,2020,6(2):123-124.DOI: 10.3877/cma.j.issn.2095-9133.2020.02.015.
    [2]
    YamamotoS,DeWittDS,ProughDS.Impact & blast traumatic brain injury: implications for therapy[J].Molecules,2018,23(2): 245. DOI: 10.3390/molecules23020245.
    [3]
    ChenF,XuL,LvG,et al.Application of multifunctional intelligent suspension treatment beds in nursing care of patients with extensive burns[J].Contrast Media Mol Imaging,2021,2021:8922504.DOI: 10.1155/2021/8922504.
    [4]
    KottnerJ, CuddiganJ, CarvilleK, et al. Prevention and treatment of pressure ulcers/injuries: the protocol for the second update of the international Clinical Practice Guideline 2019[J]. J Tissue Viability, 2019,28(2):51-58. DOI: 10.1016/j.jtv.2019.01.001.
    [5]
    熊想莲,武小红,李丽红,等.使用翻身床辅助治疗大面积烧伤患者的管道护理[J].现代临床护理,2020,19(4):45-49.DOI: 10.3969/j.issn.1671-8283.2020.04.008.
    [6]
    许腊梅.2例重度烧伤患者使用翻身床治疗时呼吸骤停的抢救[J].中华护理杂志,2011,46(8):825.DOI: 10.3761/j.issn.0254-1769.2011.08.038.
    [7]
    祝红娟,王淑君,李方容,等.大面积烧伤患者使用翻身床的安全管理[J].中华护理杂志,2014,49(1):16-19.DOI: 10.3761/j.issn.0254-1769.2014.01.003.
    [8]
    鲁虹言,王淑君,李方容,等.大面积烧伤患者卧翻身床尿袋放置方法的改进[J].护理学杂志,2016,31(10):66-67.DOI: 10.3870/j.issn.1001-4152.2016.10.066.
    [9]
    AvanzinoL,RavaschioA,LagravineseG,et al.Adaptation of feedforward movement control is abnormal in patients with cervical dystonia and tremor[J].Clin Neurophysiol,2018,129(1):319-326.DOI: 10.1016/j.clinph.2017.08.020.
    [10]
    CignettiF, VaugoyeauM, FontanA, et al. Feedforward motor control in developmental dyslexia and developmental coordination disorder: does comorbidity matter? [J]. Res Dev Disabil, 2018,76:25-34. DOI: 10.1016/j.ridd.2018.03.001.
    [11]
    吴琴珍,潘月敏,石红荣,等.静脉用药安全管理中的前馈控制[J].中华护理杂志,2014,49(7):824-827.DOI: 10.3761/j.issn.0254-1769.2014.07.015.
    [12]
    陈超,马丽梅,张昕屏,等.成批烧伤救护中分层-工作坊联合教学模式在护士翻身床使用培训中的应用[J].中华烧伤杂志,2016,32(6):380-381.DOI: 10.3760/cma.j.issn.1009-2587.2016.06.016.
    [13]
    OsumiM,SumitaniM,OtakeY,et al.Fear of movement modulates the feedforward motor control of the affected limb in complex regional pain syndrome (CRPS): a single-case study[J].Med Hypotheses,2018,110:114-119.DOI: 10.1016/j.mehy.2017.12.002.
    [14]
    FanD, HanL, QuW, et al. Comprehensive nursing based on feedforward control and postoperative FMA and SF-36 levels in femoral intertrochanteric fracture[J]. J Musculoskelet Neuronal Interact,2019,19(4):516-520.
    [15]
    赵锐祎,金静芬,陈春芳,等.19例群体重度烧伤患者静脉通路的护理管理[J].中华护理杂志,2015,50(6):709-711.DOI: 10.3761/j.issn.0254-1769.2015.06.014.
    [16]
    ARDSDefinition Task Force,RanieriVM,RubenfeldGD,et al.Acute respiratory distress syndrome: the Berlin Definition[J].JAMA,2012,307(23):2526-2533.DOI: 10.1001/jama.2012.5669.
    [17]
