Noninvasive Mechanical Ventilation in Burn
Noninvasive Mechanical Ventilation in High Risk Infections, Mass Casualty and Pandemics, Springer International Publishing Ag, ss.405-413, 2023
- Yayın Türü: Kitapta Bölüm / Araştırma Kitabı
- Basım Tarihi: 2023
- Doi Numarası: 10.1007/9783031296734_44
- Yayınevi: Springer International Publishing Ag
- Sayfa Sayıları: ss.405-413
- Sağlık Bilimleri Üniversitesi Adresli: Evet
Özet
Respiratory dysfunction is a major problem after a burn injury and may result from direct airway burn with flame, the effect of the systemic inflammatory response to burn, and smoke inhalation injury. Inhalation burns may lead to airway obstruction by mucosal casts and edema. Later on, respiratory complications emerge from the onset of pneumonia, immobility, atelectasis, and the development of acute respiratory distress syndrome (ARDS). Treatment strategies vary according to the degree, extension, and anatomic location of the injury, as well as the presence of inhalation injury. Intubation would be a more appropriate approach for probable inhalation injury even limited with supraglottic region compromising the airway. In addition, noninvasive ventilation (NIV) can be used for earlier extubation while maintaining the weaning process with mask or helmet. Early extubation helps to avoid further complications of intubation and enables early rehabilitation. Since respiratory dysfunction is usually progressive, NIV should also be initiated as prophylactic therapy in high-risk burn patients even before signs of respiratory failure.