QUICKLY RESOLVING BRONCHIECTASIS AFTER INHALATIONAL INJURY

Background: The pattern of burns in victims varies with the manner of infliction of burns. Age plays an important role in deciding the mortality and morbidity of burn victims. Other factors that decide the prognosis of burn victims are the total body surface area (TBSA), Depth of burns, and inhalational injury as evidenced by facial burns. Assessment of these epidemiological factors and inhalational injury can be done as a part of the initial evaluation. Such an assessment aid in resuscitation including emergent airway and decision making regarding the need for skin grafts or escharotomy. Serial measurement of total leucocyte count also helps in identifying the onset of infection and progress to septicaemia and increased mortality rates.Methods: As a part of the initial evaluation, we attempt to study the relation between TBSA, Depth of burns, facial burns, and total WBC count with mortality. A background of septicaemia was also noticed in the majority of patients.Results: For analysis, patients were divided into two groups- Survivors and Non-survivors. A fall in total WBC count coincided with the onset of sepsis and mortality. The other three factors also had a direct correlation with mortality rates.Conclusions: A scoring system constituting all the factors is essential as an initial diagnostic step and it will help in deciding early intubation, escharotomy, and aggressive fluid resuscitation.

Download Full-text

Effect of Growth Hormone on Outcome of Pediatric Burn Patients

QJM ◽

10.1093/qjmed/hcab086.105 ◽

2021 ◽

Vol 114 (Supplement_1) ◽

Author(s):

Gihan Seif El Nasr Mohamed ◽

Salwa Omar ElKhattab Amin ◽

Mohamed Mohamed Kamal ◽

Sherif Hany Adly Loka

Keyword(s):

Growth Hormone ◽

Conventional Treatment ◽

Control Group ◽

P Value ◽

Time Interval ◽

Burn Patients ◽

Icu Stay ◽

Co Morbidity ◽

Stay Time ◽

Inhalational Injury

Abstract Background A burn is a thermal injury caused by biological, chemical, electrical and physical agents with local and systemic repercussions. There are several ways of classifying burns: Classification by mechanism or cause, Classification by the degree and depth of a burn, Classification by extent of burn the extent of burn. Objectives The objective of this study was to determine the safety and efficacy of using recombinant human growth hormone (rhGH) in the treatment of pediatric burn victims and their ICU length of stay, mortality and morbidity. Patients and Methods This study was an Interventional randomized controlled Double Blind Study in which Patients subdivided randomly into 2 groups: Group A received somatotropine hormone after their 3 days of resuscitation besides their conventional treatment during their stay in the Burn ICU. Group B received the conventional treatment only in the Burn ICU. Results The comparison between the GH group and the control group showed that the mean ICU stay in days in GH group was 10.88 while in the control group 13.59 with P value 0.018 as a significant result as the GH group showed a less ICU stay time than the control group with approximately 20%. Mortality in the GH group was 6.2% from the total number of the group while in control group 18.8% from the total number of the group with P value 0.033 as a significant result yet the mortality may also depend on other factors as the degree of burn and the area of burn and the associated events like inhalational injury or delay post burn or any other co-morbidity. Morbidity results seen was 0% in control group and 4.7% in GH group with P value 0.080 as a non-significant result, morbidity was in the form of hyperglycemia. Conclusion The use of recombinant Growth hormone with a dose of 0.2 mg/Kg SQ 2 days per week with 3 days time interval in pediatric burn patients after their primary resuscitation from the burn injury, shows a marvelous improvement concerning the ICU stay time as the patient received the growth hormone showed an approximately 20% time less ICU stay than the control group this may be accounted for the faster wound healing and readiness for grafting and even faster graft healing, also a decreased mortality in a significant way, although mortality may depend on many factors in burn patients like degree of burn and the area of burn and the associated events like inhalational injury or any other co-morbidity.

Download Full-text

Chapter-08 Inhalational Injury

Step by Step� Management of Burns ◽

10.5005/jp/books/10831_8 ◽

2008 ◽

pp. 127-136

Author(s):

Sujata Sarabahi

Keyword(s):

Inhalational Injury

Download Full-text

Acute Inhalational Injury

Reference Module in Biomedical Sciences ◽

10.1016/b978-0-12-801238-3.11495-3 ◽

2019 ◽

Author(s):

Yasunori Ichimura ◽

David Baker

Keyword(s):

Inhalational Injury

Download Full-text

Management of a Patient With Faciocervical Burns and Inhalational Injury Due to Hydrofluoric Acid Exposure

The International Journal of Lower Extremity Wounds ◽

10.1177/1534734614534441 ◽

2014 ◽

Vol 13 (2) ◽

pp. 155-159 ◽

Cited By ~ 6

Author(s):

Zhang Yuanhai ◽

Wang Xingang ◽

Ni Liangfang ◽

Han Chunmao

Keyword(s):

Hydrofluoric Acid ◽

Acid Exposure ◽

Inhalational Injury

Download Full-text

Breathing

10.1093/med/9780199696277.003.0003 ◽

2013 ◽

Author(s):

Martin Beed ◽

Richard Sherman ◽

Ravi Mahajan

Keyword(s):

Respiratory Failure ◽

Distress Syndrome ◽

Tension Pneumothorax ◽

Severe Pneumonia ◽

Fat Embolism ◽

Gas Diffusion ◽

Pulmonary Haemorrhage ◽

Air Trapping ◽

Inhalational Injury ◽

Exacerbation Of Copd

Respiratory failureSevere hypercapniaComplications of mechanical ventilationSevere pneumoniaAspirationInhalational injuryAsthma/severe bronchospasmExacerbation of COPDAir trappingTension pneumothoraxMassive haemothoraxPulmonary haemorrhagePulmonary oedemaAcute respiratory distress syndromePulmonary embolism/fat embolismRespiratory failure occurs when air transfer in and out of the lungs is reduced, or when gas exchange within the lungs fails (due to shunt, VQ mismatch, or poor gas diffusion), resulting in either: ...

Download Full-text