Page 2707 - Cote clinical veterinary advisor dogs and cats 4th

Burns and/or Smoke Inhalation 1403.e3

Burns and/or Smoke Inhalation
VetBooks.ir

Initial presentation
and evaluation

Inhalation injury Combined inhalation Cutaneous thermal burn
injury and cutaneous burn

Inhalation injury Major burn: Moderate burn: Minor burn:
and moderate or 50% TBSA 15%-50% TBSA 15% TBSA
minor burn

Follow protocols for Guarded to poor Treat burn wounds
inhalation injury and prognosis; consider Monitor for shock or
burn treatment euthanasia respiratory signs

Assess injury to
upper airway;
administer supplemental Provide fluid therapy Assess wounds; apply
oxygen and support topical antimicrobials

No upper airway injury Upper airway injury First 24 hours Subsequent days Excision of burn
resulting in eschar as necessary
progressive obstruction
Crystalloid fluids Continue fluid
Avoid synthetic therapy;
Continue supplemental Intubate or tracheostomy; colloids if possible administer colloids
oxygen; monitor for continue oxygen if indicated;
pulmonary dysfunction provide nutritional
support if not eating
Pulmonary dysfunction Adjust fluid rate on
basis of vital signs,
urine output, blood
pressure, and central Reconstruction with skin Open wound
As appropriate: venous pressure; grafts or skin flaps treatment
Bronchoscopy check protein levels
Mechanical ventilation
Nebulization
Application of Clinical Algorithms
temporary skin
substitutes

TBSA, Total body surface area.
(Modified from Slatter DH: Textbook of small animal surgery, ed 3, St. Louis, 2003, Saunders.)

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