Skip to main content
Top
Published in: Critical Care 1/2015

Open Access 01-12-2015 | Review

Diagnosis and management of inhalation injury: an updated review

Authors: Patrick F. Walker, Michelle F. Buehner, Leslie A. Wood, Nathan L. Boyer, Ian R. Driscoll, Jonathan B. Lundy, Leopoldo C. Cancio, Kevin K. Chung

Published in: Critical Care | Issue 1/2015

Login to get access

Abstract

In this article we review recent advances made in the pathophysiology, diagnosis, and treatment of inhalation injury. Historically, the diagnosis of inhalation injury has relied on nonspecific clinical exam findings and bronchoscopic evidence. The development of a grading system and the use of modalities such as chest computed tomography may allow for a more nuanced evaluation of inhalation injury and enhanced ability to prognosticate. Supportive respiratory care remains essential in managing inhalation injury. Adjuncts still lacking definitive evidence of efficacy include bronchodilators, mucolytic agents, inhaled anticoagulants, nonconventional ventilator modes, prone positioning, and extracorporeal membrane oxygenation. Recent research focusing on molecular mechanisms involved in inhalation injury has increased the number of potential therapies.
Literature
1.
go back to reference Albright JM, Davis CS, Bird MD, Ramirez L, Kim H, Burnham EL, et al. The acute pulmonary inflammatory response to the graded severity of smoke inhalation injury. Crit Care Med. 2012;40:1113–21.PubMedPubMedCentral Albright JM, Davis CS, Bird MD, Ramirez L, Kim H, Burnham EL, et al. The acute pulmonary inflammatory response to the graded severity of smoke inhalation injury. Crit Care Med. 2012;40:1113–21.PubMedPubMedCentral
2.
go back to reference Dries DJ, Endorf FW. Inhalation injury: epidemiology, pathology, treatment strategies. Scand J Trauma Resusc Emerg Med. 2013;21:31.PubMedPubMedCentral Dries DJ, Endorf FW. Inhalation injury: epidemiology, pathology, treatment strategies. Scand J Trauma Resusc Emerg Med. 2013;21:31.PubMedPubMedCentral
6.
go back to reference El-Helbawy RH, Ghareeb FM. Inhalation injury as a prognostic factor for mortality in burn patients. Ann Burns Fire Disasters. 2011;24:82–8.PubMedPubMedCentral El-Helbawy RH, Ghareeb FM. Inhalation injury as a prognostic factor for mortality in burn patients. Ann Burns Fire Disasters. 2011;24:82–8.PubMedPubMedCentral
7.
go back to reference Smith DL, Cairns BA, Ramadan F, Dalston JS, Fakhry SM, Rutledge R, et al. Effect of inhalation injury, burn size, and age on mortality: a study of 1447 consecutive burn patients. J Trauma. 1994;37:655–9.PubMed Smith DL, Cairns BA, Ramadan F, Dalston JS, Fakhry SM, Rutledge R, et al. Effect of inhalation injury, burn size, and age on mortality: a study of 1447 consecutive burn patients. J Trauma. 1994;37:655–9.PubMed
8.
go back to reference Shirani KZ, Pruitt Jr BA, Mason Jr AD. The influence of inhalation injury and pneumonia on burn mortality. Ann Surg. 1987;205:82–7.PubMedPubMedCentral Shirani KZ, Pruitt Jr BA, Mason Jr AD. The influence of inhalation injury and pneumonia on burn mortality. Ann Surg. 1987;205:82–7.PubMedPubMedCentral
9.
go back to reference Moritz AR, Henriques FC, McLean R. The effects of inhaled heat on the air passages and lungs: an experimental investigation. Am J Pathol. 1945;21:311–31.PubMedPubMedCentral Moritz AR, Henriques FC, McLean R. The effects of inhaled heat on the air passages and lungs: an experimental investigation. Am J Pathol. 1945;21:311–31.PubMedPubMedCentral
10.
go back to reference Petajan JH, Voorhees KJ, Packham SC, Baldwin RC, Einhorn IN, Grunnet ML, et al. Extreme toxicity from combustion products of a fire-retarded polyurethane foam. Science. 1975;187:742–4.PubMed Petajan JH, Voorhees KJ, Packham SC, Baldwin RC, Einhorn IN, Grunnet ML, et al. Extreme toxicity from combustion products of a fire-retarded polyurethane foam. Science. 1975;187:742–4.PubMed
12.
