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Using bronchoscopy and biopsy to diagnose early inhalation injury. Macroscopic and histologic findings
M J Masanès1, C Legendre, N Lioret
1Service de Pneumologie, Hôpital Saint-Antoine, Paris, France.
Objective:
To learn the value of bronchoscopy and biopsy in the early diagnosis of inhalation injury ARDS.
Setting:
Burn Center, CHU Saint-Antoine, Paris, France.
Design:
130 consecutively admitted burn patients were bronchoscoped on admission.
Measurements:
The appearance of the bronchial tree was recorded, and biopsies were taken from spurs of the proximal and distal branches of the right bronchi.
Results:
Either bronchoscopy or biopsy was positive in 46 cases. Twenty three of 44 patients with chemical inhalation injury developed ARDS (52%). Of 83 negative cases only 6 developed ARDS (7%).
Conclusion:
Bronchoscopy with biopsy is useful in predicting the development of ARDS in burn patients.