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Point-of-care ultrasound detection of tracheal wall thickening caused by smoke inhalation
Smoke inhalation is the leading cause of death due to fires. When a patient presents with smoke inhalation, prompt assessment of the airway and breathing is necessary. Point-of-care ultrasonography (US) is used for the rapid assessment of critically ill or injured patients. We herein present a case...
Autores principales: | , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Springer
2014
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4105106/ https://www.ncbi.nlm.nih.gov/pubmed/25097745 http://dx.doi.org/10.1186/2036-7902-6-11 |
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author | Kameda, Toru Fujita, Masato |
author_facet | Kameda, Toru Fujita, Masato |
author_sort | Kameda, Toru |
collection | PubMed |
description | Smoke inhalation is the leading cause of death due to fires. When a patient presents with smoke inhalation, prompt assessment of the airway and breathing is necessary. Point-of-care ultrasonography (US) is used for the rapid assessment of critically ill or injured patients. We herein present a case report of a 54-year-old male who was transferred to the emergency department with shortness of breath, coughing, carbonaceous sputa, and rhinorrhea after inhaling smoke caused by a fire in his locked bedroom. He had no surface burns on the face and no edema or erosion in the oral cavity. He had hoarseness without stridor. His breath sounds were positive for expiratory wheezes. Laryngoscopy showed light edema and erosive findings on the supraglottic region. Bedside point-of-care US revealed hypoechoic thickening of the tracheal wall. The thickening was confirmed by a computed tomographic scan. The patient was carefully monitored with preparation for emergency airway management and was treated with supplemental oxygen and an aerosolized beta-2 adrenergic agonist in the intensive care unit. The symptoms were subsequently relieved, and reexamination by US after 2 days showed remission of the wall thickening. Point-of-care US may therefore be a useful modality for the rapid diagnosis and effective follow-up of tracheal wall thickening caused by smoke inhalation. |
format | Online Article Text |
id | pubmed-4105106 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2014 |
publisher | Springer |
record_format | MEDLINE/PubMed |
spelling | pubmed-41051062014-08-05 Point-of-care ultrasound detection of tracheal wall thickening caused by smoke inhalation Kameda, Toru Fujita, Masato Crit Ultrasound J Case Report Smoke inhalation is the leading cause of death due to fires. When a patient presents with smoke inhalation, prompt assessment of the airway and breathing is necessary. Point-of-care ultrasonography (US) is used for the rapid assessment of critically ill or injured patients. We herein present a case report of a 54-year-old male who was transferred to the emergency department with shortness of breath, coughing, carbonaceous sputa, and rhinorrhea after inhaling smoke caused by a fire in his locked bedroom. He had no surface burns on the face and no edema or erosion in the oral cavity. He had hoarseness without stridor. His breath sounds were positive for expiratory wheezes. Laryngoscopy showed light edema and erosive findings on the supraglottic region. Bedside point-of-care US revealed hypoechoic thickening of the tracheal wall. The thickening was confirmed by a computed tomographic scan. The patient was carefully monitored with preparation for emergency airway management and was treated with supplemental oxygen and an aerosolized beta-2 adrenergic agonist in the intensive care unit. The symptoms were subsequently relieved, and reexamination by US after 2 days showed remission of the wall thickening. Point-of-care US may therefore be a useful modality for the rapid diagnosis and effective follow-up of tracheal wall thickening caused by smoke inhalation. Springer 2014-07-09 /pmc/articles/PMC4105106/ /pubmed/25097745 http://dx.doi.org/10.1186/2036-7902-6-11 Text en Copyright © 2014 Kameda and Fujita; licensee Springer. http://creativecommons.org/licenses/by/4.0 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly credited. |
spellingShingle | Case Report Kameda, Toru Fujita, Masato Point-of-care ultrasound detection of tracheal wall thickening caused by smoke inhalation |
title | Point-of-care ultrasound detection of tracheal wall thickening caused by smoke inhalation |
title_full | Point-of-care ultrasound detection of tracheal wall thickening caused by smoke inhalation |
title_fullStr | Point-of-care ultrasound detection of tracheal wall thickening caused by smoke inhalation |
title_full_unstemmed | Point-of-care ultrasound detection of tracheal wall thickening caused by smoke inhalation |
title_short | Point-of-care ultrasound detection of tracheal wall thickening caused by smoke inhalation |
title_sort | point-of-care ultrasound detection of tracheal wall thickening caused by smoke inhalation |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4105106/ https://www.ncbi.nlm.nih.gov/pubmed/25097745 http://dx.doi.org/10.1186/2036-7902-6-11 |
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