go back to reference Fontan JJ, Cortright DN, Krause JE, Velloff CR, Karpitskyi VV, Carver Jr TW, et al. Substance P and neurokinin-1 receptor expression by intrinsic airway neurons in the rat. Am J Physiol Lung Cell Mol Physiol. 2000;278:L344–55.PubMed Fontan JJ, Cortright DN, Krause JE, Velloff CR, Karpitskyi VV, Carver Jr TW, et al. Substance P and neurokinin-1 receptor expression by intrinsic airway neurons in the rat. Am J Physiol Lung Cell Mol Physiol. 2000;278:L344–55.PubMed
14.
go back to reference Kraneveld AD, Nijkamp FP. Tachykinins and neuro-immune interactions in asthma. Int Immunopharmacol. 2001;1:1629–50.PubMed Kraneveld AD, Nijkamp FP. Tachykinins and neuro-immune interactions in asthma. Int Immunopharmacol. 2001;1:1629–50.PubMed
17.
go back to reference Murakami K, Traber DL. Pathophysiological basis of smoke inhalation injury. News Physiol Sci. 2003;18:125–9.PubMed Murakami K, Traber DL. Pathophysiological basis of smoke inhalation injury. News Physiol Sci. 2003;18:125–9.PubMed
18.
go back to reference Morita N, Enkhbaatar P, Maybauer DM, Maybauer MO, Westphal M, Murakami K, et al. Impact of bronchial circulation on bronchial exudates following combined burn and smoke inhalation injury in sheep. Burns. 2011;37:465–73. doi:10.1016/j.burns.2010.11.005.PubMed Morita N, Enkhbaatar P, Maybauer DM, Maybauer MO, Westphal M, Murakami K, et al. Impact of bronchial circulation on bronchial exudates following combined burn and smoke inhalation injury in sheep. Burns. 2011;37:465–73. doi:10.​1016/​j.​burns.​2010.​11.​005.PubMed
19.
go back to reference Cancio LC, Batchinsky AI, Dubick MA, Park MS, Black IH, Gomez R, et al. Inhalation injury: pathophysiology and clinical care proceedings of a symposium conducted at the Trauma Institute of San Antonio, San Antonio, TX, USA on 28 March 2006. Burns. 2007;33:681–92. doi:10.1016/j.burns.2006.11.009.PubMed Cancio LC, Batchinsky AI, Dubick MA, Park MS, Black IH, Gomez R, et al. Inhalation injury: pathophysiology and clinical care proceedings of a symposium conducted at the Trauma Institute of San Antonio, San Antonio, TX, USA on 28 March 2006. Burns. 2007;33:681–92. doi:10.​1016/​j.​burns.​2006.​11.​009.PubMed
20.
go back to reference Traber DLHD, Enkhbaatar P, Maybauer MO, Maybauer DM. The pathophysiology of inhalation injury. In: Herndon DN, editor. Total burn care. 2nd ed. Philadelphia: Saunders; 2012. p. 219–28. Traber DLHD, Enkhbaatar P, Maybauer MO, Maybauer DM. The pathophysiology of inhalation injury. In: Herndon DN, editor. Total burn care. 2nd ed. Philadelphia: Saunders; 2012. p. 219–28.
21.
go back to reference Buehner M, Pamplin J, Studer L, Hughes RL, King BT, Graybill JC, et al. Oxalate nephropathy after continuous infusion of high-dose vitamin C as an adjunct to burn resuscitation. J Burn Care Res. 2015. doi:10.1097/bcr.0000000000000233. Buehner M, Pamplin J, Studer L, Hughes RL, King BT, Graybill JC, et al. Oxalate nephropathy after continuous infusion of high-dose vitamin C as an adjunct to burn resuscitation. J Burn Care Res. 2015. doi:10.​1097/​bcr.​0000000000000233​.
