Versorgung des Brandverletzten im Katastrophenfall — Problematik des Inhalationsgeschädigten

  • R. Klose
Conference paper

Zusammenfassung

Die Problematik des inhalationsgeschädigten Brandverletzten dokumentiert sich in überzeugender Weise darin, daß sowohl für die akute Mortalität am Unfallort als auch für die Spätmortalität die inhalative Schädigung zum entscheidenden Faktor geworden ist und auch im Katastrophenfall gebührend berücksichtigt werden muß.

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

Literatur

  1. 1.
    Achauer BM, PA Allyn, DW Furnas, RH Bartlett (1973) Pulmonary complications of burns: The major threat to the burn patient. Ann Surg 177:311PubMedCrossRefGoogle Scholar
  2. 2.
    Arturson G (1981) The los Alfaques Disaster: a boiling-liquid, expanding vapor explosion. Burns 7:233CrossRefGoogle Scholar
  3. 3.
    Aub JC, H Pittmann, AM Brues (1943) The pulmonary complications: a clinical description. Ann Surg 117:834PubMedGoogle Scholar
  4. 4.
    Aviado DM, CF Schmidt (1952) Respiratory burns with special reference to pulmonary edema and congestion. Circulation 6:666PubMedGoogle Scholar
  5. 5.
    Barth J, HW Möllmann, H Mathey, FE Müller, KM Müller (1990) Prognostische Bedeutung makroskopischer und mikroskopischer Befunde bei der akuten Inhalationsschädigung schwerstbrandverletzter Patienten. Anästh Intensiv Notfallmed 25:222CrossRefGoogle Scholar
  6. 6.
    Baxter CR, GT Shires (1981) Guidlines for fluid resuscitation Proc. second consensus development conference on supportive therapy in burn care. J Trauma 21 (Suppl):687CrossRefGoogle Scholar
  7. 7.
    Beely JM, Crow, JG Jones, B Minty, RD Lynch, DP Pryce (1986) Mortality and lung histopathology after inhalation lung injury. Am Rev Respir Dis 133:191Google Scholar
  8. 8.
    Blocker V, TG Blocker (1949) The Texas city disaster. Am J Surg 78:756PubMedCrossRefGoogle Scholar
  9. 9.
    Buerk CA, JW Batdorf, KV Cammack, O Ravenholt (1982) The MGM Grand Hotel Fire. Arch Surg 117:641PubMedCrossRefGoogle Scholar
  10. 10.
    Burke JF (1979) Fluid therapy to reduce mortility. J Trauma 19 (Suppl):865PubMedGoogle Scholar
  11. 11.
    Cahalane M, RH Demling (1984) Early respiratory abnormalities from smoke inhalation. JAMA 251:771PubMedCrossRefGoogle Scholar
  12. 12.
    Carswell JW, WA Rambo (1975) A fire at Nakivubo, Kampala: a case report. Burns 2:178CrossRefGoogle Scholar
  13. 13.
    Clark WR, GF Nieman (1988) Smoke inhalation. Burns 14:473CrossRefGoogle Scholar
  14. 14.
    Clark CJ, D Campbell, WH Reid (1981) Blood carboxyhaemoglobin and cyanide levels in fire survivon. Lancet 1:1332PubMedCrossRefGoogle Scholar
  15. 15.
    Cope O, FW Rhinelander (1943) The problem of burn shock complicated by pulmonary damage. Ann Surg 117:915PubMedGoogle Scholar
  16. 16.
    Davies LK, TJ Poulton, JH Modell (1983) Continuous positive airway pressure is beneficial in treatment of smoke inhalation. Crit Care Med 11:726PubMedCrossRefGoogle Scholar
  17. 17.
    Demling RH, C La Londe (1989) Burn trauma. Thieme Medical Publ, New YorkGoogle Scholar
  18. 17a.
    Deichmann WB, HW Gerard (1984) Symptomatology and therapy of toxological emergencies. Academic Press, New YorkGoogle Scholar
  19. 18.
    Dressier DP, JL Hozid, P Nathan (1988) Thermal Injury. C V Mosby Comp, St. Louis, Washington, TorontoGoogle Scholar
  20. 19.
