Abstract
Inhalation injury has emerged as the number one cause of fatality in the burn patient. Fiberoptic bronchoscopy and 133Xe scanning complement traditional clinical signs of inhalation injury and have led to discovery of a higher incidence of these injuries among patients with burns. Patients with inhalation injury typically demonstrate three stages: acute pulmonary insufficiency, pulmonary edema, and bronchopneumonia, all of which carry at least 50 percent mortality rates. The major early pathophysiologic changes in the lungs of burned patients are related to upper-airway obstruction and lower-airway permeability edema. Treatment consists of intubation for signs of respiratory distress, pulmonary toilet, humidification of inspired air, and antibiotics for documented infection.
Original language | English (US) |
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Pages (from-to) | 31-46 |
Number of pages | 16 |
Journal | Surgical Clinics of North America |
Volume | 67 |
Issue number | 2 |
State | Published - 1987 |
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ASJC Scopus subject areas
- Surgery
Cite this
Pulmonary injury in burned patients. / Herndon, David; Langner, F.; Thompson, P.
In: Surgical Clinics of North America, Vol. 67, No. 2, 1987, p. 31-46.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Pulmonary injury in burned patients
AU - Herndon, David
AU - Langner, F.
AU - Thompson, P.
PY - 1987
Y1 - 1987
N2 - Inhalation injury has emerged as the number one cause of fatality in the burn patient. Fiberoptic bronchoscopy and 133Xe scanning complement traditional clinical signs of inhalation injury and have led to discovery of a higher incidence of these injuries among patients with burns. Patients with inhalation injury typically demonstrate three stages: acute pulmonary insufficiency, pulmonary edema, and bronchopneumonia, all of which carry at least 50 percent mortality rates. The major early pathophysiologic changes in the lungs of burned patients are related to upper-airway obstruction and lower-airway permeability edema. Treatment consists of intubation for signs of respiratory distress, pulmonary toilet, humidification of inspired air, and antibiotics for documented infection.
AB - Inhalation injury has emerged as the number one cause of fatality in the burn patient. Fiberoptic bronchoscopy and 133Xe scanning complement traditional clinical signs of inhalation injury and have led to discovery of a higher incidence of these injuries among patients with burns. Patients with inhalation injury typically demonstrate three stages: acute pulmonary insufficiency, pulmonary edema, and bronchopneumonia, all of which carry at least 50 percent mortality rates. The major early pathophysiologic changes in the lungs of burned patients are related to upper-airway obstruction and lower-airway permeability edema. Treatment consists of intubation for signs of respiratory distress, pulmonary toilet, humidification of inspired air, and antibiotics for documented infection.
UR - http://www.scopus.com/inward/record.url?scp=0023109736&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=0023109736&partnerID=8YFLogxK
M3 - Article
C2 - 3544266
AN - SCOPUS:0023109736
VL - 67
SP - 31
EP - 46
JO - Surgical Clinics of North America
JF - Surgical Clinics of North America
SN - 0039-6109
IS - 2
ER -