Resumo
Definição
História e exame físico
Principais fatores diagnósticos
- 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
Outros fatores diagnósticos
- taquicardia
- hipotensão
- náuseas
Fatores de risco
- exposição conhecida à inalação
Investigações diagnósticas
Primeiras investigações a serem solicitadas
- 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
Investigações a serem consideradas
- testes de função pulmonar (TFP)
- laringoscopia e broncoscopia
- lactato sérico
Novos exames
- nível de cianeto
Algoritmo de tratamento
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
Declarações
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
Declarações
CL has received grants from the Pulmonary Fibrosis Foundation.
Agradecimentos
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.
Declarações
MRS, KCD, JPK, and IRD declared that they had no competing interests.
Revisores
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
Declarações
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
Declarações
RT declares that he has no competing interests.
Brendan Madden, MD, MSc, FRCP, FRCPI
Professor of Cardiothoracic Medicine
St George's Hospital
London
UK
Declarações
BM declares that he has no competing interests.
Peer reviewer acknowledgements
BMJ Best Practice topics are updated on a rolling basis in line with developments in evidence and guidance. The peer reviewers listed here have reviewed the content at least once during the history of the topic.
Disclosures
Peer reviewer affiliations and disclosures pertain to the time of the review.
Referências
Principais artigos
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 Resumo
ISBI Practice Guidelines Committee, Steering Subcommittee, Advisory Subcommittee. ISBI practice guidelines for burn care. Burns. 2016 Aug;42(5):953-1021.Texto completo Resumo
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 Resumo
Artigos de referência
Uma lista completa das fontes referenciadas neste tópico está disponível para os usuários com acesso total ao BMJ Best Practice.
Diagnósticos diferenciais
- Asma
- Doença pulmonar obstrutiva crônica (DPOC)
- Edema cardiogênico
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- Management of airway burns and inhalation injury. Paediatric guideline
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