Abstract

GARNICA ESCAMILLA, Marco Antonio et al. Inhalation injury, what is again. Med. crít. (Col. Mex. Med. Crít.) [online]. 2021, vol.35, n.4, pp.206-215.  Epub Feb 16, 2022. ISSN 2448-8909.

Inhalation injury or airway burn is the lesion that occurs in the airway mucosa or in the lung parenchyma, due to the direct action of heat transfer, as well as the inhalation of smoke or chemicals from the airway. Incomplete combustion of organic and inorganic compounds. The incidence of Airway Burn is 5 to 35% and increases 2% if the Burned body surface is less than 20% up to 55% if the burned body surface is greater than 80%, likewise increases the mortality of 20 to 30%. Even when effective perioperative management is carried out, including adequate fluid management with early resuscitation, prompt surgical excision of burned tissue, adequate use of ventilatory techniques, smoke inhalation deserves targeted and specific management because of its association with burn, die for this cause. The diagnosis of inhalation injury is difficult and there is no proportion between the severity of the skin burn and the lung injury.

Keywords : Inhalation injury; airway burn; chemical products of combustion; heparin; difficult airway; flexible bronchoscopy.

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