El manejo de la vía aérea del paciente quemado: ¿un reto por resolver?

  1. Marta Rey Ábalo 1
  2. Mónica Mourelo Fariña 2
  1. 1 Medicina Intensiva. Complexo Hospitalario Universitario A Coruña
  2. 2 Medicina Intensiva. Área Sanitaria da Coruña e Cee
Journal:
Proyecto Lumbre: Revista Multidisciplinar de Insuficiencia Cutánea Aguda

ISSN: 2255-3487

Year of publication: 2021

Month: 22

Pages: 44-52

Type: Article

More publications in: Proyecto Lumbre: Revista Multidisciplinar de Insuficiencia Cutánea Aguda

Abstract

Airway management in the critically burned patient is a high life-threatening approach and serious complication. The initial assessment of the airway should be aimed at the detection of symptoms and signs that allow to anticipate the occurrence of a difficult airway. The professionals should know the mechanism of injury (direct and/or by inhalation), the affected anatomical area (upper airway or parenchyma) and have a high suspicion of poisoning by gases (carbon monoxide, hydrogen cyanide…) from combustion when the injury occurs in a closed environment. Diagnostic techniques, such as fibrobroncoscopy, should also be used to help establish the optimal timing of endotracheal intubation