[Late respiratory function complications following burns].

Abstract:

INTRODUCTION:Twenty five per cent of thermal injuries are associated with secondary respiratory events linked to several mechanisms. In the acute phase of the accident oedema of the airways, the fume inhalation syndrome and ARDS are the most common causes responsible for death in 60% of cases. Late respiratory complications are little known and neglected. They comprise obstructive ventilatory defects due to the inhalation syndrome and restrictive defects secondary to ARDS or to dermal injury. CASE REPORT:We report the case of a female patient, extensively burnt 2 years previously, admitted to hospital with severe acute respiratory failure complicating COPD. The presence of both restrictive and obstructive defects led to the suggestion of alternative underlying mechanisms such as the pulmonary consequences of ARDS and extensive dermal scars. The latter were responsible for an armour like thickening of the skin of the thorax compatible with the restrictive defect. CONCLUSIONS:These functional abnormalities and the potential severity of acute respiratory failure are indications for regular pulmonary follow-up of patients with severe circumferential scarring of the thorax who are at high risk for respiratory complications.

journal_name

Rev Mal Respir

authors

Ernesto S,Marduel Y,Freymond N,Pacheco Y,Devouassoux G

doi

10.1016/s0761-8425(08)71553-5

subject

Has Abstract

pub_date

2008-03-01 00:00:00

pages

328-32

issue

3

eissn

0761-8425

issn

1776-2588

pii

S0761-8425(08)71553-5

journal_volume

25

pub_type

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