Management of Inhalation Injury and Respiratory Complications in Burns Intensive Care Unit

Acute respiratory distress syndrome (ARDS) can develop early in burn patients with inhalation injury in the presence of cytokine storm and the proinflammatory response can be a supplemental factor for ARDS aggravation. We report the case of a 41-years old male with 25% total body surface area deep partial thickness burns to upper body extremity and grade II inhalational injury who developed severe ARDS, nosocomial pneumonia, and septic shock. Veno-venous extracorporeal membrane oxygenation (VV ECMO) and continuous renal replacement therapy (CRRT) with hemoadsorption were successfully used at different moments to overcome critical situations. Although debatable, the use of ECMO in burn patients with severe ARDS could be considered when conventional treatment fails. The use of CRRT combined with hemoadsorption may limit the proinflammatory response sustained by the combination between major burn, ECMO and sepsis.

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“…Respiratory complications are one of the major determinants of mortality in burn patients, particularly if associated with inhalation injury. 1…”

Section: Introductionmentioning

confidence: 99%

Veno-venous extracorporeal membrane oxygenation, cytokine removal and continuous renal replacement therapy in a severe burn adult patient

et al. 2022

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“…The authors concluded that noninvasive ventilation can be used as initial ventilatory support in patients with SII provided that they are conscious and hemodynamically stable. ( 19 ) …”

Section: Airway Inhalation Injurymentioning

confidence: 99%

Smoke inhalation injury during enclosed-space fires: an update

2013

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In view of the tragic fire at a nightclub in the city of Santa Maria, Brazil, which culminated in the sudden death of 232 young people, we decided to review the literature regarding smoke inhalation injury caused by enclosed-space fires, which can be divided into direct thermal damage, carbon monoxide poisoning, and cyanide poisoning. Such injuries often call for immediate orotracheal intubation, either due to acute airway obstruction or due to a reduced level of consciousness. The diagnosis and the severity of the thermal injury can be determined by fiberoptic bronchoscopy. The levels of gases and gas by-products in the bloodstream should be assessed as rapidly as possible, even while still at the scene of the incident. First responders can also treat carbon monoxide poisoning, with immediate administration of oxygen at 100%, as well as cyanide poisoning, with oxygen therapy and hydroxocobalamin injection

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Noninvasive Mechanical Ventilation in Burn

İnangil

2023

Noninvasive Mechanical Ventilation in High Risk Infections, Mass Casualty and Pandemics

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Management of Inhalation Injury and Respiratory Complications in Burns Intensive Care Unit

Cited by 6 publications

References 26 publications

Veno-venous extracorporeal membrane oxygenation, cytokine removal and continuous renal replacement therapy in a severe burn adult patient

Veno-venous extracorporeal membrane oxygenation, cytokine removal and continuous renal replacement therapy in a severe burn adult patient

Smoke inhalation injury during enclosed-space fires: an update

Noninvasive Mechanical Ventilation in Burn

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