Description

Inhalation injury can influence survival in burn patients. Godwin et al used a grading scheme for inhalation injury to help triage burn patients. The authors are from Cape Town in South Africa and Norwich in England.


 

Criteria for mild inhalation injury:

(1) evidence of upper respiratory tract burn (burnt nasal vibrissae, swelling of oral mucosa, and/or facial burns)

(2) no evidence of airway obstruction

(3) able to maintain normal oxygen saturation on room air

 

Criteria for moderate inhalation injury:

(1) signs of mild inhalation injury

(2) hoarseness of voice

(3) carbonaceous sputum

(4) able to maintain adequate oxygen saturation when treated with 40% humidified oxygen delivered by either mask or naso-tracheal intubation

 

Criteria for severe inhalation injury:

(1) signs of mild and moderate inhalation injury

(2) unable to maintain adequate oxygen saturation on 40% humidified oxygen, with either PaO2 < 8 kPa (60 mm Hg) and/or PaCO2 > 5.5 kPa (41 mm Hg).

 

where:

• vibrissae are the hairs present at the nasal vestibule

• 1 mm Hg = 0.133 kPa

 


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