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Coincident with significant improvement in the management of shock, fluid management and sepsis in the severely burned patients, respiratory tract damage has emerged as the principal killer in burned patients. Despite the recognized nature of this aspect of the severely burned patient, and despite extensive clinical studies and laboratory research, there remains considerable confusion and disagreement regarding the assessment and management of burned patients with respiratory tract damage. Very frequently, the otolaryngologist may be called upon to provide the necessary measures in the management of these patients, especially regarding tracheostomy and problems of tracheobronchial toilet.

Management of airway problems in severely burned patients