EARLY AND LATE FATAL COMPLICATIONS
OF INHALATION INJURY
Valová M.1, Königová R.1, Brož L.1, Zajíček R.1, Ťoupalík P.2
1Centre of Burn Medicine, 3rd Medical Faculty, Charles University, Prague 2Institute of Forensic Medicine , 2nd Medical Faculty, Charles University, Prague, Czech Republic |
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Summary:
Severe inhalation injury causes a substantial deterioration in the prognosis and increases the general mortality of
patients with extensive burns. Recently, in particular due to the development of invasive monitoring of patients
and effective treatment of acute burn shock, we encounter with increasing frequency patients who survive the
acute stage, including complications such as ARDS, and reach the stage of late complications. The latter include
tracheooesophageal fistulas that develop on the basis of pressure ulcers and chondromalacia, usually at the site
of the balloon of the tracheostomic cannula, and the overproduction of fibrous tissue in the area of the airways
which leads to the development of stenosis, pulmonary fibrosis and bronchiectasia. Frequently, different early and
late complications combine.
Key words:
inhalation injury, tracheooesophageal fistula, complication of respiratory tract
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