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Handbook of Burns pp 163–172Cite as

Diagnosis and management of inhalation injury

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Abstract

Approximately 10–20 % of patients admitted to burn centers in the U. S. are diagnosed with inhalation injury, and the incidence of inhalation injury is directly related to burn size [1]. Inhalation injury, along with age and total body surface area (TBSA) burn, is also one of the factors contributing to the morbidity and mortality of patients with burn injury; inhalation injury has been reported to increase mortality two-fold [2–5]. The accurate and timely diagnosis of inhalation injury is key to predicting and improving outcomes for the patient with burn injury. One of the major challenges in the diagnosis of inhalation injury is that exposure to smoke and heat result in nonhomogeneous injuries that vary by location and type of insult. Hence, inhalation injury is a term used to define multiple different types of airway injury, each of which has unique diagnostic and treatment implications. The purpose of this article is to describe the pathophysiology, diagnosis, and treatment of the different forms of inhalation injury.

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Author information

Authors and Affiliations

  1. Shriners Hospital for Children Northern California, University of California Davis Regional Medical Center, USA

    Tina L. Palmieri M.D., FACS, FCCM

  2. Stritch School of Medicine; The Robert J. Freeark Professor Department of Surgery; Burn and Shock Trauma Institute; Burn Center, Loyola University Medical Center, USA

    Richard L. Gamelli

  3. Shriners Hospital for Children Northern California, University of California Davis, 2425 Stockton Blvd, Suite 718, Sacramento, CA, 95817, USA

    Tina L. Palmieri M.D., FACS, FCCM

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  1. Tina L. Palmieri M.D., FACS, FCCM
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  2. Richard L. Gamelli
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Correspondence to Tina L. Palmieri M.D., FACS, FCCM .

Editor information

Editors and Affiliations

  1. Sunnybrook Health Sciences Centre, Department of Surgery, Division of Plastic Surgery, University of Toronto, Sunnybrook Research Institute, Toronto, ON, Canada

    Marc G. Jeschke M.D., Ph.D.

  2. Plastische, Aesthetische und Rekonstruktive Chirurgie, Landesklinikum Wiener Neustadt, Wiener Neustadt, Austria

    Lars-Peter Kamolz M.D., M.Sc.

  3. Department of Hand and Plastic Surgery and Intensive Care, Linköping University Hospital, Linköping, Sweden

    Folke Sjöberg M.D., Ph.D.

  4. Department of Clinical and Experimental Medicine, Linköping University, Linköping, Sweden

    Folke Sjöberg M.D., Ph.D.

  5. Brooke Army Medical Center, Fort Sam Houston, TX, USA

    Steven E. Wolf M.D.

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Palmieri, T.L., Gamelli, R.L. (2012). Diagnosis and management of inhalation injury. In: Jeschke, M.G., Kamolz, LP., Sjöberg, F., Wolf, S.E. (eds) Handbook of Burns. Springer, Vienna. https://doi.org/10.1007/978-3-7091-0348-7_11

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