Resumen
Definition
Anamnesis y examen
Principales factores de diagnóstico
- presença de fatores de risco
- sintomas similares aos de outros no local de exposição
- tosse
- dispneia
- rouquidão ou disfonia
- cefaleia
- tontura
- taquipneia
- hipóxia
- queimaduras faciais
- edema das vias aéreas superiores
- estridor
- sibilância
- estertores
- perda de consciência
- convulsões
Otros factores de diagnóstico
- taquicardia
- hipotensão
- náuseas
Factores de riesgo
- exposição conhecida à inalação
Pruebas diagnósticas
Primeras pruebas diagnósticas para solicitar
- oximetria de pulso
- gasometria arterial
- nível de CO-Hb
- radiografia torácica
- eletrocardiograma (ECG)
- monitorização cardíaca por telemetria
- exame toxicológico da urina
- nível sérico de etanol
Pruebas diagnósticas que deben considerarse
- testes de função pulmonar (TFP)
- laringoscopia e broncoscopia
- lactato sérico
Pruebas emergentes
- nível de cianeto
Algoritmo de tratamiento
todos os pacientes
Colaboradores
Autores
Jason T. Poston, MD
Associate Professor
Section of Pulmonary and Critical Care Medicine
Department of Medicine
University of Chicago
Chicago
IL
Divulgaciones
JTP declares that he has no competing interests.
Cathryn T. Lee, MD, MS
Instructor
Department of Medicine, Section of Pulmonary and Critical Care
University of Chicago
Chicago
IL
Divulgaciones
CL has received grants from the Pulmonary Fibrosis Foundation.
Agradecimientos
Dr Jason T. Poston and Dr Cathryn T. Lee would like to gratefully acknowledge Dr Matthew R. Stutz, Dr Karen C. Dugan, and Dr John P. Kress, previous contributors to this topic. We would like to gratefully acknowledge the late Dr Ian R. Driscoll, Associate Professor of Surgery and Anesthesiology at the University of Florida College of Medicine and Director of the UF Health Shands Burn Center, for his peer review of this topic in 2024.
Divulgaciones
MRS, KCD, JPK, and IRD declared that they had no competing interests.
Revisores por pares
Leopoldo C. Cancio, MD
Critical Care Fellow
US Army Burn Center
US Army Institute of Surgical Research
Brooke Army Medical Center
Fort Sam Houston
TX
Divulgaciones
LCC declares that he has no competing interests.
Rhys Thomas, MD
Honorary Consultant in Anesthesia and Intensive Care
Queen Victoria Hospital
East Grinstead
Honorary Consultant
Royal London Hospital
London
UK
Divulgaciones
RT declares that he has no competing interests.
Brendan Madden, MD, MSc, FRCP, FRCPI
Professor of Cardiothoracic Medicine
St George's Hospital
London
UK
Divulgaciones
BM declares that he has no competing interests.
Agradecimiento de los revisores por pares
Los temas de BMJ Best Practice se actualizan de forma continua de acuerdo con los desarrollos en la evidencia y en las guías. Los revisores por pares listados aquí han revisado el contenido al menos una vez durante la historia del tema.
Divulgaciones
Las afiliaciones y divulgaciones de los revisores por pares se refieren al momento de la revisión.
Referencias
Artículos principales
Summerhill EM, Hoyle GW, Jordt SE, et al; ATS Terrorism and Inhalational Disasters Section of the Environmental, Occupational, and Population Health Assembly. An official American Thoracic Society Workshop report: chemical inhalational disasters. Biology of lung injury, development of novel therapeutics, and medical preparedness. Ann Am Thorac Soc. 2017 Jun;14(6):1060-72.Texto completo Resumen
ISBI Practice Guidelines Committee, Steering Subcommittee, Advisory Subcommittee. ISBI practice guidelines for burn care. Burns. 2016 Aug;42(5):953-1021.Texto completo Resumen
Anseeuw K, Delvau N, Burillo-Putze G, et al. Cyanide poisoning by fire smoke inhalation: a European expert consensus. Eur J Emerg Med. 2013 Feb;20(1):2-9.Texto completo Resumen
Artículos de referencia
Una lista completa de las fuentes a las que se hace referencia en este tema está disponible para los usuarios con acceso a todo BMJ Best Practice.
Diferenciales
- Asma
- Doença pulmonar obstrutiva crônica (DPOC)
- Edema cardiogênico
Más DiferencialesGuías de práctica clínica
- Guideline for inhalation injury in burns patients. Adult guideline
- Management of airway burns and inhalation injury. Paediatric guideline
Más Guías de práctica clínicaFolletos para el paciente
Queimaduras (menores)
Más Folletos para el pacienteVideos
Punção de artéria radial - Vídeo de demonstração
Punção de artéria femoral - Vídeo de demonstração
Más vídeos
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