Upper Airway Burn Injury

Airway burn injury continues to be a significant cause of morbidity and mortality in the burn patient population. It is essential to identify patients with potential airway obstruction and to avoid potential complications of airway manipulation in those with less severe injury. In this review, the initial evaluation and management of airway burn injuries will be discussed including indications for observation versus intubation versus tracheotomy. Additionally, the long term sequelae of upper airway burn injury and management of these consequences will be reviewed.
Source: Operative Techniques in Otolaryngology - Head and Neck Surgery - Category: ENT & OMF Authors: Source Type: research

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This study describes the clinical profile and recovery pattern of swallowing following inhalation burn injury. All patients admitted 2008 –2017 with confirmed inhalation burns on laryngoscopy and managed by speech-language pathology (SLP) were included. Initial dysphagia presentation and dysphagia recovery pattern were documented using the FOIS. Co-presence of dysphonia was determined clinically and rated present/absent. Persistent laryngeal/pharyngeal injury at 6 months was documented using laryngoscopy. Data were compared to published data from a large adult burn cohort. All patients with confirmed inhalation ...
Source: Dysphagia - Category: Speech-Language Pathology Source Type: research
CONCLUSION: Treatment is mainly symptom oriented. New and promising therapies are in development. PMID: 31811912 [PubMed - as supplied by publisher]
Source: Toxicology Letters - Category: Toxicology Authors: Tags: Toxicol Lett Source Type: research
Tracheostomised children frequently isolate potentially pathogenic micro-organisms (PPM). We aimed to describe upper airway microbiology as found on endotracheal aspirate (ETA) in tracheostomised children and correlate it with lower airway microbiology via bronchoalveolar lavage fluid (BALF).We retrospectively reviewed airway microbiology of all tracheostomised children currently attending Queensland Children’s Hospital. Sub-analysis was on ventilatory and multi-drug resistant organism (MRO) status. Sensitivity and specificity of ETA for P.aeruginosa &S.aureus were calculated against concomitant BALF culture (n=3...
Source: European Respiratory Journal - Category: Respiratory Medicine Authors: Tags: Paediatric respiratory infection and immun. Source Type: research
Kapil D Soni, Thanigai Arasu, Richa Aggarwal, Vanlal DarlongJournal of Anaesthesiology Clinical Pharmacology 2019 35(3):412-413
Source: Journal of Anaesthesiology Clinical Pharmacology - Category: Anesthesiology Authors: Source Type: research
Authors: Zhou B, Zhu J, Mao Z, Liu L Abstract Objective: To investigate the characteristics of early catheter-related bloodstream infection (CRBSI) in severe burn injury patients induced by a massive aluminum dust explosion. Methods: Sixty-eight severe burn injury patients experienced a massive dust explosion in Kunshan were included in this study. Patients received central venous catheter placement, arterial catheterization to monitor blood pressure and PiCCO cardiac monitoring, tracheostomy, mechanical ventilation, analgesics and sedation treatment, and fluid resuscitation. Clinical data including age, gender...
Source: Disease Markers - Category: Laboratory Medicine Tags: Dis Markers Source Type: research
astı AÇ Abstract BACKGROUND: Due to a massive increase in capillary permeability during the state of shock caused by burns, albumin and intravascular fluid rapidly move to the extravascular areas. Therefore, hypoalbuminemia is seen as an early and prolonged finding in major burns. Hypoalbuminemia leads to various problems. The aim of this study was to investigate the effect of the preoperative albumin level on perioperative morbidity and mortality in patients with major burns. METHODS: Demographic data, preoperative albumin levels, surgical records, and clinical follow-up records of a total of 61 pati...
Source: Turkish Journal of Trauma and Emergency Surgery : TJTES - Category: Emergency Medicine Authors: Tags: Ulus Travma Acil Cerrahi Derg Source Type: research
ConclusionsThe model with the variables age, percentage full-thickness burns, and inhalation injury provided excellent prediction of poor outcomes in patients with severe burns, while SIRS score has limited use for prognostic determinations.
Source: Burns - Category: Dermatology Source Type: research
BACKGROUND: Tracheostomy is often performed in patients with severe burns who are undergoing prolonged mechanical ventilation. However, the appropriate timing of tracheostomy and its effect on mortality remain unknown. The aim of this study was to determin...
Source: SafetyLit - Category: International Medicine & Public Health Tags: Burns, Electricity, Explosions, Fire, Scalds Source Type: news
ConclusionWe did not find any statistically significant correlation between the nature of immunosuppressive therapy and the risk of developing infectious complications. We failed to identify statistically significant risk factors for the development of BSI. Mechanical ventilation and tracheostomy increase the likelihood of developing LRTIs in patients with TEN.
Source: Burns - Category: Dermatology Source Type: research
ConclusionsThere was no significant association between 28-day in-hospital mortality and early tracheostomy in adult patients with severe burns.
Source: Burns - Category: Dermatology Source Type: research
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