Successful treatment for the patient with severe inhalation injury with pneumonia, sepsis, multiple organ failure (Case report)

Le Quang Thao1,, Nguyen Thai Ngoc Minh1
1 Le Huu Trac National Burn Hospital

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Abstract

Although there was a lot of advance in the diagnosis and treatment of inhalation injury, the mortality rate of patients with inhalation injury was still high. The 60 years old male patient was admitted to the burn intensive care unit of the National Burn Hospital with severe inhalation injury. He was treated: Mechanical ventilation, bronchoscopy, nebulizer treatment, continuous renal replacement therapy, broad-spectrum antibiotics.
During the treatment, He suffered severe complications of inhalation injury: pneumonia, sepsis, multiple organ failure. After 21 days of intensive treatment, he was discharged from the hospital with an inhalation injury completely recovered.

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References

1. Herndon DN.(2012). Diagnosis and treatment of inhalation injury. In: Total Burn Care, 4 ed, 9: 229-237.
2. Lam, N. N., et al. (2017), Mass burn injuries: an analysis of characteristics and outcomes in a developing country. Annals of burns and fire disasters, 30(3), 210.
3. Shirani KZ, Pruitt BA Jr, Mason AD Jr (1987). The influence of inhalation injury and pneumonia on burn mortality. Ann Surg; 205:82.
4. Rehberg S, Maybauer MO, Enkhbaatar P, et al (2009). Pathophysiology, management and treatment of smoke inhalation injury. Expert Rev Respir Med; 3:283.
5. Elsharnouby NM, Eid HE, Abou Elezz NF, et al (2014). Heparin/N-acetylcysteine: an adjuvant in the management of burn inhalation injury: a study of different doses. J Crit Care; 29:182.
6. Cartotto R (2009). Use of high-frequency oscillatory ventilation in inhalation injury. J Burn Care Res; 30:178.
7. Chung KK, Rhie RY, Lundy JB, et al (2016). A Survey of Mechanical Ventilator Practices Across Burn Centers in North America. J Burn Care Res, 37:131.
8. Arnold R.S., Thom K.A., Sharma S., et al (2011). Emergence of Klebsiella pneumoniae Carbapenemase (KPC)-Producing Bacteria. South. Med. J.104:40-45.