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Management and Complications of Severe Pulmonary Burn

William L. Donnellan, MD; Stuart M. Poticha, MD; Paul H. Holinger, MD
JAMA. 1965;194(12):1323-1325. doi:10.1001/jama.1965.03090250057023.
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WITH RECENT improvements in the management of shock and sepsis due to burns, the problem of respiratory-tract damage has become increasingly important to the management of severe thermal injuries. The following case report describes the successful management of a case of deep tracheopulmonary burns, and demonstrates that bronchiectasis and bronchial stenosis may develop after recovery from the burn.

Report of a Case  A 5-year-old boy weighing 50 lb (22.7 kg) was burned in a tenement fire in which two siblings died and a sister was burned to a lesser degree. A half hour after the injury, the patient's pulse rate was 180 beats per minute; the temperature, 103 F (39.4 C); respirations, 40 per minute; and the blood pressure, 70/0 mm Hg. First- and second-degree burns were present over the face, ears, and scalp, together with third-degree burns over 30% of the trunk, arms, hands, and upper thighs. The pharynx


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