{"id":1009,"date":"2013-11-09T16:09:50","date_gmt":"2013-11-09T16:09:50","guid":{"rendered":"https:\/\/surgerytoday.com\/education\/?p=1009"},"modified":"2013-11-09T16:15:13","modified_gmt":"2013-11-09T16:15:13","slug":"airway-burns-surgical-fires-cosmetic-surgery","status":"publish","type":"post","link":"https:\/\/surgerytoday.com\/education\/airway-burns-surgical-fires-cosmetic-surgery\/","title":{"rendered":"Airway burns from surgical fires &#8211; relevance to cosmetic surgery"},"content":{"rendered":"<h1>Smoke Inhalational Injury from Burns<\/h1>\n<p><a href=\"https:\/\/surgerytoday.com\/education\/wp-content\/uploads\/2013\/11\/fire.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-medium wp-image-1012\" alt=\"fire\" src=\"https:\/\/surgerytoday.com\/education\/wp-content\/uploads\/2013\/11\/fire-252x300.jpg\" width=\"252\" height=\"300\" \/><\/a><\/p>\n<h2>Background info on what happens with burn related inhalation injury:<\/h2>\n<ul>\n<li>Inhalation injury is the most important prognostic factor for mortality after burn injury<\/li>\n<li>Total Body Surface Area (TSBA) or patient&#8217;s age doesn&#8217;t matter<\/li>\n<li>After significant smoke inhalation, ciliary function ceases<\/li>\n<li>Epithelial cells separate from the basement membrane<\/li>\n<li>Edema of the airway<\/li>\n<li>serious pulmonary injury may exist without endoscopically apparent changes<\/li>\n<li>Fibrin casts form, may be revealed with repeat bronchoscopy.<\/li>\n<li>Surfactant is diminished resulting in decrease in lung compliance.<\/li>\n<li>Pulmonary fibrosis and airway stenosis is a late finding.<\/li>\n<\/ul>\n<p><a href=\"http:\/\/en.wikipedia.org\/wiki\/Acute_inhalation_injury\">More background information on Inhalational Injury<\/a><\/p>\n<h2>How is this related to our plastic surgical practice in Modesto, California?<\/h2>\n<h3>Surgical Procedures on the face which require the use of the <a title=\"bovie electrocautery\" href=\"http:\/\/www.boviemedical.com\/\">Bovie<\/a><\/h3>\n<p>We need to be aware that inhalational injury exists. \u00a0When working on the face, the risk of a surgical fire is present in the operating room when there are anesthetic gases which can be flammable. \u00a0Oxygen is one of the main culprits for a surgical fire. \u00a0There are precautions to take by the surgical team when a surgeon uses the electrocautery device on the face for any surgical procedure &#8211; including <a title=\"Cosmetic Mole Removal in Modesto, CA\" href=\"https:\/\/surgerytoday.com\">cosmetic mole removal<\/a>.<\/p>\n<h3>Consider evaluation by ENT colleagues.<\/h3>\n<p>Bronchoscopy can be done as part of the evaluation by ENT specialists (Ear, Nose, Throat) &#8211; along with follow up to rule out or manage smoke and thermal related airway injury. \u00a0A bronchoscopy could also be done by a <a title=\"General Surgeon in Modesto, California\" href=\"https:\/\/surgerytoday.com\/calvin-lee\/\">General Surgeon colleague<\/a> who has the experience. \u00a0Inhalational injuries may require ventilatory support.<\/p>\n<h3>Keep inhalational injury in mind<\/h3>\n<p>I think inhalational injury and ventilatory health is something to consider with any burns which occurs on the face, even with what seems to be a short duration burn with a small area injured.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Smoke Inhalational Injury from Burns Background info on what happens with burn related inhalation injury: Inhalation injury is the most important prognostic factor for mortality after burn injury Total Body Surface Area (TSBA) or patient&#8217;s age doesn&#8217;t matter After significant smoke inhalation, ciliary function ceases Epithelial cells separate from the basement membrane Edema of the [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[326],"tags":[328,327,377,105,329,330],"class_list":["post-1009","post","type-post","status-publish","format-standard","hentry","category-inhalational-injury","tag-airway-burns","tag-bronchoscopy","tag-modesto","tag-mole-removal","tag-surgical-fires","tag-ventilator"],"jetpack_featured_media_url":"","_links":{"self":[{"href":"https:\/\/surgerytoday.com\/education\/wp-json\/wp\/v2\/posts\/1009","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/surgerytoday.com\/education\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/surgerytoday.com\/education\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/surgerytoday.com\/education\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/surgerytoday.com\/education\/wp-json\/wp\/v2\/comments?post=1009"}],"version-history":[{"count":3,"href":"https:\/\/surgerytoday.com\/education\/wp-json\/wp\/v2\/posts\/1009\/revisions"}],"predecessor-version":[{"id":1013,"href":"https:\/\/surgerytoday.com\/education\/wp-json\/wp\/v2\/posts\/1009\/revisions\/1013"}],"wp:attachment":[{"href":"https:\/\/surgerytoday.com\/education\/wp-json\/wp\/v2\/media?parent=1009"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/surgerytoday.com\/education\/wp-json\/wp\/v2\/categories?post=1009"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/surgerytoday.com\/education\/wp-json\/wp\/v2\/tags?post=1009"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}