Smoke inhalation increases intensive care requirements and morbidity in paediatric burns

Alethea Tan, Sarah Smailes, Thessa Friebel, Ashish Magdum, Quentin Frew, Naguib El-Muttardi, Peter Dziewulski

Research output: Contribution to journalArticle

7 Scopus citations

Abstract

Burn survival has improved with advancements in fluid resuscitation, surgical wound management, wound dressings, access to antibiotics and nutritional support for burn patients. Despite these advancements, the presence of smoke inhalation injury in addition to a cutaneous burn still significantly increases morbidity and mortality. The pathophysiology of smoke inhalation has been well studied in animal models. Translation of this knowledge into effectiveness of clinical management and correlation with patient outcomes including the paediatric population, is still limited. We retrospectively reviewed our experience of 13 years of paediatric burns admitted to a regional burn's intensive care unit. We compared critical care requirements and patient outcomes between those with cutaneous burns only and those with concurrent smoke inhalation injury. Smoke inhalation increases critical care requirements and mortality in the paediatric burn population. Therefore, early critical care input in the management of these patients is advised.

Original languageEnglish (US)
Pages (from-to)1111-1115
Number of pages5
JournalBurns
Volume42
Issue number5
DOIs
StatePublished - Aug 1 2016

Keywords

  • Critical care requirements
  • Paediatric intensive care
  • Smoke inhalation
  • cutaneous burns

ASJC Scopus subject areas

  • Surgery
  • Emergency Medicine
  • Critical Care and Intensive Care Medicine

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  • Cite this

    Tan, A., Smailes, S., Friebel, T., Magdum, A., Frew, Q., El-Muttardi, N., & Dziewulski, P. (2016). Smoke inhalation increases intensive care requirements and morbidity in paediatric burns. Burns, 42(5), 1111-1115. https://doi.org/10.1016/j.burns.2016.02.010