PMID: 589269Dec 3, 1977

Management of airway complications of burns in children

British Medical Journal
E Vivori, R E Cudmore


Children who have been exposed to smoke in a confined space or who have soot or burns, however minimal, on the face should be admitted to hospital. Respiratory distress may be delayed, but if it is progressive the patient should be curarised, intubated, and mechanically ventilated. Unless ventilation continues for 48 hours, followed by 24 hours' spontaneous respiration against a positive airway pressure, stridor and pulmonary oedema may recur. An endotracheal tube small enough to allow a leak between it and the oedematous mucosa must be passed to prevent laryngeal damage and subsequent subglottic stenosis. High humidity of inspired gases keeps secretions fluid and the endotracheal tube patent. A high oxygen concentration compensates for deficient oxygen uptake and transport caused by pulmonary lesions and the presence of poisonous compounds interfering with oxygen transport. Dexamethasone to minimise cerebral oedema and antibiotics to reduce the incidence of chest infections should be given.


May 1, 1975·British Journal of Anaesthesia·C S McArdle, W E Finlay
Aug 1, 1974·Postgraduate Medical Journal·J A SillsL Rosenbloom
Feb 1, 1971·The Journal of Trauma·F C DiVincentiJ M Reckler
Aug 1, 1970·The British Journal of Surgery·J A Pollard
Nov 1, 1962·Annals of Surgery·A W PHILLIPS, O COPE
Jun 1, 1962·Pediatrics·J METCOFF
Jun 1, 1943·Annals of Surgery·J C AubA M Brues


Mar 9, 1991·Lancet·J KinsellaC J Clark
Sep 26, 1981·Lancet
Feb 1, 1983·Journal of Pediatric Surgery·P A Raine, A Azmy
Jul 1, 1981·Head & Neck Surgery·T L WachtelH A Frank
Jul 1, 1981·Medicine, Science, and the Law·R A AndersonW A Harland

Related Concepts

Burn Injury
Fire - Disasters
Oxygen Therapy Care
Respiratory Failure

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