    张勇,孟伟正,王明君,等.瓦斯爆炸致肺爆震伤临床流行病学特点[J].中华劳动卫生职业病杂志,2012,30(8):582-583.DOI: 10.3760/cma.j.issn.1001-9391.2012.08.006.
    [18]
    李创忠,王运杰.爆炸冲击波性脑损伤的研究进展[J].临床军医杂志,2010,38(2):311-315.DOI: 10.3969/j.issn.1671-3826.2010.02.061.
    [19]
    HoermannR,PekkerMJ,MidgleyJ,et al.Triiodothyronine secretion in early thyroid failure: the adaptive response of central feedforward control[J].Eur J Clin Invest,2020,50(2):e13192.DOI: 10.1111/eci.13192.
    [20]
    WangX, DuJ, ZhuangZ, et al. Incidence, casualties and risk characteristics of civilian explosion blast injury in China: 2000-2017 data from the state Administration of Work Safety[J]. Mil Med Res,2020,7(1):29. DOI: 10.1186/s40779-020-00257-5.
    [21]
    HazellGA,PearceAP,HepperAE,et al.Injury scoring systems for blast injuries: a narrative review[J].Br J Anaesth,2022,128(2):e127-e134.DOI: 10.1016/j.bja.2021.10.007.
    [22]
    陈华清,沈鸣雁,徐婷,等.多学科团队协作模式下的成批烧伤合并吸入性损伤患者气道管理实践[J].护士进修杂志,2020,35(3):269-271.DOI: 10.16821/j.cnki.hsjx.2020.03.018.
    [23]
    魏革,梅桂萍,胡玲,等.手术室巡回护士工作程序表的设计与应用[J].中华护理杂志,2010,45(2):133-135.DOI: 10.3761/j.issn.0254-1769.2010.02.014.
    [24]
    马兵,夏照帆.昆山“8·2”特重大爆炸事故成批特重度烧伤救治的几点思考[J/CD].中华损伤与修复杂志:电子版,2015,10(3):4-6.DOI: 10.3877/cma.j.issn.1673-9450.2015.03.002.
    [25]
    GordonA,RaboldE,ThirumalaR,et al.Prone positioning in ARDS[J].Crit Care Nurs Q,2019,42(4):371-375.DOI: 10.1097/CNQ.0000000000000277.
    [26]
    GriffithsM,McAuleyDF,PerkinsGD,et al.Guidelines on the management of acute respiratory distress syndrome[J].BMJ Open Respir Res,2019,6(1):e000420.DOI: 10.1136/bmjresp-2019-000420.
    [27]
    KoutrasA,SyllaiosA,TsilikisI,et al.Dealing with burn patients in war zones[J].Disaster Med Public Health Prep,2021,15(1):15-19.DOI: 10.1017/dmp.2019.127.
    [28]
    De JongMJ,BennerR,BennerP,et al.Mass casualty care in an expeditionary environment: developing local knowledge and expertise in context[J].J Trauma Nurs,2010,17(1):45-58.DOI: 10.1097/JTN.0b013e3181d914ed.
    [29]
    冯蕾,李萍,谢敏,等.群体突发事件救治中护士心理体验的质性研究[J].中国护理管理,2010,10(9):38-40.DOI: 10.3969/j.issn.1672-1756.2010.09.012.
    • Relative Articles
    • Supplements(0)
    • Cited By
  • 加载中

Catalog

    通讯作者: 陈斌, bchen63@163.com
    • 1. 

      沈阳化工大学材料科学与工程学院 沈阳 110142

    1. 本站搜索
    2. 百度学术搜索
    3. 万方数据库搜索
    4. CNKI搜索

    Tables(1)

    Get Citation
    PDF
    XML

    Article Metrics

    Article views (236) PDF downloads(27) Cited by()
    Proportional views
    Related

    Copyright © Chinese Journal of Burns京ICP备07035254号-14

    E-mail：shaoshangzazhi@163.com

    Website：https://zhsszz.xml-journal.net/

    Supported by: Beijing Renhe Information Technology Co. Ltd    

    /

    DownLoad:  Full-Size Img  PowerPoint
    Return
    Return