Point-of-care endoscopic optical coherence tomography detects changes in mucosal thickness in ARDS due to smoke inhalation and burns

Smoke inhalation injury (SII) is diagnosed in 10 –35% of patients admitted into burn units. Of the patients with SII, almost 40% subsequently develop pneumonia [1,2]. Presence of SII increases mortality by 20% over that predicted by age and burn size alone, and by up to 60% when pneumonia is also present [1]. The prevalence of ARDS in mechanical ly ventilated burn patients is about 33%, with mortality varying from 11–46% depending on ARDS severity [3,4]. Despite the new Berlin definition for ARDS, which enables earlier diagnosis and interventions in ARDS [5], prompt bedside identification of SII patients at risk for ARDS is lacking.

Source: Burns : Journal of the International Society for Burn Injuries - November 24, 2018 Category: Cosmetic Surgery Authors: Jae Hyek Choi, Li-Dek Chou, Teryn R. Roberts, Brendan M. Beely, Daniel S. Wendorff, Mark D. Espinoza, Kyle Sieck, Alexander T. Dixon, David Burmeister, Bryan S. Jordan, Matthew Brenner, Zhongping Chen, Corina Necsoiu, Leopoldo C. Cancio, Andriy I. Batchin Source Type: research