A case of inhalation injury in which only monitoring of upper respiratory tract symptoms was insufficient to diagnose the need for airway protection without delay

A 51-year-old man was injured in a house fire with 4.5% facial second-degree burns and 4% bilateral upper extremity second-degree burns. He had no upper respiratory symptoms such as sore throat, dyspnea, expiratory wheezing, or pain on swallowing. We decided to monitor the upper respiratory symptoms...

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Bibliographic Details
Published inKANTO Journal of Japanese Association for Acute Medicine Vol. 42; no. 4; pp. 91 - 94
Main Authors Suzuki, Hajime, Taguchi, Shigemasa, Hayashi, Tatsuhiko, Egawa, Yuko, Kiyota, Kazuya
Format Journal Article
LanguageJapanese
Published Japanese Association for Acute Medicine of Kanto 28.12.2021
Subjects
airway management
airway obstruction
crycothyroidotomy
crycothyrotomy
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Summary:A 51-year-old man was injured in a house fire with 4.5% facial second-degree burns and 4% bilateral upper extremity second-degree burns. He had no upper respiratory symptoms such as sore throat, dyspnea, expiratory wheezing, or pain on swallowing. We decided to monitor the upper respiratory symptoms in the intensive care unit and secure the airway when symptoms were present. However, when upper respiratory symptoms appeared, oral tracheal intubation was impossible, and airway management through a cricothyrotomy was required. Only follow-up of upper airway symptoms may be insufficient to diagnose the need for airway protection without delay.
ISSN:0287-301X
2434-2580
DOI:10.24697/jaamkanto.42.4_91