Burns
Volume 33, Issue 1 , Pages 2-13 , February 2007

Respiratory management of inhalation injury

  • Ronald P. Mlcak

      Affiliations

    • Respiratory Care Department, Shriners Hospital for Children, Galveston Burn Hospital, 815 Market Street, Galveston, TX, United States
    • Department of Respiratory Care, School of Allied Health Science, The University of Texas Medical Branch, Galveston, TX, United States
    • Corresponding Author InformationCorresponding author. Tel.: +1 409 770 6794; fax: +1 409 770 6919.
    • ,
  • Oscar E. Suman

      Affiliations

    • Department of Surgery, The University of Texas Medical Branch, Galveston, TX, United States
    • Shriners Hospital for Children, Galveston Burn Hospital, Galveston, TX, United States
    • ,
  • David N. Herndon

      Affiliations

    • Department of Surgery, The University of Texas Medical Branch, Galveston, TX, United States
    • Shriners Hospital for Children, Galveston Burn Hospital, Galveston, TX, United States

,Accepted 26 July 2006.

References 

  1. Haponik E. Smoke Inhalation Injury: some priorities for respiratory care professionals. Resp Care. 1992;37:609
  2. Moritiz AR, Henriques FC. The effects of inhaled heat on the air passages of lungs: an experimental investigation. Am J Pathol. 1945;21:311–331
  3. Zikria BA, Budd DC, Floch F, Ferrer JM. What is clinical smoke poisoning?. Ann Surg. 1975;181(2):151–156
  4. Dowell AR, Kilburn KH, Pratt PC. Short-term exposure to nitrogen dioxide. Effects on pulmonary ultrastructure, compliance, and the surfactant system. Arch Intern Med. 1971;128(1):74–80
  5. Einhorn IN. Physiological and toxicological aspects of smoke produced during the combustion of polymeric materials. Environ Health Perspect. 1975;11:163–189
  6. Emmons HW. Fire and protection. Sci Am. 1974;231:21–27
  7. Head JM. Inhalation injury in burns. Am J Surg. 1980;139(4):508–512
  8. Walker HL, McLeod CG, McManus WF. Experimental inhalation injury in the goat. J Trauma. 1981;21(11):962–964
  9. Venus B, Matsuda T, Copiozo JB, Mathru M. Prophylactic intubation and continuous positive airway pressure in the management of inhalation injury in burn victims. Crit Care Med. 1981;9(7):519–523
  10. Nieman GF, Clark WR, Wax SD, Webb SR. The effect of smoke inhalation on pulmonary surfactant. Ann Surg. 1980;191(2):171–181
  11. Robinson NB, Hudson LD, Robertson HT, Thorning DR, Carrico CJ, Heimbach DM. Ventilation and perfusion alterations after smoke inhalation injury. Surgery. 1981;90(2):352–363
  12. Moylan JA, Chan CK. Inhalation injury--an increasing problem. Ann Surg. 1978;188(1):34–37
  13. Stone HH, Martin JD. Pulmonary injury associated with thermal burns. Surg Gynecol Obstet. 1969;129(6):1242–1246
  14. Putman CE, Loke J, Matthay RA, Ravin CE. Radiographic manifestations of acute smoke inhalation. Am J Roentgenol. 1977;129(5):865–870
  15. Wanner A, Cutchavaree A. Early recognition of upper airway obstruction following smoke inhalation. Am Rev Respir Dis. 1973;108(6):1421–1423
  16. Moylan JA, Adib K, Birnbaum M. Fiberoptic bronchoscopy following thermal injury. Surg Gynecol Obstet. 1975;140(4):541–543
  17. Moylan JA, Wilmore DW, Mouton DE, Pruitt BA. Early diagnosis of inhalation injury using 133 xenon lung scan. Ann Surg. 1972;176(4):477–484
  18. Meredith JW, Martin MB, Poole GV, Kon ND, Breyer RH, Mills SA. Measurement of extravascular lung water in sheep during colloid and crystalloid resuscitation from smoke inhalation. Am Surg. 1983;49(12):637–641
  19. Haponik EF, Meyers DA, Munster AM, et al. Acute upper airway injury in burn patients. Serial changes of flow-volume curves and nasopharyngoscopy. Am Rev Respir Dis. 1987;135(2):360–366
  20. Haponik EF, Munster AM, Wise RA, et al. Upper airway function in burn patients. Correlation of flow-volume curves and nasopharyngoscopy. Am Rev Respir Dis. 1984;129(2):251–257
  21. Helvig B, Mlcak R, Nichols RJ Jr. Anchoring endotracheal tubes on patients with facial burns. Review from Shriners Burns Institute, Galveston, Texas. J Burn Care Rehabil 1987; 8(3):236–7.
  22. Herndon DN, Inhalation injury. In: Total burn care; 2nd ed., 2002, p. 242–53.
  23. Alvarez SE, Peterson M, Lunsford BR. Respiratory treatment of the adult patient with spinal cord injury. Phys Ther. 1981;61(12):1737–1745
  24. Chopra SK, Taplin GV, Simmons DH, Robinson GD, Elam D, Coulson A. Effects of hydration and physical therapy on tracheal transport velocity. Am Rev Respir Dis. 1977;115(6):1009–1014
  25. Marini JJ, Pierson DJ, Hudson LD. Acute lobar atelectasis: a prospective comparison of fiberoptic bronchoscopy and respiratory therapy. Am Rev Respir Dis. 1979;119(6):971–978
  26. Oldenburg FA, Dolovich MB, Montgomery JM, Newhouse MT. Effects of postural drainage, exercise, and cough on mucus clearance in chronic bronchitis. Am Rev Respir Dis. 1979;120(4):739–745
  27. Remolina C, Khan AU, Santiago TV, Edelman NH. Positional hypoxemia in unilateral lung disease. N Engl J Med. 1981;304(9):523–525
  28. Albanese AJ, Toplitz AD. A hassle free guide to suctioning a tracheostomy. RN. 1982;45(4):24–30
  29. Landa JF, Kwoka MA, Chapman GA, Brito M, Sackner MA. Effects of suctioning on mucociliary transport. Chest. 1980;77(2):202–207
  30. McFadden R. Decreasing respiratory compromise during infant suctioning. Am J Nurs. 1981;81(12):2158–2161
  31. Wanner A, Zighelboim A, Sackner MA. Nasopharyngeal airway: a facilitated access to the trachea. For nasotracheal suction, bedside bronchofiberscopy, and selective bronchography. Ann Intern Med. 1971;75(4):593–595
  32. Brandstater B, Muallem M. Atelectasis following tracheal suction in infants. Anesthesiology. 1969;31(5):468–473
  33. Hirsch SR, Zastrow JE, Kory RC. Sputum liquefying agents: a comparative in vitro evaluation. J Lab Clin Med. 1969;74(2):346–353
  34. Brown M, Desai M, Traber LD, Herndon DN, Traber DL. Dimethylsulfoxide with heparin in the treatment of smoke inhalation injury. J Burn Care Rehabil. 1988;9(1):22–25
  35. Desai MH, Mlcak R, Richardson J, Nichols R, Herndon DN. Reduction in mortality in pediatric patients with inhalation injury with aerosolized heparin/N-acetylcystine [correction of acetylcystine] therapy. J Burn Care Rehabil. 1998;19(3):210–212
  36. Slutsky AS. Mechanical ventilation. American College of Chest Physicians’ Consensus Conference. Chest. 1993;104(6):1833–1859
  37. Oba Y, Salzman GA. Ventilation with lower tidal volumes as compared with traditional tidal volumes for acute lung injury and the acute respiratory distress syndrome. The Acute Respiratory Distress Syndrome Network. N Engl J Med. 2000;342(18):1301–1308
  38. Marini JJ, Capps JS, Culver BH. The inspiratory work of breathing during assisted mechanical ventilation. Chest. 1985;87(5):612–618
  39. Marini JJ, Rodriguez RM, Lamb V. The inspiratory workload of patient-initiated mechanical ventilation. Am Rev Respir Dis. 1986;134(5):902–909
  40. Ward ME, Corbeil C, Gibbons W, Newman S, Macklem PT. Optimization of respiratory muscle relaxation during mechanical ventilation. Anesthesiology. 1988;69(1):29–35
  41. Downs JB, Klein EF, Desautels D, Modell JH, Kirby RR. Intermittent mandatory ventilation: a new approach to weaning patients from mechanical ventilators. Chest. 1973;64(3):331–335
  42. Weisman IM, Rinaldo JE, Rogers RM, Sanders MH. Intermittent mandatory ventilation. Am Rev Respir Dis. 1983;127(5):641–647
  43. MacIntyre NR. Respiratory function during pressure support ventilation. Chest. 1986;89(5):677–683
  44. Brochard L, Harf A, Lorino H, Lemaire F. Inspiratory pressure support prevents diaphragmatic fatigue during weaning from mechanical ventilation. Am Rev Respir Dis. 1989;139(2):513–521
  45. Fiastro JF, Habib MP, Quan SF. Pressure support compensation for inspiratory work due to endotracheal tubes and demand continuous positive airway pressure. Chest. 1988;93(3):499–505
  46. Brochard L, Rua F, Lorino H, Lemaire F, Harf A. Inspiratory pressure support compensates for the additional work of breathing caused by the endotracheal tube. Anesthesiology. 1991;75(5):739–745
  47. Hickling KG. Ventilatory management of ARDS: can it affect the outcome?. Intens Care Med. 1990;16(4):219–226
  48. Gattinoni L, Pesenti A, Avalli L, Rossi F, Bombino M. Pressure-volume curve of total respiratory system in acute respiratory failure. Computed tomographic scan study. Am Rev Respir Dis. 1987;136(3):730–736
  49. Dreyfuss D, Soler P, Basset G, Saumon G. High inflation pressure pulmonary edema. Respective effects of high airway pressure, high tidal volume, and positive end-expiratory pressure. Am Rev Respir Dis. 1988;137(5):1159–1164
