Respiratory Management in Smoke Inhalation Injury

Abstract Smoke inhalation injury (SII) is a major morbidity and cause of mortality in patients with burns. Damage caused by inhalation of thermal or chemical irritants, including toxic fumes and chemicals, leads to respiratory cilia and epithelial cell injuries, which turn to severe bronchospasm and...

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Bibliographic Details
Published in:Journal of burn care & research 2019-06, Vol.40 (4), p.507-512
Main Authors: Chao, Ke-Yun, Lin, Yu-Wen, Chiang, Chen-En, Tseng, Chi-Wei
Format: Article
Language:English
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Summary:Abstract Smoke inhalation injury (SII) is a major morbidity and cause of mortality in patients with burns. Damage caused by inhalation of thermal or chemical irritants, including toxic fumes and chemicals, leads to respiratory cilia and epithelial cell injuries, which turn to severe bronchospasm and alveolar damage and results in acute respiratory distress syndrome. Respiratory management plays a vital role in the treatment of SII. In this review, we provide an overview of SII with emphasis on respiratory management, including aerosol therapy, bronchial hygiene therapy, advanced ventilation modes, and heated humidified high-flow nasal cannula. In summary, the information may be helpful for further improvements in outcomes.
ISSN:1559-047X
1559-0488
DOI:10.1093/jbcr/irz043