24.
go back to reference Park MS, Cancio LC, Jordan BS, Brinkley WW, Rivera VR, Dubick MA. Assessment of oxidative stress in lungs from sheep after inhalation of wood smoke. Toxicology. 2004;195:97–112.PubMed Park MS, Cancio LC, Jordan BS, Brinkley WW, Rivera VR, Dubick MA. Assessment of oxidative stress in lungs from sheep after inhalation of wood smoke. Toxicology. 2004;195:97–112.PubMed
25.
go back to reference Perng DW, Chang TM, Wang JY, Lee CC, Lu SH, Shyue SK, et al. Inflammatory role of AMP-activated protein kinase signaling in an experimental model of toxic smoke inhalation injury. Crit Care Med. 2013;41:120–32. doi:10.1097/CCM.0b013e318265f653.PubMed Perng DW, Chang TM, Wang JY, Lee CC, Lu SH, Shyue SK, et al. Inflammatory role of AMP-activated protein kinase signaling in an experimental model of toxic smoke inhalation injury. Crit Care Med. 2013;41:120–32. doi:10.​1097/​CCM.​0b013e318265f653​.PubMed
27.
go back to reference Lange M, Connelly R, Traber DL, Hamahata A, Nakano Y, Esechie A, et al. Time course of nitric oxide synthases, nitrosative stress, and poly(ADP ribosylation) in an ovine sepsis model. Crit Care. 2010;14:R129. doi:10.1186/cc9097.PubMedPubMedCentral Lange M, Connelly R, Traber DL, Hamahata A, Nakano Y, Esechie A, et al. Time course of nitric oxide synthases, nitrosative stress, and poly(ADP ribosylation) in an ovine sepsis model. Crit Care. 2010;14:R129. doi:10.​1186/​cc9097.PubMedPubMedCentral
29.
33.
go back to reference Cancio LC, Galvez Jr E, Turner CE, Kypreos NG, Parker A, Holcomb JB. Base deficit and alveolar-arterial gradient during resuscitation contribute independently but modestly to the prediction of mortality after burn injury. J Burn Care Res. 2006;27:289–96. doi:10.1097/01.bcr.0000216457.25875.f4. discussion 296–7.PubMed Cancio LC, Galvez Jr E, Turner CE, Kypreos NG, Parker A, Holcomb JB. Base deficit and alveolar-arterial gradient during resuscitation contribute independently but modestly to the prediction of mortality after burn injury. J Burn Care Res. 2006;27:289–96. doi:10.​1097/​01.​bcr.​0000216457.​25875.​f4. discussion 296–7.PubMed
34.
go back to reference Oh JS, Chung KK, Allen A, Batchinsky AI, Huzar T, King BT, et al. Admission chest CT complements fiberoptic bronchoscopy in prediction of adverse outcomes in thermally injured patients. J Burn Care Res. 2012;33:532–8. doi:10.1097/BCR.0b013e318237455f.PubMed Oh JS, Chung KK, Allen A, Batchinsky AI, Huzar T, King BT, et al. Admission chest CT complements fiberoptic bronchoscopy in prediction of adverse outcomes in thermally injured patients. J Burn Care Res. 2012;33:532–8. doi:10.​1097/​BCR.​0b013e318237455f​.PubMed
36.
39.
go back to reference Venus B, Matsuda T, Copiozo JB, Mathru M. Prophylactic intubation and continuous positive airway pressure in the management of inhalation injury in burn victims. Crit Care Med. 1981;9:519–23.PubMed Venus B, Matsuda T, Copiozo JB, Mathru M. Prophylactic intubation and continuous positive airway pressure in the management of inhalation injury in burn victims. Crit Care Med. 1981;9:519–23.PubMed
41.
43.
go back to reference Fitzpatrick JC, Cioffi Jr WG. Ventilatory support following burns and smoke-inhalation injury. Respir Care Clin N Am. 1997;3:21–49.PubMed Fitzpatrick JC, Cioffi Jr WG. Ventilatory support following burns and smoke-inhalation injury. Respir Care Clin N Am. 1997;3:21–49.PubMed
45.
go back to reference Cioffi WG, Graves TA, McManus WF, Pruitt Jr BA. High-frequency percussive ventilation in patients with inhalation injury. J Trauma. 1989;29:350–4.PubMed Cioffi WG, Graves TA, McManus WF, Pruitt Jr BA. High-frequency percussive ventilation in patients with inhalation injury. J Trauma. 1989;29:350–4.PubMed
46.
