Combination of adult and pediatric fiberoptic bronchoscopy in bronchial cleaning in smoke inhalation-induced respiratory distress syndrome

Main Article Content

Sawang Saenghirunvattana, MD
Cecille Lorraine Castillon, MD
Chittisak Napairee, MD
Soracha Mekin, RN
Wannipa Kodkaew, RN
Kodchakorn Netrawong, RN
Piyapong Sabaisuk, RN

Abstract

n the practice of medicine, new technologies are developed and old models are improved upon. As new technologies are integrated into standard practices, further innovation occurs to meet situational demands when patients have critical needs; what follows illustrates such an adaptation using modern bronchoscopic instruments.


Smoke inhalation-induced respiratory distress has been known to cause high mortality among victims of À re accidents, especially for those who have been trapped inside burning buildings. In the aftermath of a À re accident, several victims died as a result of smoke inhalation-induced respiratory distress. We have effectively saved À re victims by scrubbing their bronchial airways using a À beroptic bronchoscope to improve ventilation and oxygenation.


However, with a standard-sized bronchoscope it is not possible to reach smaller bronchi, so we combined the use of a pediatric bronchoscopy to the procedure in order to better clean the debris and secretions.

Downloads

Download data is not yet available.

Article Details

How to Cite
1.
Saenghirunvattana S, Castillon CL, Napairee C, Mekin S, Kodkaew W, Netrawong K, Sabaisuk P. Combination of adult and pediatric fiberoptic bronchoscopy in bronchial cleaning in smoke inhalation-induced respiratory distress syndrome. BKK Med J [Internet]. 2013Sep.20 [cited 2020Sep.24];6(1):56. Available from: https://he02.tci-thaijo.org/index.php/bkkmedj/article/view/218622
Section
Case Report

References

1. Enkhbaatar P, Traber DL. Pathophysiology of acute lung injury in combined burn and smoke inhalation injury. Clin Sci (Lond) 2004;107:137-43.
2. Alpard SK, Zwisc enberger JB, Tao W, et al. New clinically relevant sheep model of severe respiratory failure secondary to combined smoke inhalation / cutaneous flame burn injury. Crit Care Med 2000;28:1469-76.
3. Mlcak RP, Suman OE, Herndon DN. Respiratory management of inhalation injury. Burns 2007;33:2-13.