الفهرس | Only 14 pages are availabe for public view |
Abstract The most common cause of death among burn population nowadays is inhalation injury. Using of fiberoptic bronchoscopy and bronchoalveolar lavage for diagnosis and treatment of inhalation injury help greatly in early diagnosis and proper management of inhalation burn. Material & Method: Patients with cutaneous burn and clinical manifestation suggesting inhalation injury. Bronchoscopy was done to confirm the diagnosis. Patients classified into two groups the bronchoscopic group: for which repeated therapeutic bronchoscope and bronchoalveolar lavage was done. The conventional group: using medical treatment only. Cytological examination was done for bronchoalveolar lavage fluid. Results: bronchoscope and bronchoalveolar lavage is more effective in reducing complications, length of hospital stay and mortality of inhalation burn patients than conventional methods of treatment. Also more rapid improvement was noticed clinically and laboratory in bronchoscopic group. Conclusion : 1. Using a combination of early bronchoscopy together with clinical examination and A.B.G measurement to diagnose and evaluate the accurate severity of the inhalation injury is a must. 2. Use of bronchoscopic regimen with bronchoalveolar lavage using heparin had bitter results without adding any further risk more than the conventional treatment. 3. B.A.L. cytology performed to patients has good diagnostic and prognostic values to estimate the progression and resolution of the inflammatory response |