Pre-burn center management of the burned airway: do we know enough?

Journal of Burn Care & Research : Official Publication of the American Burn Association
Alexander L EastmanG F Purdue

Abstract

Despite the traditional teaching of early and aggressive airway management in thermally injured patients, paramedics and medical providers outside of burn centers receive little formal training in this difficult skill set. However, the initial airway management of these patients is often performed by these preburn center providers (PBCPs). The purpose of this study was to evaluate the authors' experience with patients intubated by PBCPs and subsequently managed at the authors' center. A retrospective review of a level I burn center database was undertaken. All records of patients arriving intubated were reviewed. From January 1982 to June 2005, 11,143 patients were admitted to the regional burn center; 11.4% (n = 1,272) were intubated before arrival. In this group, mean age was 37.1 years, mean burn size was 35.3% TBSA, and mean length of hospital stay was 27.0 days. Approximately 26.3% were suspected of having an inhalation injury, and this was confirmed by either bronchoscopy or clinical course in 88.6% of this subgroup. Mortality in patients arriving intubated was 30.8%, and these were excluded from the rest of the analysis. In the surviving 879 intubated patients, reasons reported by PBCPs for intubation included "airway sw...Continue Reading

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Citations

Jul 14, 2012·PloS One·Loren H EngravNicole S Gibran
Jan 22, 2013·Burns : Journal of the International Society for Burn Injuries·Jean CotteEric Meaudre
Jan 22, 2014·Anaesthesia·C OscierJ M Handy
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Nov 20, 2018·Journal of Burn Care & Research : Official Publication of the American Burn Association·Jamie HarshmanRobert Cartotto
Jun 20, 2019·Journal of Burn Care & Research : Official Publication of the American Burn Association·Kiran DyamenahalliElizabeth J Kovacs
Feb 21, 2018·Annals of Plastic Surgery·Guillermo FoncerradaJong O Lee
Dec 9, 2014·Anesthesiology·Edward A BittnerJ A Jeevendra Martyn
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Jan 1, 2015·Réanimation : Journal De La Société De Réanimation De Langue Française·A BletM Legrand
May 7, 2020·Anaesthesia and Intensive Care·Francois Stapelberg
Nov 1, 2017·Journal of Burn Care & Research : Official Publication of the American Burn Association·Lee C WoodsonAlexis McQuitty
Jun 22, 2019·Journal of Burn Care & Research : Official Publication of the American Burn Association·Shawn MoshrefiDanielle H Rochlin
Mar 10, 2020·Anaesthesia Critical Care & Pain Medicine·Matthieu LegrandAlice Blet
Aug 25, 2020·Burns : Journal of the International Society for Burn Injuries·Purificacion Gacto-SánchezJose Juan Pereyra-Rodriguez
Aug 15, 2020·Anesthesiology Clinics·David Preston, Aditee Ambardekar
Aug 31, 2020·Burns : Journal of the International Society for Burn Injuries·L A DingleZ Sheikh

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