go back to reference Cioffi Jr WG, Rue 3rd LW, Graves TA, McManus WF, Mason Jr AD, Pruitt Jr BA. Prophylactic use of high-frequency percussive ventilation in patients with inhalation injury. Ann Surg. 1991;213:575–80. discussion 580–2.PubMedPubMedCentral Cioffi Jr WG, Rue 3rd LW, Graves TA, McManus WF, Mason Jr AD, Pruitt Jr BA. Prophylactic use of high-frequency percussive ventilation in patients with inhalation injury. Ann Surg. 1991;213:575–80. discussion 580–2.PubMedPubMedCentral
48.
go back to reference Cortiella J, Mlcak R, Herndon D. High frequency percussive ventilation in pediatric patients with inhalation injury. J Burn Care Rehabil. 1999;20:232–5.PubMed Cortiella J, Mlcak R, Herndon D. High frequency percussive ventilation in pediatric patients with inhalation injury. J Burn Care Rehabil. 1999;20:232–5.PubMed
49.
go back to reference Chung KK, Wolf SE, Renz EM, Allan PF, Aden JK, Merrill GA, et al. High-frequency percussive ventilation and low tidal volume ventilation in burns: a randomized controlled trial. Crit Care Med. 2010;38:1970–7. doi:10.1097/CCM.0b013e3181eb9d0b.PubMed Chung KK, Wolf SE, Renz EM, Allan PF, Aden JK, Merrill GA, et al. High-frequency percussive ventilation and low tidal volume ventilation in burns: a randomized controlled trial. Crit Care Med. 2010;38:1970–7. doi:10.​1097/​CCM.​0b013e3181eb9d0b​.PubMed
50.
go back to reference Sousse LE, Herndon DN, Andersen CR, Ali A, Benjamin NC, Granchi T, et al. High tidal volume decreases adult respiratory distress syndrome, atelectasis, and ventilator days compared with low tidal volume in pediatric burned patients with inhalation injury. J Am Coll Surg. 2015;220:570–8. doi:10.1016/j.jamcollsurg.2014.12.028.PubMedPubMedCentral Sousse LE, Herndon DN, Andersen CR, Ali A, Benjamin NC, Granchi T, et al. High tidal volume decreases adult respiratory distress syndrome, atelectasis, and ventilator days compared with low tidal volume in pediatric burned patients with inhalation injury. J Am Coll Surg. 2015;220:570–8. doi:10.​1016/​j.​jamcollsurg.​2014.​12.​028.PubMedPubMedCentral
51.
go back to reference Batchinsky AI, Burkett SE, Zanders TB, Chung KK, Regn DD, Jordan BS, et al. Comparison of airway pressure release ventilation to conventional mechanical ventilation in the early management of smoke inhalation injury in swine. Crit Care Med. 2011;39:2314–21. doi:10.1097/CCM.0b013e318225b5b3.PubMed Batchinsky AI, Burkett SE, Zanders TB, Chung KK, Regn DD, Jordan BS, et al. Comparison of airway pressure release ventilation to conventional mechanical ventilation in the early management of smoke inhalation injury in swine. Crit Care Med. 2011;39:2314–21. doi:10.​1097/​CCM.​0b013e318225b5b3​.PubMed
52.
go back to reference Hale DF, Cannon JW, Batchinsky AI, Cancio LC, Aden JK, White CE, et al. Prone positioning improves oxygenation in adult burn patients with severe acute respiratory distress syndrome. J Trauma Acute Care Surg. 2012;72:1634–9. doi:10.1097/TA.0b013e318247cd4f.PubMed Hale DF, Cannon JW, Batchinsky AI, Cancio LC, Aden JK, White CE, et al. Prone positioning improves oxygenation in adult burn patients with severe acute respiratory distress syndrome. J Trauma Acute Care Surg. 2012;72:1634–9. doi:10.​1097/​TA.​0b013e318247cd4f​.PubMed
54.
go back to reference Lange M, Hamahata A, Traber DL, Cox RA, Kulp GA, Nakano Y, et al. Preclinical evaluation of epinephrine nebulization to reduce airway hyperemia and improve oxygenation after smoke inhalation injury. Crit Care Med. 2011;39:718–24. doi:10.1097/CCM.0b013e318207ec52.PubMed Lange M, Hamahata A, Traber DL, Cox RA, Kulp GA, Nakano Y, et al. Preclinical evaluation of epinephrine nebulization to reduce airway hyperemia and improve oxygenation after smoke inhalation injury. Crit Care Med. 2011;39:718–24. doi:10.​1097/​CCM.​0b013e318207ec52​.PubMed
55.
