Tag: Hot
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Neftaly Airway Burns from Hot Liquids or Smoke
What Is It?
- Definition: Thermal or chemical injury to the upper or lower airway caused by:
- Hot liquids (e.g., scalding drinks, accidental ingestion)
- Smoke inhalation during fires
- Steam or chemical fumes
- Can lead to edema, sloughing of mucosa, and airway obstruction within minutes to hours.
???? Mechanisms of Injury
- Thermal burns: Mostly affect upper airway (oropharynx, larynx)
- Smoke inhalation: Can affect both upper and lower airways
- Steam burns: Can reach lower respiratory tract due to deeper penetration
???? Signs & Symptoms
⚠️ Early (0–6 hours):
- Hoarseness or voice changes
- Stridor or wheezing
- Facial burns, singed nasal hairs
- Soot in mouth or nose
- Cough, dyspnea
- Difficulty swallowing or speaking
⚠️ Late (6–24 hours):
- Progressive airway obstruction
- Respiratory distress
- Hypoxia
- Carbon monoxide or cyanide toxicity (in smoke inhalation)
???? Diagnosis
- Clinical suspicion is key — symptoms may be delayed
- Flexible nasopharyngolaryngoscopy: Direct visualization of airway swelling
- Chest X-ray / CT scan: To evaluate lower airway or inhalation injury
- COHb level (carbon
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- Definition: Thermal or chemical injury to the upper or lower airway caused by: