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Recognition and Management of Smoke Inhalation

Recognition and Management of Smoke Inhalation In spite of its significance, smoke inhalation has received little attention in the medical literature. Three representative case histories demonstrate the variable course of this entity and the need for individualized care of the victims. Of particular importance is recognition of the 6- to 48-hour latent period which may ensue before complications of acute bronchial obstruction, pneumonia, pulmonary edema, and eventual cardiopulmonary failure develop. Management may require tracheostomy, prolonged intermittent positive-pressure breathing with appropriate concentrations of oxygen and high humidity, and, when indicated, administration of systemic antibiotics and steroids. Frequent arterial blood gas measurements are essential for proper evaluation in these cases, both to delineate the status of the patients and to guide and determine the effectiveness of therapy. If victims of smoke inhalation can be managed through the acute phases of their illness, they often make a complete recovery. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png JAMA American Medical Association

Recognition and Management of Smoke Inhalation

JAMA , Volume 201 (5) – Jul 31, 1967

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Publisher
American Medical Association
Copyright
Copyright © 1967 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Restrictions Apply to Government Use.
ISSN
0098-7484
eISSN
1538-3598
DOI
10.1001/jama.1967.03130050021006
Publisher site
See Article on Publisher Site

Abstract

In spite of its significance, smoke inhalation has received little attention in the medical literature. Three representative case histories demonstrate the variable course of this entity and the need for individualized care of the victims. Of particular importance is recognition of the 6- to 48-hour latent period which may ensue before complications of acute bronchial obstruction, pneumonia, pulmonary edema, and eventual cardiopulmonary failure develop. Management may require tracheostomy, prolonged intermittent positive-pressure breathing with appropriate concentrations of oxygen and high humidity, and, when indicated, administration of systemic antibiotics and steroids. Frequent arterial blood gas measurements are essential for proper evaluation in these cases, both to delineate the status of the patients and to guide and determine the effectiveness of therapy. If victims of smoke inhalation can be managed through the acute phases of their illness, they often make a complete recovery.

Journal

JAMAAmerican Medical Association

Published: Jul 31, 1967

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