56.
go back to reference Jonkam C, Zhu Y, Jacob S, Rehberg S, Kraft E, Hamahata A, et al. Muscarinic receptor antagonist therapy improves acute pulmonary dysfunction after smoke inhalation injury in sheep. Crit Care Med. 2010;38:2339–44. doi:10.1097/CCM.0b013e3181f8557b.PubMed Jonkam C, Zhu Y, Jacob S, Rehberg S, Kraft E, Hamahata A, et al. Muscarinic receptor antagonist therapy improves acute pulmonary dysfunction after smoke inhalation injury in sheep. Crit Care Med. 2010;38:2339–44. doi:10.​1097/​CCM.​0b013e3181f8557b​.PubMed
57.
go back to reference Jacob S, Zhu Y, Jonkam C, Asmussen S, Traber L, Herndon DN, et al. Effect of bronchodilators on bronchial gland cell proliferation after inhalation and burn injury in sheep. J Burn Care Res. 2013;34:386–93. doi:10.1097/BCR.0b013e31826fc51e.PubMed Jacob S, Zhu Y, Jonkam C, Asmussen S, Traber L, Herndon DN, et al. Effect of bronchodilators on bronchial gland cell proliferation after inhalation and burn injury in sheep. J Burn Care Res. 2013;34:386–93. doi:10.​1097/​BCR.​0b013e31826fc51e​.PubMed
58.
go back to reference van der Poll T, Coyle SM, Barbosa K, Braxton CC, Lowry SF. Epinephrine inhibits tumor necrosis factor-alpha and potentiates interleukin 10 production during human endotoxemia. J Clin Invest. 1996;97:713–9. doi:10.1172/jci118469.PubMedPubMedCentral van der Poll T, Coyle SM, Barbosa K, Braxton CC, Lowry SF. Epinephrine inhibits tumor necrosis factor-alpha and potentiates interleukin 10 production during human endotoxemia. J Clin Invest. 1996;97:713–9. doi:10.​1172/​jci118469.PubMedPubMedCentral
59.
go back to reference Zhang H, Kim YK, Govindarajan A, Baba A, Binnie M, Marco Ranieri V, et al. Effect of adrenoreceptors on endotoxin-induced cytokines and lipid peroxidation in lung explants. Am J Respir Crit Care Med. 1999;160:1703–10. doi:10.1164/ajrccm.160.5.9903068.PubMed Zhang H, Kim YK, Govindarajan A, Baba A, Binnie M, Marco Ranieri V, et al. Effect of adrenoreceptors on endotoxin-induced cytokines and lipid peroxidation in lung explants. Am J Respir Crit Care Med. 1999;160:1703–10. doi:10.​1164/​ajrccm.​160.​5.​9903068.PubMed
60.
go back to reference Brown M, Desai M, Traber LD, Herndon DN, Traber DL. Dimethylsulfoxide with heparin in the treatment of smoke inhalation injury. J Burn Care Rehabil. 1988;9:22–5.PubMed Brown M, Desai M, Traber LD, Herndon DN, Traber DL. Dimethylsulfoxide with heparin in the treatment of smoke inhalation injury. J Burn Care Rehabil. 1988;9:22–5.PubMed
61.
go back to reference Desai MH, Mlcak R, Richardson J, Nichols R, Herndon DN. Reduction in mortality in pediatric patients with inhalation injury with aerosolized heparin/N-acetylcystine [correction of acetylcystine] therapy. J Burn Care Rehabil. 1998;19:210–2.PubMed Desai MH, Mlcak R, Richardson J, Nichols R, Herndon DN. Reduction in mortality in pediatric patients with inhalation injury with aerosolized heparin/N-acetylcystine [correction of acetylcystine] therapy. J Burn Care Rehabil. 1998;19:210–2.PubMed
63.
64.
