Pulmonary injury in burned patients

D. N. Herndon, F. Langner, P. Thompson

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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 languageEnglish (US)
Pages (from-to)31-46
Number of pages16
JournalSurgical Clinics of North America
Volume67
Issue number2
StatePublished - Jan 1 1987

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ASJC Scopus subject areas

  • Surgery

Cite this

Herndon, D. N., Langner, F., & Thompson, P. (1987). Pulmonary injury in burned patients. Surgical Clinics of North America, 67(2), 31-46.