@article{ref1,
title="A survey of current practices in the diagnosis of and interventions for inhalational injuries in Canadian burn centres",
journal="The Canadian journal of plastic surgery = Journal canadien de chirurgie plastique",
year="2013",
author="Yeung, Justin K. and Leung, Leslie Tze Fung and Papp, Anthony",
volume="21",
number="4",
pages="221-225",
abstract="OBJECTIVE:  To summarize current Canadian practice patterns in the diagnosis of and interventions for inhalation injuries (INHI).  METHODS:  A 10-question survey regarding the diagnosis of and interventions for INHI was sent to the medical directors of all 16 burn centres across Canada.  RESULTS:  The response rate to the survey was 50%. Fibreoptic bronchoscopy is required for the diagnosis of INHI in only four centres (50%). The departments of intensive care, plastic surgery, otolaryngology and respirology are involved in performing fibreoptic bronchoscopy in 87.5%, 37.5%, 12.5% and 12.5% of Canadian burn centres, respectively. Intubation for INHI is most often based on physical examination results (87.5%) and clinical history (75%). The most common physical features believed to be most consistent with INHI are dyspnea (87.5%) and hoarseness (87.5%). Common treatments include intubation (87.5%), routine ventilatory support (87.5%) and chest physiotherapy (75%). None of the centres used nebulized heparin. A total of five centres (62.5%) routinely changed the fluid resuscitation protocol when INHI was diagnosed. Only two centres (25%) routinely used prophylactic antibiotics for INHI.  CONCLUSION:  Prospective, multicentre trials are needed to generate evidence-based consensus in the areas of diagnosis, grading and treatment for INHI in Canada.<p /> <p>Language: en</p>",
language="en",
issn="1195-2199",
doi="",
url="http://dx.doi.org/"
}