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Acute Management of the Upper Airway in Facial Burns and Smoke Inhalation
Robert H. Bartlett, MD;
Michael Niccole, MD;
Michael J. Tavis, MD;
Patricia A. Allyn, RN;
David W. Furnas
Arch Surg. 1976;111(7):744-749.
Abstract
• Among 740 patients with acute burns who were admitted to our burn center from 1972 through 1975, thirty-six required upper airway access within the first 24 hours after burn for oral and facial burns or smoke inhalation. Nasotracheal intubation was initially used. Twelve survived; 11 were successfully extubated and one required a tracheostomy. If the patient had not sustained major smoke inhalation, extubation was usually possible without tracheostomy when edema subsided between one and six days after the burn. It is concluded that endotracheal intubation is a satisfactory method of gaining airway control in severe oral and facial burns and in smoke inhalation. The mortality associated with orofacial burns or smoke inhalation is related to the degree of lung damage, patient's age, and the extent of the burn; it is not related to the method of upper airway control.
(Arch Surg 111:744-749, 1976)
Author Affiliations
From the Department of Surgery, University of California, Irvine, and Orange County Burn Center, Orange County Medical Center, Orange, Calif.
Footnotes
Accepted for publication Feb 4, 1976.
Read in part before the American Burn Association, Denver, 1975, and in full before the annual meeting of the Southern California Chapter of the American College of Surgeons, Newport Beach, Calif, Jan 16, 1976.
Reprint requests to 101 City Drive, South Orange, CA 92668 (Dr Bartlett).
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