Last reviewed: November 2017
Last updated: November  2017

Summary

Definition

History and exam

Key diagnostic factors

  • similarity of symptoms to those of others at site of exposure
  • cough
  • dyspnea
  • hoarseness or dysphonia
  • headache
  • dizziness
  • tachypnea
  • hypoxia
  • facial burns
  • upper airway edema
  • stridor
  • wheezing
  • crackles
  • loss of consciousness
  • seizures

Other diagnostic factors

  • tachycardia
  • hypotension
  • nausea

Risk factors

  • known inhalation exposure

Diagnostic investigations

1st investigations to order

  • pulse oximetry
  • arterial blood gas
  • carboxyhemoglobin (CO-Hb) level
  • CXR
  • ECG
  • cardiac telemetry monitoring
  • urine toxicology screen
  • serum ethanol level
Full details

Investigations to consider

  • pulmonary function tests (PFT)
  • laryngoscopy and bronchoscopy
  • serum lactate
Full details

Treatment algorithm

ACUTE

Contributors

Authors VIEW ALL

Fellow

Section of Pulmonary and Critical Care Medicine

Department of Medicine

University of Chicago

Chicago

IL

Disclosures

KCD declares that she has no competing interests.

Assistant Professor

Section of Pulmonary and Critical Care Medicine

Department of Medicine

University of Chicago

Chicago

IL

Disclosures

JTP declares that he has no competing interests.

Dr Karen C. Dugan and Dr Jason T. Poston would like to gratefully acknowledge Dr John P. Kress, a previous contributor to this monograph. JPK declares that he has no competing interests.

Peer reviewers VIEW ALL

Critical Care Fellow

US Army Burn Center

US Army Institute of Surgical Research

Brooke Army Medical Center

Fort Sam Houston

TX

Disclosures

LCC declares that he has no competing interests.

Honorary Consultant in Anesthesia and Intensive Care

Queen Victoria Hospital

East Grinstead

Honorary Consultant

Royal London Hospital

London

UK

Disclosures

RT declares that he has no competing interests.

Professor of Cardiothoracic Medicine

St George's Hospital

London

UK

Disclosures

BM declares that he has no competing interests.

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