title: Using bronchoscopy and biopsy to diagnose early inhalation injury. Macroscopic and histologic findings.
abstract: OBJECTIVE
  To learn the value of bronchoscopy and biopsy in the early diagnosis of inhalation injury ARDS.
  
  
  METHODS
  Burn Center, CHU Saint-Antoine, Paris, France.
  
  
  METHODS
  130 consecutively admitted burn patients were bronchoscoped on admission.
  
  
  METHODS
  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%).
  
  
  CONCLUSIONS
  Bronchoscopy with biopsy is useful in predicting the development of ARDS in burn patients.
authors.affiliation: Service de Pneumologie, Hôpital Saint-Antoine, Paris, France.
authors.forename: M J
authors.initials: MJ
authors.lastname: Masanès
authors.forename: C
authors.initials: C
authors.lastname: Legendre
authors.forename: N
authors.initials: N
authors.lastname: Lioret
authors.forename: R
authors.initials: R
authors.lastname: Saizy
authors.forename: B
authors.initials: B
authors.lastname: Lebeau
mesh_terms: D000328:Adult; D001706:Biopsy; D001980:Bronchi / Q000473:pathology*; D001999:Bronchoscopy; D002056:Burns / Q000150:complications; D002059:Burns, Inhalation / Q000150:complications / Q000175:diagnosis* / Q000473:pathology; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D011379:Prognosis; D011446:Prospective Studies; D012128:Respiratory Distress Syndrome / Q000209:etiology