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Article
July 31, 1967

Recognition and Management of Smoke Inhalation

Author Affiliations

From the departments of medicine and anesthesiology, North-western University Medical School and Chicago Wesley Memorial Hospital, Chicago.

JAMA. 1967;201(5):287-290. doi:10.1001/jama.1967.03130050021006
Abstract

In spite of its significance, smoke inhalation has received little attention in the medical literature. Three representative case histories demonstrate the variable course of this entity and the need for individualized care of the victims. Of particular importance is recognition of the 6- to 48-hour latent period which may ensue before complications of acute bronchial obstruction, pneumonia, pulmonary edema, and eventual cardiopulmonary failure develop. Management may require tracheostomy, prolonged intermittent positive-pressure breathing with appropriate concentrations of oxygen and high humidity, and, when indicated, administration of systemic antibiotics and steroids. Frequent arterial blood gas measurements are essential for proper evaluation in these cases, both to delineate the status of the patients and to guide and determine the effectiveness of therapy. If victims of smoke inhalation can be managed through the acute phases of their illness, they often make a complete recovery.

References
1.
 Vital Statistics of the United States , US Dept of Health, Education and Welfare, US Public Health Service, 1960-1963.
2.
Safar, P.:  Respiratory Therapy , Philadelphia: F. A. Davis Co., 1965, p 133.
3.
Bates, D.V., and Christie, R.V.:  Respiratory Function in Disease , Philadelphia: W. B. Saunders Co., 1964, pp 394-404.
4.
Aub, J.C.; Pittman, H.; and Brues, A.M.:  The Pulmonary Complications of Burns: The Management of Coconut Grove Burns at Massachusetts General Hospital , Philadelphia: J. B. Lippincott Co., 1943, pp 34-40.
5.
Connor, E.H.; Dubois, A.B.; and Comroe, J.H., Jr.:  Acute Chemical Injury to the Airway and Lungs ,  Anesthesiology 23:538-547 ( (July) -Aug) 1962.Crossref
6.
Clements, J.A.:  Surfactant in Pulmonary Disease ,  New Eng J Med 272:1336-1337 ( (June 24) ) 1965.Crossref
7.
Lepine, C., and Soucy, R.:  La Bronchopneumonie d'origine Toxique ,  Un Med Canada 91:7-16 ( (Jan) ) 1962.
8.
Kleinfeld, M.:  Acute Pulmonary Edema of Chemical Origin ,  Arch Environ Health 10:942-946 ( (June) ) 1965.Crossref
9.
Head, J.M.:  Tracheostomy in the Management of Respiratory Problems ,  New Eng J Med 264:587-591 ( (March 23) ) 1961.Crossref
10.
Epstein, B.S., et al:  Comparison of Orotracheal Intubation With Tracheostomy in Patients With Face and Neck Burns ,  Anesth Analg 45:352-359 ( (May) -June) 1966.Crossref
11.
Smith, A.C.:  Effect of Mechanical Ventilation on the Circulation ,  Ann NY Acad Sci 121:733-745 ( (March 24) ) 1965.Crossref
12.
Fuson, R., et al:  Clinical Hyperbaric Oxygenation With Severe Oxygen Toxicity ,  New Eng J Med 273:415-419 ( (Aug 19) ) 1965.Crossref
13.
Nash, G.; Blennerhassett, J.B.; and Pontoppidan, M.B.:  Pulmonary Lesions Associated With Oxygen Therapy and Artificial Venetilation ,  New Eng J Med 276:368-374 ( (Feb 16) ) 1967.Crossref
14.
Comroe, J.H., Jr., et al:  The Lung , Chicago: Year Book Medical Publishers, Inc., 1962, pp 291-311.
15.
Bendixen, H.H., et al:  Respiratory Care , St. Louis: C. V. Mosby Co., 1965, pp 111-121.
16.
Petersdorf, R.G.:  A Study of Antibiotic Prophylaxis in Unconscious Patients ,  New Eng J Med 257:1001-1009 ( (Nov 21) ) 1957.Crossref
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