65.
go back to reference Miller AC, Rivero A, Ziad S, Smith DJ, Elamin EM. Influence of nebulized unfractionated heparin and N-acetylcysteine in acute lung injury after smoke inhalation injury. J Burn Care Res. 2009;30:249–56. doi:10.1097/BCR.0b013e318198a268.PubMed Miller AC, Rivero A, Ziad S, Smith DJ, Elamin EM. Influence of nebulized unfractionated heparin and N-acetylcysteine in acute lung injury after smoke inhalation injury. J Burn Care Res. 2009;30:249–56. doi:10.​1097/​BCR.​0b013e318198a268​.PubMed
66.
go back to reference Glas GJ, Muller J, Binnekade JM, Cleffken B, Colpaert K, Dixon B, et al. HEPBURN - investigating the efficacy and safety of nebulized heparin versus placebo in burn patients with inhalation trauma: study protocol for a multi-center randomized controlled trial. Trials. 2014;15:91. doi:10.1186/1745-6215-15-91.PubMedPubMedCentral Glas GJ, Muller J, Binnekade JM, Cleffken B, Colpaert K, Dixon B, et al. HEPBURN - investigating the efficacy and safety of nebulized heparin versus placebo in burn patients with inhalation trauma: study protocol for a multi-center randomized controlled trial. Trials. 2014;15:91. doi:10.​1186/​1745-6215-15-91.PubMedPubMedCentral
67.
go back to reference Enkhbaatar P, Cox RA, Traber LD, Westphal M, Aimalohi E, Morita N, et al. Aerosolized anticoagulants ameliorate acute lung injury in sheep after exposure to burn and smoke inhalation. Crit Care Med. 2007;35:2805–10.PubMed Enkhbaatar P, Cox RA, Traber LD, Westphal M, Aimalohi E, Morita N, et al. Aerosolized anticoagulants ameliorate acute lung injury in sheep after exposure to burn and smoke inhalation. Crit Care Med. 2007;35:2805–10.PubMed
68.
go back to reference Enkhbaatar P, Murakami K, Cox R, Westphal M, Morita N, Brantley K, et al. Aerosolized tissue plasminogen inhibitor improves pulmonary function in sheep with burn and smoke inhalation. Shock. 2004;22:70–5.PubMed Enkhbaatar P, Murakami K, Cox R, Westphal M, Morita N, Brantley K, et al. Aerosolized tissue plasminogen inhibitor improves pulmonary function in sheep with burn and smoke inhalation. Shock. 2004;22:70–5.PubMed
70.
go back to reference Rehberg S, Yamamoto Y, Bartha E, Sousse LE, Jonkam C, Zhu Y, et al. Antithrombin attenuates myocardial dysfunction and reverses systemic fluid accumulation following burn and smoke inhalation injury: a randomized, controlled, experimental study. Crit Care. 2013;17:R86. doi:10.1186/cc12712.PubMedPubMedCentral Rehberg S, Yamamoto Y, Bartha E, Sousse LE, Jonkam C, Zhu Y, et al. Antithrombin attenuates myocardial dysfunction and reverses systemic fluid accumulation following burn and smoke inhalation injury: a randomized, controlled, experimental study. Crit Care. 2013;17:R86. doi:10.​1186/​cc12712.PubMedPubMedCentral
71.
go back to reference Lange M, Szabo C, Enkhbaatar P, Connelly R, Horvath E, Hamahata A, et al. Beneficial pulmonary effects of a metalloporphyrinic peroxynitrite decomposition catalyst in burn and smoke inhalation injury. Am J Physiol Lung Cell Mol Physiol. 2011;300:L167–75. doi:10.1152/ajplung.00277.2010.PubMed Lange M, Szabo C, Enkhbaatar P, Connelly R, Horvath E, Hamahata A, et al. Beneficial pulmonary effects of a metalloporphyrinic peroxynitrite decomposition catalyst in burn and smoke inhalation injury. Am J Physiol Lung Cell Mol Physiol. 2011;300:L167–75. doi:10.​1152/​ajplung.​00277.​2010.PubMed
72.
go back to reference Hamahata A, Enkhbaatar P, Lange M, Yamaki T, Nakazawa H, Nozaki M, et al. Administration of a peroxynitrite decomposition catalyst into the bronchial artery attenuates pulmonary dysfunction after smoke inhalation and burn injury in sheep. Shock. 2012;38:543–8. doi:10.1097/SHK.0b013e31826e9c54.PubMed Hamahata A, Enkhbaatar P, Lange M, Yamaki T, Nakazawa H, Nozaki M, et al. Administration of a peroxynitrite decomposition catalyst into the bronchial artery attenuates pulmonary dysfunction after smoke inhalation and burn injury in sheep. Shock. 2012;38:543–8. doi:10.​1097/​SHK.​0b013e31826e9c54​.PubMed
74.