    Einhorn JN (1975) Physiological and toxicological aspects of smoke produced during the conclustion of polymeric material. Environment Health Perspect 11:163CrossRefGoogle Scholar
  21. 20.
    Enyart JL, DW Miller (1955) Treatment of burns resulting from disaster. JAMA 158:95CrossRefGoogle Scholar
  22. 21.
    Fein A, A Leff, DC Hopewell (1980) Pathophysiology and management of the complications resulting from fire and the inhaled products of conclustion: review of the literature. Crit Care Med 8:94PubMedCrossRefGoogle Scholar
  23. 22.
    Flamm H, K Kofler, W Koller, M Rotter, G Wewalka (1984) Hygiene der Intensivstation. In: Steinbereithner K, Bergmann H (Hrsg) Intensiv-Station,-pflege,-therapie, Kap. 11. Thieme, StuttgartGoogle Scholar
  24. 23.
    Getzen LC, EW Pollak (1981) Fatal respiratory distress in burned patients. Surg Gynecol Obstet 152:741PubMedGoogle Scholar
  25. 24.
    Herndon DN, PB Thompson, DL Traber (1985) Pulmonary injury in burned patients. In: Wachtel TL (ed) Critical care clinics, Vol 1. WB Saunders Comp, Philadelphia, London, Toronto, p 79Google Scholar
  26. 25.
    Herndon DN, RE Barrow, HA Linares, RL Rutan, T Prien, LD Traber, DL Traber (1988) Inhalation injury in burned patients: effects and treatment. Burns 14:349CrossRefGoogle Scholar
  27. 26.
    Herndon DN, PB Thompson, M Brown, DL Traber (1987) Diagnosis, pathophysiology and treatment of inhalation injury, Chap. 20. In: Boswick JA (ed) The art and science of burn care. Aspen Publ Rockville, Maryland, pp 153–161Google Scholar
  28. 27.
    Herndon DN, RE Barrow, DL Traber, TC Rutan, RL Rutan, S Abston (1987) Extravascular lungwater changes following smoke inhalation injury in massive burns. Surgery 102:341PubMedGoogle Scholar
  29. 28.
    Herndon DN, JG Hilton, DL Traber, RE Barrow (1987) Burn shock and its resuscitation. First Vienna shock forum. Alan R Liss, Inc, p 539Google Scholar
  30. 29.
    Holleman JH, JC Gabel, JD Hardy (1978) Pulmonary Effects of intravenous fluid therapy in burn resuscitation. Surg Gynecol Obstet 147:161PubMedGoogle Scholar
  31. 30.
    Jones J, MJ Mc Mullen, J Dougherty (1987) Toxic smoke inhalation: cyanide poisoning in fire victims. Am J Emerg Med 5:317PubMedCrossRefGoogle Scholar
  32. 31.
    Judkins KC (1988) Aeromedical transfer of burned patients: a review with special reference to European civilian practice. Burns 14:171CrossRefGoogle Scholar
  33. 32.
    Kinsella J (1988) Smoke inhalation. Burns 14:269–279CrossRefGoogle Scholar
  34. 33.
    Meredith JW, MB Martin, GV Poole, ND Kon, RH Breyer, SA Mills (1983) Measurement of extravascular lung water in sheep during colloid and crystalloid resuscitation from smoke inhalation. The American Surgeon 49:637PubMedGoogle Scholar
  35. 34.
    Moritz AR, FC Henriques, R Mc Lean (1945) The effect of inhaled heat on the air passages and lungs. Am J Pathol 24:311Google Scholar
  36. 35.
    Moylan JH (1980) Smoke inhalation and burn injury. Surg Clin Am 60:1533Google Scholar
  37. 36.
    Moylan JA (1981) Inhalation injury — a primary determinat of survival following major burns. J Burn Care Rehab 3:78CrossRefGoogle Scholar
  38. 37.
    Moyland JA, LG Alexander (1978) Diagnosis and treatment of inhalation injury. World J Surg 2:185CrossRefGoogle Scholar
  39. 38.
    Moylan JA, CK Chan (1978) Inhalation injury — an increasing problem. Ann Surg 188:34PubMedCrossRefGoogle Scholar
  40. 39.
