Proposal for an algorithm for the management of the patient's airway after smoke inhalation

Smoke inhalation represents the leading cause of mortality and morbidity in burns patients. Given the injuries that can occur in the airway after this exposure, it is imperative to evaluate the need for orotracheal intubation in the emergency department and even in the place of first assistance by h...

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Veröffentlicht in:Revista española de anestesiología y reanimación 2018-03, Vol.65 (3), p.170-172
Hauptverfasser: Kot Baixauli, P, Morales Sarabia, J E, Rovira Soriano, L, De Andrés Ibáñez, J
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container_issue 3
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container_title Revista española de anestesiología y reanimación
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creator Kot Baixauli, P
Morales Sarabia, J E
Rovira Soriano, L
De Andrés Ibáñez, J
description Smoke inhalation represents the leading cause of mortality and morbidity in burns patients. Given the injuries that can occur in the airway after this exposure, it is imperative to evaluate the need for orotracheal intubation in the emergency department and even in the place of first assistance by healthcare workers. Since the clinical signs are poor predictors of the severity of the lesion, in selected cases, it is advisable to perform a diagnostic fibroscopy. We present a case report of a patient with a smoke inhalation lesion in which the fibroscopy was determinant to proceed to intubation, and we propose an algorithm of action for the management of the airway in this type of patients.
doi_str_mv 10.1016/j.redar.2017.12.010
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subjects Adult
Airway Management - methods
Algorithms
Carboxyhemoglobin - analysis
Emergency Service, Hospital
Endoscopy - methods
Exudates and Transudates
Fiber Optic Technology - methods
Humans
Intubation, Intratracheal
Laryngeal Edema - diagnosis
Laryngeal Edema - etiology
Male
Oxygen - blood
Smoke Inhalation Injury - blood
Smoke Inhalation Injury - complications
Smoke Inhalation Injury - diagnosis
title Proposal for an algorithm for the management of the patient's airway after smoke inhalation
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