go back to reference Henry CR, Satran D, Lindgren B, Adkinson C, Nicholson CI, Henry TD. Myocardial injury and long-term mortality following moderate to severe carbon monoxide poisoning. JAMA. 2006;295:398–402. doi:10.1001/jama.295.4.398.PubMed Henry CR, Satran D, Lindgren B, Adkinson C, Nicholson CI, Henry TD. Myocardial injury and long-term mortality following moderate to severe carbon monoxide poisoning. JAMA. 2006;295:398–402. doi:10.​1001/​jama.​295.​4.​398.PubMed
76.
go back to reference Weaver LK. Hyperbaric oxygen therapy for carbon monoxide poisoning. Undersea Hyperb Med. 2014;41:339–54.PubMed Weaver LK. Hyperbaric oxygen therapy for carbon monoxide poisoning. Undersea Hyperb Med. 2014;41:339–54.PubMed
85.
go back to reference Pruitt Jr BA, Erickson DR, Morris A. Progressive pulmonary insufficiency and other pulmonary complications of thermal injury. J Trauma. 1975;15:369–79.PubMed Pruitt Jr BA, Erickson DR, Morris A. Progressive pulmonary insufficiency and other pulmonary complications of thermal injury. J Trauma. 1975;15:369–79.PubMed
86.
go back to reference Jacob S, Kraft R, Zhu Y, Jacob RK, Herndon DN, Traber DL, et al. Acute secretory cell toxicity and epithelial exfoliation after smoke inhalation injury in sheep: an electron and light microscopic study. Toxicol Mech Methods. 2010;20:504–9. doi:10.3109/15376516.2010.511302.PubMed Jacob S, Kraft R, Zhu Y, Jacob RK, Herndon DN, Traber DL, et al. Acute secretory cell toxicity and epithelial exfoliation after smoke inhalation injury in sheep: an electron and light microscopic study. Toxicol Mech Methods. 2010;20:504–9. doi:10.​3109/​15376516.​2010.​511302.PubMed
87.
go back to reference Nieman GF, Clark Jr WR, Wax SD, Webb SR. The effect of smoke inhalation on pulmonary surfactant. Ann Surg. 1980;191:171–81.PubMedPubMedCentral Nieman GF, Clark Jr WR, Wax SD, Webb SR. The effect of smoke inhalation on pulmonary surfactant. Ann Surg. 1980;191:171–81.PubMedPubMedCentral
88.
go back to reference Loke J, Paul E, Virgulto JA, Smith GJ. Rabbit lung after acute smoke inhalation. Cellular responses and scanning electron microscopy. Arch Surg. 1984;119:956–9.PubMed Loke J, Paul E, Virgulto JA, Smith GJ. Rabbit lung after acute smoke inhalation. Cellular responses and scanning electron microscopy. Arch Surg. 1984;119:956–9.PubMed
89.
go back to reference Sherwin RP, Richters V. Lung capillary permeability. Nitrogen dioxide exposure and leakage of tritiated serum. Arch Internal Med. 1971;128:61–8. Sherwin RP, Richters V. Lung capillary permeability. Nitrogen dioxide exposure and leakage of tritiated serum. Arch Internal Med. 1971;128:61–8.
91.
go back to reference Carrougher GJ. Inhalation injury. AACN Clin Issues Crit Care Nursing. 1993;4:367–77. Carrougher GJ. Inhalation injury. AACN Clin Issues Crit Care Nursing. 1993;4:367–77.