    Navar PD, JR Saffle, GD Warden (1985) Effects of inhalation injury on fluid resuscitation requirements after thermal injury. Am J Surg 150:716PubMedCrossRefGoogle Scholar
  41. 40.
    Phillips AW, O Cope (1962) Burn therapy. II. The revelation of respiratory tract damage as a principal killer of the burned patient. Ann Surg 155:1PubMedCrossRefGoogle Scholar
  42. 41.
    Powers SR (1979) Consensus summary on smoke inhalation. J Trauma 19 (Suppl):921PubMedGoogle Scholar
  43. 42.
    Prien T (1984) Die Inhalationsverletzung der Lunge. Anästh Intensiv Notfallmed 19:161CrossRefGoogle Scholar
  44. 43.
    Prien T, DL Traber (1988) Toxic smoke componnals and inhalation injury — a review. Burns 14:451CrossRefGoogle Scholar
  45. 44.
    Pruitt BA, DR Erickson, A Morris (1975) Progressive pulmonary insufficiency and other pulmonary complications of thermal injury. J Trauma 15:369PubMedCrossRefGoogle Scholar
  46. 45.
    Rebentisch E (1988) Handbuch der medizinischen Katastrophenhilfe. Werk Verlag Dr. E Banaschewski, MünchenGoogle Scholar
  47. 46.
    Shirani KZ, BA Pruitt, AD Mason (1987) The influence of inhalation injury and pneumonia on burn mortality. Ann Surg 205:82PubMedCrossRefGoogle Scholar
  48. 47.
    Silverman SH, GF Purdne, JL Hunt, RO Bost (1988) Cyanide toxicity in burned patients. J Trauma 28:171PubMedCrossRefGoogle Scholar
  49. 48.
    Sunshine I, B Finkle (1964) The necessity for tissue studies in fatal cyanide poisoning. Int Arch Gewerbepath Gewerbehyg 20:558CrossRefGoogle Scholar
  50. 49.
    Scheulen JJ, AM Munster (1982) The Parkland formula in patients with burns and inhalation injury. J Trauma 22:869PubMedCrossRefGoogle Scholar
  51. 50.
    Stone HH, DW Rhame, JD Corbitt, KS Given, JD Martin (1967) Respiratory burns: a correlation of clinical and laboratory results. Ann Surg 165:157PubMedCrossRefGoogle Scholar
  52. 51.
    Stronin J, C Hales (1990) Pulmonary disorders in the burn patient. In: Martyn JAJ (ed) Acute management of the burned patient. WB Sauners Comp, Philadelphia, London, TorontoGoogle Scholar
  53. 52.
    Taylor FW, JL Gumbert (1965) Cause of death from burns: role of respiratory damage. Ann Surg 161:497PubMedCrossRefGoogle Scholar
  54. 53.
    Terrill JB, RR Montgomery, CF Reinhardt (1978) Toxic gases from fires. Science 200:1343PubMedCrossRefGoogle Scholar
  55. 54.
    Thompson PB, DN Herndon, DL Traber, S Abston (1986) Effect on mortality of inhalation injury. J Trauma 26:163PubMedCrossRefGoogle Scholar
  56. 55.
    Traber DL, HA Linares, DN Herndon (1988) The pathophysiology of inhalation injury — a review. Burns 14:357CrossRefGoogle Scholar
  57. 56.
    Tsuchiya Y, K Sumi (1967) Thermal decomposition products of polyvinyl chloride. J appl Chem 17:364CrossRefGoogle Scholar
  58. 57.
    Watanabe K, K Makino (1985) The role of carbon monoxide poisoning in the production of inhalation burns. Ann Plast Surg 14:23CrossRefGoogle Scholar
  59. 58.
    Waxman K (1987) Pulmonary Management. In: Achauer BM (ed) Management of the burned patient. Appleton u. Lange, Norwalk, Conn, Chap 10Google Scholar
  60. 59.
    Zikria BA, GC Weston, M Chodoff, JM Ferrer (1972) Smoke and carbon monoxide poisoning in fire victims. J Trauma 12:641PubMedCrossRefGoogle Scholar

Copyright information

© Dr. Dietrich Steinkopff Verlag, GmbH & Co. KG, Darmstadt 1991

Authors and Affiliations

  • R. Klose
    • 1
  1. 1.Abt. für Anästhesie und IntensivmedizinBG Unfallklinik LudwigshafenLudwigshafenDeutschland

Personalised recommendations