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Inhalational Injury
Sonia L. Betancourt Cuellar, MD
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KEY FACTS

  • Terminology

    • Imaging

      • Top Differential Diagnoses

        • Pathology

          • Clinical Issues

            • Diagnostic Checklist

              TERMINOLOGY

              • Abbreviations

                • Inhalational injury (II)
              • Synonyms

                • Inhalation injury
              • Definitions

                • II results from inhalation of smoke or chemical products of combustion typically as result of accidental spill, explosion, or fire
                  • Injury to lungs and airways produced by heat or local chemical irritation
                    • Heated air usually produces injury to airway epithelium above carina
                    • Smoke produces chemical injury due to release of toxins that produce damage of epithelial and capillary endothelial cells of lungs and airways
                    • Chemical agents: Gases, aerosols, fumes, and dusts produce epithelial &/or capillary endothelial cell injury
                • II occurs more frequently in home environment than in workplace

              IMAGING

              • General Features

                • Radiographic Findings

                  • CT Findings

                    • Imaging Recommendations

                      DIFFERENTIAL DIAGNOSIS

                        PATHOLOGY

                        • General Features

                          • Staging, Grading, & Classification

                            • Gross Pathologic & Surgical Features

                              CLINICAL ISSUES

                              • Presentation

                                • Demographics

                                  • Natural History & Prognosis

                                    • Diagnosis

                                      • Treatment

                                        DIAGNOSTIC CHECKLIST

                                        • Consider

                                          • Reporting Tips

                                            Selected References

                                            1. Akira M et al: Acute and subacute chemical-induced lung injuries: HRCT findings. Eur J Radiol. 83(8):1461-9, 2014
                                            2. Dries DJ et al: Inhalation injury: epidemiology, pathology, treatment strategies. Scand J Trauma Resusc Emerg Med. 21:31, 2013
                                            3. Oh JS et al: Admission chest CT complements fiberoptic bronchoscopy in prediction of adverse outcomes in thermally injured patients. J Burn Care Res. 33(4):532-8, 2012
                                            4. Reske A et al: Computed tomography--a possible aid in the diagnosis of smoke inhalation injury? Acta Anaesthesiol Scand. 49(2):257-60, 2005
                                            Related Anatomy
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                                            Related Differential Diagnoses
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                                            References
                                            Tables

                                            Tables

                                            KEY FACTS

                                            • Terminology

                                              • Imaging

                                                • Top Differential Diagnoses

                                                  • Pathology

                                                    • Clinical Issues

                                                      • Diagnostic Checklist

                                                        TERMINOLOGY

                                                        • Abbreviations

                                                          • Inhalational injury (II)
                                                        • Synonyms

                                                          • Inhalation injury
                                                        • Definitions

                                                          • II results from inhalation of smoke or chemical products of combustion typically as result of accidental spill, explosion, or fire
                                                            • Injury to lungs and airways produced by heat or local chemical irritation
                                                              • Heated air usually produces injury to airway epithelium above carina
                                                              • Smoke produces chemical injury due to release of toxins that produce damage of epithelial and capillary endothelial cells of lungs and airways
                                                              • Chemical agents: Gases, aerosols, fumes, and dusts produce epithelial &/or capillary endothelial cell injury
                                                          • II occurs more frequently in home environment than in workplace

                                                        IMAGING

                                                        • General Features

                                                          • Radiographic Findings

                                                            • CT Findings

                                                              • Imaging Recommendations

                                                                DIFFERENTIAL DIAGNOSIS

                                                                  PATHOLOGY

                                                                  • General Features

                                                                    • Staging, Grading, & Classification

                                                                      • Gross Pathologic & Surgical Features

                                                                        CLINICAL ISSUES

                                                                        • Presentation

                                                                          • Demographics

                                                                            • Natural History & Prognosis

                                                                              • Diagnosis

                                                                                • Treatment

                                                                                  DIAGNOSTIC CHECKLIST

                                                                                  • Consider

                                                                                    • Reporting Tips

                                                                                      Selected References

                                                                                      1. Akira M et al: Acute and subacute chemical-induced lung injuries: HRCT findings. Eur J Radiol. 83(8):1461-9, 2014
                                                                                      2. Dries DJ et al: Inhalation injury: epidemiology, pathology, treatment strategies. Scand J Trauma Resusc Emerg Med. 21:31, 2013
                                                                                      3. Oh JS et al: Admission chest CT complements fiberoptic bronchoscopy in prediction of adverse outcomes in thermally injured patients. J Burn Care Res. 33(4):532-8, 2012
                                                                                      4. Reske A et al: Computed tomography--a possible aid in the diagnosis of smoke inhalation injury? Acta Anaesthesiol Scand. 49(2):257-60, 2005