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Respiratory Management in Burn Care

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Handbook of Burns Volume 1

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Abstract

Airway and respiratory management are necessary and important components of burn care because a significant minority of burn patients requires intubation and mechanical ventilation, often for weeks or even months. Burn patients require respiratory management for two major reasons: the presence of smoke inhalation injury (II) and/or a large percent total body surface area (% TBSA) burn. Inhalation of the products of combustion causes a cascade of injury and inflammatory response that typically leads to respiratory failure and the need for intubation and ventilation. Likewise, a large % TBSA thermal injury (typically ≥30% TBSA) imposes such a large systemic metabolic load on patients that intubation and ventilation are almost always necessary. This chapter reviews general concepts of airway and respiratory management in burn patients.

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Authors and Affiliations

  1. Department of Surgery, The Arizona Burn Center—Valleywise Health, Phoenix, AZ, USA

    Kevin N. Foster

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  1. Kevin N. Foster
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Correspondence to Kevin N. Foster .

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Editors and Affiliations

  1. Ross Tilley Burn Centre Sunnybrook Health Sciences Centre, Toronto, ON, Canada

    Marc G. Jeschke

  2. Division of Plastic, Aesthetic and Reconstructive Surgery, Department of Surgery, Medical University of Graz, Graz, Austria

    Lars-Peter Kamolz

  3. Department of Clinical and Experimental Medicine, Linköping University, Linköping, Sweden

    Folke Sjöberg

  4. Department of Surgery, University of Texas Health Science Center, San Antonio, TX, USA

    Steven E. Wolf

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Foster, K.N. (2020). Respiratory Management in Burn Care. In: Jeschke, M., Kamolz, LP., Sjöberg, F., Wolf, S. (eds) Handbook of Burns Volume 1. Springer, Cham. https://doi.org/10.1007/978-3-030-18940-2_17

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