  50. Kolobow T, Moretti MP, Fumagalli R, et al. Severe impairment in lung function induced by high peak airway pressure during mechanical ventilation. An experimental study. Am Rev Respir Dis. 1987;135(2):312–315
  51. Cioffi WG, Graves TA, McManus WF, Pruitt BA. High-frequency percussive ventilation in patients with inhalation injury. J Trauma. 1989;29(3):350–354
  52. Cioffi WG, Rue LW, Graves TA, McManus WF, Mason AD, Pruitt BA. Prophylactic use of high-frequency percussive ventilation in patients with inhalation injury. Ann Surg. 1991;213(6):575–582
  53. Mlcak R, Cortiella J, Desai M, Herndon D. Lung compliance, airway resistance, and work of breathing in children after inhalation injury. J Burn Care Rehabil. 1997;18(6):531–534
  54. Cortiella J, Mlcak R, Herndon D. High frequency percussive ventilation in pediatric patients with inhalation injury. J Burn Care Rehabil. 1999;20(3):232–235
  55. Mlcak R. A prospective randomized study of high frequency percussive ventilation in pediatric patients with inhalation injury. J Burn Care Rehabil. 2000;21
  56. Varpula T, Jousela I, Niemi R, Takkunen O, Pettila V. Combined effects of prone positioning and airway pressure release ventilation on gas exchange in patients with acute lung injury. Acta Anaesthesiol Scand. 2003;47(5):516–524
  57. Kacmarek RR. Mechanical ventilatory rates and tidal volumes. Resp Care. 1987;32:466–478
  58. Hickling KG, Henderson SJ, Jackson R. Low mortality associated with low volume pressure limited ventilation with permissive hypercapnia in severe adult respiratory distress syndrome. Intens Care Med. 1990;16(6):372–377
  59. Marini JJ. New approaches to ventilator management of the adult respiratory distress syndrome. J Crit Care. 1992;87:256–257
  60. Pepe PE, Marini JJ. Occult positive end-expiratory pressure in mechanically ventilated patients with airflow obstruction: the auto-PEEP effect. Am Rev Respir Dis. 1982;126(1):166–170
  61. Kacmarek RM. Management of the patient mechanical ventilator system. In: Pierson DJ, Kacmareck RM, editors. Foundations of respiratory care; 1992, p. 973–97.
  62. Stroller JK. Ventilator strategies in the management of the adult respiratory distress syndrome. Clin Chest Med. 1990;11:755–772
  63. Suter PM, Fairley B, Isenberg MD. Optimum end-expiratory airway pressure in patients with acute pulmonary failure. N Engl J Med. 1975;292(6):284–289
  64. MacIntyre NR, Cook DJ, Ely EW, et al. Evidence-based guidelines for weaning and discontinuing ventilatory support: a collective task force facilitated by the American College of Chest Physicians; the American Association for Respiratory Care; and the American College of Critical Care Medicine. Chest. 2001;120(6 Suppl.):375S–395S
  65. Munster AM, Wong LA. Miscellaneous Pulmonary Complications in Respiratory Injury. 1990:326.
  66. Demling RH. Smoke inhalation injury. Postgrad Med. 1987;82(1):63–68
  67. Cahalane M, Demling RH. Early respiratory abnormalities from smoke inhalation. JAMA. 1984;251(6):771–773
  68. Mlcak R, Desai MH, Robinson E, et al. Inhalation Injury and Lung Function- a decade later. J Burn Care Rehabil. 2000;21(1):
  69. Desai MH, et al. Does inhalation injury limit exercise endurance in children convalescing from thermal injury?. J Burn Care Rehabil. 1993;14(1):12–16
  70. Weisman IM, Zeballos RJ. Clinical exercise testing. Clin Chest Med. 2001;22(4):pp. 679–701, viii
  71. Welsch MA, Pollock ML, Brechue WF, Graves JE. Using the exercise test to develop the exercise prescription in health and disease. Prim Care. 1994;21(3):589–609
  72. ATS/ACCP statement on cardiopulmonary exercise testing. Am J Respir Crit Care Med. 2003;167(2):211–277
  73. Suman OE, Mlcak RP, Herndon DN. Effect of exercise training on pulmonary function in children with thermal injury. J Burn Care Rehabil. 2002;23(4):288–293discussion 287
  74. Suman OE, Spies RJ, Celis MM, Mlcak RP, Herndon DN. Effects of a 12-wk resistance exercise program on skeletal muscle strength in children with burn injuries. J Appl Physiol. 2001;91(3):1168–1175
  75. Celis MM, Suman OE, Huang TT, Yen P, Herndon DN. Effect of a supervised exercise and physiotherapy program on surgical interventions in children with thermal injury. J Burn Care Rehabil. 2003;24(1):57–61discussion 56

PII: S0305-4179(06)00232-4

doi: 10.1016/j.burns.2006.07.007

Burns
Volume 33, Issue 1 , Pages 2-13 , February 2007

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