After multivariate analysis, an intubation performed at a burn center was independently associated with difficult intubation: odds ratio = 3.2 95% confidence interval, 1.1-528.
The most important difference between patients with or without difficult intubation was the time between the burn injury and the intubation: 210 (105-290) vs 120 (60-180) minutes (P =. The incidence of difficult intubation was 11.2% but was greater in the burn center than in the pre-burn center: 16.9% vs 3.5% (P =. We hypothesize that many intubations performed before burn center transport are.
Many patients are intubated before transport and are often extubated shortly after burn center arrival. Patients were compared according to the difficulty of their intubation.īetween January 2007 and December 2011, we included 134 patients. Advanced Burn Life Support emphasizes endotracheal intubation for patients with facial burns before transfer to a burn center to prevent airway obstruction. We conducted a 5-year retrospective, single-center study including all patients meeting the following criteria: 18 years of age or older, an FNB at least 1% of burned surface area with a severity equal to or greater than the superficial second degree, and intubation and a burn center admission within the first 24 hours after the burn. This study aims to describe the incidence and the characteristics of difficult intubation in FNB patients. Face and/or neck burn (FNB) exposes patients to the double respiratory risk of obstruction and hypoxia, and these risks may require a tracheal intubation.
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