Table of contents

• Topic: Burns
• Level: Organ
• Airway and pulmonary complications
• Inhalation Injury
Introduction
• Smoke Composition
Some components of smoke
Particulate matter
• Mechanisms responsible for inhalation injury
thermal injury to the respiratory tract
Hypoxemia as a result of hypoxic gas inhalation
Injury of airways and lung parenchyma due to exposure to irritant gases and particulate matter
Systemic poisoning by inhalation of asphyxiants
Diagnosis
Clinical manifestations
Poisoning by inhalation of asphyxiants.Treatment
• Ventilation impairment due to burns to neck, chest and abdomen
• Clinical periods of smoke inhalatio injury
The early phase(0 to 36 hrs)
The second phase ( 2ndto 5th days).
The third phase (after the first week post-burn)
• Signs and symptoms of inhalation injury
• Diagnosis of inhalation injury
Carboxyhaemoglobin levels
Arterial bloodgas analysis
Computed tomography
Fiberoptic laryngo/bronchoscopy
Radioisotopes
Pulmonary function testing
• Treatment of inhalation injury
Initial management
Further management
Circulation
Monitoring
Nasogastric intubation