Abstract
Respiratory distress with episodes of cyanosis, intercostal retraction and sibilant rhonchi occurred in a 2-year-old boy over a 48-hour period following serious smoke inhalation. Worsening of the child's condition accompanied these findings, culminating in sudden loss of air entry, severe respiratory distress and loss of consciousness, which necessitated endotracheal intubation for resuscitation. Pronounced improvement followed removal of two pseudomembranous bronchial casts from the airway by suctioning, and thereafter recovery was uneventful.
Full text
PDF
Images in this article
Selected References
These references are in PubMed. This may not be the complete list of references from this article.
- Allen T. H., Steven I. M. Prolonged nasotracheal intubation in infants and children. Br J Anaesth. 1972 Aug;44(8):835–840. doi: 10.1093/bja/44.8.835. [DOI] [PubMed] [Google Scholar]
- DiVincenti F. C., Pruitt B. A., Jr, Reckler J. M. Inhalation injuries. J Trauma. 1971 Feb;11(2):109–117. doi: 10.1097/00005373-197102000-00002. [DOI] [PubMed] [Google Scholar]
- Harrison H. N. Respiratory tract injury, pathophysiology and response to therapy among burned patients. Ann N Y Acad Sci. 1968 Aug 14;150(3):627–638. doi: 10.1111/j.1749-6632.1968.tb14715.x. [DOI] [PubMed] [Google Scholar]
- Lowbury E. J., Thom B. T., Lilly H. A., Babb J. R., Whittall K. Sources of infection with Pseudomonas aeruginosa in patients with tracheostomy. J Med Microbiol. 1970 Feb;3(1):39–56. doi: 10.1099/00222615-3-1-39. [DOI] [PubMed] [Google Scholar]
- Mithoefer J. C., Porter W. F., Karetzky M. S. Indications for the use of sodium bicarbonate in the treatment of intractable asthma. Respiration. 1968;25(3):201–215. doi: 10.1159/000192562. [DOI] [PubMed] [Google Scholar]
- Moritz A. R., Henriques F. C., McLean R. The Effects of Inhaled Heat on the Air Passages and Lungs: An Experimental Investigation. Am J Pathol. 1945 Mar;21(2):311–331. [PMC free article] [PubMed] [Google Scholar]
- PHILLIPS A. W., COPE O. Burn therapy: III. Beware the facial burn. Ann Surg. 1962 Nov;156:759–766. doi: 10.1097/00000658-196211000-00009. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Piafsky K. M., Ogilvie R. I. Dosage of theophylline in bronchial asthma. N Engl J Med. 1975 Jun 5;292(23):1218–1222. doi: 10.1056/NEJM197506052922305. [DOI] [PubMed] [Google Scholar]
- Thomas D. M., Conner E. H. Management of the patient "overcome by smoke". J Ky Med Assoc. 1968 Dec;66(12):1051–1056. [PubMed] [Google Scholar]