92.
go back to reference Kadilak PR, Vanasse S, Sheridan RL. Favorable short- and long-term outcomes of prolonged translaryngeal intubation in critically ill children. J Burn Care Rehabil. 2004;25:262–5.PubMed Kadilak PR, Vanasse S, Sheridan RL. Favorable short- and long-term outcomes of prolonged translaryngeal intubation in critically ill children. J Burn Care Rehabil. 2004;25:262–5.PubMed
93.
go back to reference Toon MH, Maybauer MO, Greenwood JE, Maybauer DM, Fraser JF. Management of acute smoke inhalation injury. Crit Care Resusc. 2010;12:53–61.PubMed Toon MH, Maybauer MO, Greenwood JE, Maybauer DM, Fraser JF. Management of acute smoke inhalation injury. Crit Care Resusc. 2010;12:53–61.PubMed
94.
go back to reference Fang-Gang N, Yang C, Yu-Xuan Q, Yan-Hua R, Wei-Li D, Cheng W, et al. Laryngeal morphologic changes and epidemiology in patients with inhalation injury: a retrospective study. Burns. 2015. doi:10.1016/j.burns.2015.02.003. Fang-Gang N, Yang C, Yu-Xuan Q, Yan-Hua R, Wei-Li D, Cheng W, et al. Laryngeal morphologic changes and epidemiology in patients with inhalation injury: a retrospective study. Burns. 2015. doi:10.​1016/​j.​burns.​2015.​02.​003.
95.
go back to reference Yang JY, Yang WG, Chang LY, Chuang SS. Symptomatic tracheal stenosis in burns. Burns. 1999;25:72–80.PubMed Yang JY, Yang WG, Chang LY, Chuang SS. Symptomatic tracheal stenosis in burns. Burns. 1999;25:72–80.PubMed
96.
97.
go back to reference Lund T, Goodwin CW, McManus WF, Shirani KZ, Stallings RJ, Mason Jr AD, et al. Upper airway sequelae in burn patients requiring endotracheal intubation or tracheostomy. Ann Surg. 1985;201:374–82.PubMedPubMedCentral Lund T, Goodwin CW, McManus WF, Shirani KZ, Stallings RJ, Mason Jr AD, et al. Upper airway sequelae in burn patients requiring endotracheal intubation or tracheostomy. Ann Surg. 1985;201:374–82.PubMedPubMedCentral
98.
go back to reference Gaissert HA, Lofgren RH, Grillo HC. Upper airway compromise after inhalation injury. Complex strictures of the larynx and trachea and their management. Ann Surg. 1993;218:672–8.PubMedPubMedCentral Gaissert HA, Lofgren RH, Grillo HC. Upper airway compromise after inhalation injury. Complex strictures of the larynx and trachea and their management. Ann Surg. 1993;218:672–8.PubMedPubMedCentral
99.
go back to reference Mahut B, Delacourt C, de Blic J, Mani TM, Scheinmann P. Bronchiectasis in a child after acrolein inhalation. Chest. 1993;104:1286–7.PubMed Mahut B, Delacourt C, de Blic J, Mani TM, Scheinmann P. Bronchiectasis in a child after acrolein inhalation. Chest. 1993;104:1286–7.PubMed
100.
go back to reference Tasaka S, Kanazawa M, Mori M, Fujishima S, Ishizaka A, Yamasawa F, et al. Long-term course of bronchiectasis and bronchiolitis obliterans as late complication of smoke inhalation. Respiration. 1995;62:40–2.PubMed Tasaka S, Kanazawa M, Mori M, Fujishima S, Ishizaka A, Yamasawa F, et al. Long-term course of bronchiectasis and bronchiolitis obliterans as late complication of smoke inhalation. Respiration. 1995;62:40–2.PubMed
101.
go back to reference Cobley TD, Hart WJ, Baldwin DL, Burd DA. Complete fusion of the vocal cords; an unusual case. Burns. 1999;25:361–3.PubMed Cobley TD, Hart WJ, Baldwin DL, Burd DA. Complete fusion of the vocal cords; an unusual case. Burns. 1999;25:361–3.PubMed
Metadata
Title
Diagnosis and management of inhalation injury: an updated review
Authors
Patrick F. Walker
Michelle F. Buehner
Leslie A. Wood
Nathan L. Boyer
Ian R. Driscoll
Jonathan B. Lundy
Leopoldo C. Cancio
Kevin K. Chung
Publication date
01-12-2015
Publisher
BioMed Central
Published in
Critical Care / Issue 1/2015
Electronic ISSN: 1364-8535
DOI
https://doi.org/10.1186/s13054-015-1077-4

Other articles of this Issue 1/2015

Critical Care 1/2015 Go to the issue