Diagnostic accuracy and reliability of fiberoptic bronchoscopy in lung injury due to inhalation burns
Signa Vitae, cilt.21, sa.2, ss.26-34, 2025 (SCI-Expanded, Scopus)
- Yayın Türü: Makale / Tam Makale
- Cilt numarası: 21 Sayı: 2
- Basım Tarihi: 2025
- Doi Numarası: 10.22514/sv.2025.018
- Dergi Adı: Signa Vitae
- Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus, Central & Eastern European Academic Source (CEEAS), EMBASE
- Sayfa Sayıları: ss.26-34
- Anahtar Kelimeler: Bronchoscopy, Airway burns, Diagnostic
- Açık Arşiv Koleksiyonu: AVESİS Açık Erişim Koleksiyonu
- Sağlık Bilimleri Üniversitesi Adresli: Evet
Özet
Background: Lung injury resulting from inhalation of smoke or chemical combustion products is a significant cause of morbidity and mortality. It is important to make an early diagnosis, accurately determine the severity of the injury, and intervene early. The aim of this study is to evaluate the accuracy and reliability of bronchoscopy in the diagnosis and mortality of patients admitted to the burn intensive care unit (ICU) with a preliminary diagnosis of inhalation burn. Methods: This retrospective study was conducted on 48 patients admitted to our burn ICU between 2017 and 2022 with a preliminary diagnosis of inhalation injury. Demographic data, comorbidities, initial physical examination findings TBSA (total body surface area), inhalation injury grades, Baux score, ABSI (A Body Shape Index), type of admission to the ICU (extubated/intubated), additional trauma, difficult airway, facial burn, accompanying carbon monoxide or cyanide poisoning its existence was recorded. Initial blood gas, lactate, carboxy hemoglobin values, the ratio of partial pressure of oxygen in arterial blood to the fraction of inspiratory oxygen concentration (P/F) ratio, chest radiography and fiberoptic bronchoscopy (FOB) findings (based on abbreviated injury score (ASI) criteria, ASI G0: no injury; G1: mild; G2: moderate; G3: severe; and G4: massive injury), duration of mechanical ventilation (MV), hospital and ICU stay, complications of inhalation injury, supportive treatments (Extracorporeal membrane oxygenation (ECMO), and Renal Replacement Therapy (RRT)) and correlations with mortality were also evaluated. Results: It was observed that the most deaths were in G2, the highest ABSI scores and the longest MV, ICU and hospital stays were in G3. In addition, it was determined that the cases that non-survivors were older (p = 0.005), had more burn surfaces (p = 0.026), and bicarbonate and P/F ratios were higher. Conclusions: It was concluded that FOB is an accurate and safe tool in the diagnosis and early treatment of inhalation burns, and that its routine use, even repeated at intervals, can reduce mortality.