[Bronchoscopic methods in complex diagnosis and treatment of burned patients with inhalation injuries]. / Bronkhoskopicheskie metody v kompleksnoi diagnostike i lechenii obozhzhennykh s ingaliatsionnymi porazheniiami.

Chromobronchoscopy was first used in treatment of 37 burned patients with inhalation injuries for better visual manifestation of the injuries of the tracheobronchial tree mucosa. The trachea and bronchi mucosa was irrigated with a viral stain--0.25% aqueous solution of methylene blue. The intensity of staining the mucosa in light blue colour showed the true limits and depth of the injury. Resulting from the clinico-endoscopic examinations supplemented with findings of chromobronchoscopy, cytological and bacteriological analyses, a working classification of inhalation injuries in burned people was developed which allowed the adequate methods of local treatment during fiber bronchoscopy to be worked out taking into account the degree of thermochemical injuries of the respiratory pathways. It resulted in 19.7% lower lethality of burned patients.

[Diagnosis and treatment of thermochemical injuries of the airways in patients with severe burns]. / Diagnostika i lechenie termokhimicheskogo porazheniia dykhatel'nykh putei u tiazhelo obozhzhennykh.

Chromobronchoscopy allows objective assessment of the size and depth of injury to tracheobronchial mucosa. The type of inhalation injury to the tracheobronchial tree is an important parameter determining the preventive use of high-frequency assisted and artificial ventilation of the lungs (HFAVL and AVL, respectively). In patients with slight injuries to the airways, inflicted by burning products, the criteria of transfer to HFAVL or AVL should be traditional. In medium severe involvement HFAVL should be started immediately through a microtracheostoma. Severe and extremely severe inhalation injuries require urgent transfer to AVL even if there are no signs of acute respiratory failure.