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Fiber-optic Bronchoscopic Classification of Inhalation Injury: Is That Consistent with Pathologic Findings?
Journal of Korean Burn Society ; : 26-29, 2011.
Artículo en Coreano | WPRIM | ID: wpr-172348
ABSTRACT

PURPOSE:

Fiber-optic bronchoscopy is widely used for early diagnosis of inhalation injury. The aim of the study was to ascertain whether a correlation could be shown between bronchoscopic and pathologic grading.

METHODS:

One hundred seventy patients who underwent bronchoscopy with suspicious inhalation injury were review retrospectively from January 2008 to December 2009. The patients were divided into four groups (normal, mild, moderate, severe) according to bronchoscopic and pathologic findings respectively.

RESULTS:

Diagnosis of an inhalation burn was confirmed in 142/170 patients, of whom upon initial assessment an inhalation trauma was suspected. Bronchoscopic grading was noted mild (n=109), 56 ALI (51.4%), 18 ARDS (16.5%); moderate (n=31), 22 ALI (71.0%), 13 ARDS (41.9%); severe (n=2), 2 ALI (100%). Pathologic grading was noted mild (n=131), 77 ALI (58.8%), 27 ARDS (20.6%); moderate (n=4), 2 ALI (50%), 1 ARDS (25%); severe (n=1), 1 ALI (100%). Consistency of two groups was not significant (P<0.05).

CONCLUSION:

Any burn patient highly suspicious for inhalation injury should receive an early bronchoscopy for diagnosis and treatment. Fiber-optic bronchoscopy is a safe and effective method for early diagnosis of inhalation injuries. The consensus of classification about inhalation injury will be developed.
Asunto(s)

Texto completo: Disponible Índice: WPRIM (Pacífico Occidental) Asunto principal: Broncoscopía / Quemaduras / Quemaduras por Inhalación / Inhalación / Estudios Retrospectivos / Consenso / Diagnóstico Precoz Tipo de estudio: Estudio diagnóstico / Guía de Práctica Clínica / Estudio observacional / Estudio de tamizaje Límite: Humanos Idioma: Coreano Revista: Journal of Korean Burn Society Año: 2011 Tipo del documento: Artículo

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Texto completo: Disponible Índice: WPRIM (Pacífico Occidental) Asunto principal: Broncoscopía / Quemaduras / Quemaduras por Inhalación / Inhalación / Estudios Retrospectivos / Consenso / Diagnóstico Precoz Tipo de estudio: Estudio diagnóstico / Guía de Práctica Clínica / Estudio observacional / Estudio de tamizaje Límite: Humanos Idioma: Coreano Revista: Journal of Korean Burn Society Año: 2011 Tipo del documento: Artículo