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Guideline Based Management of Inhalational Burns

Ravi Kumar Chittoria , Boney George Joseph1 , Ravi Kumar Chittoria2 , Jacob Antony Chakiath3

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Indian Journal of Surgical Nursing 11(2):p 41-43, . | DOI: 10.21088/ijsn.2277.467X.11222.4
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Boney George Joseph, Ravi Kumar Chittoria, Jacob Antony Chakiath/Guideline Based Management of Inhalational Burns/ Indian J Surg Nurs. 2022;11(2):41–43.

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Abstract

Majority of the fire-related deaths results not from burns but from inhalation of the toxic products of combustion and inhalation injury has high mortality rate especially when patients require ventilator support for more than 1 week after injury. Early diagnosis of bronchopulmonary injury is thus critical for survival and is conducted primarily clinically, based on a history of closed space exposure, facial burns, and carbonaceous debris in mouth, pharynx, or sputum. Chest radiographs are routinely normal until complications, such as infections, have developed. Neither normal oxygenation nor normal chest radiographs exclude the diagnosis of inhalational burns. However, signs such as hoarseness, carbonaceous sputum, wheeze, and dyspnea are strongly suggestive of inhalation injury. A proper guideline-based management is needed for early diagnosis of inhalational burns and also for keeping a check on unwanted interventions. Here we present a case report on a patient who suffered thermal burns due to kerosene over face, breast and right upper limb who on presentation had clinical signs suggestive of inhalational burns and was managed with International Society For Burn Injuries (ISBI) guidelines. Keywords: Inhalational, burn, bronchoscopy.

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  • Ravi Kumar Chittoria
    ,
  • Boney George Joseph1
    ,
  • Ravi Kumar Chittoria2
    ,
  • Jacob Antony Chakiath3
    ,
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Cite this article

Boney George Joseph, Ravi Kumar Chittoria, Jacob Antony Chakiath/Guideline Based Management of Inhalational Burns/ Indian J Surg Nurs. 2022;11(2):41–43.

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DOI: 10.21088/ijsn.2277.467X.11222.4
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