Determining the role of nasolaryngoscopy in the initial evaluation for upper airway injury in patients with facial burns

Freno, Daniel R.; Sahawneh, James; Harrison, Sarah; Sahawneh, Tim; Patterson, Sierra; Kahn, S.

doi:10.1016/j.burns.2017.09.009

Cited by 10 publications

(2 citation statements)

References 5 publications

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“…18 Patients for whom there is not a clear clinical indication for intubation during the primary survey may benefit from nasendoscopy to differentiate between the presence of erythema versus more worrisome features of oedema or carbonaceous debris, although current evidence suggests that endoscopy of the larynx does not offer better information than history and clinical examination. 19 Nasendoscopy might have a role in flash burns to the face without definitive symptoms of distress, but should ideally be repeated within a few hours if there is any concern about worsening symptoms that may indicate progression.…”

Section: Airway Managementmentioning

confidence: 99%

Challenges in anaesthesia and pain management for burn injuries

Stapelberg

2020

Anaesth Intensive Care

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Burn-injured patients provide unique challenges to those providing anaesthesia and pain management. This review aims to update both the regular burn anaesthetist and the anaesthetist only occasionally involved with burn patients in emergency settings. It addresses some aspects of care that are perhaps contentious in terms of airway management, fluid resuscitation, transfusion practices and pharmacology. Recognition of pain management failures and the lack of mechanism-specific analgesics are discussed along with the opioid crisis as it relates to burns and nonpharmacological methods in the management of distressed patients.

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Section: Airway Managementmentioning

confidence: 99%

Challenges in anaesthesia and pain management for burn injuries

Stapelberg

2020

Anaesth Intensive Care

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“…The major benefit of nasolaryngoscopy is preventing intubation in a few, select symptomatic patients with a negative study. 29 In the presence of facial burns, following intubation it is the practice at our institution to have an alveolar ridge screw placed at one of the early visits to the operating theatre. This effectively and safely secures the endotracheal tube without compromising facial tissue or the tapes becoming soiled (Figure 3).…”

Section: Respiratory Supportmentioning

confidence: 99%