Abstract

Patients with burns are at risk of inhaling superheated gases. Signs, which include singeing of the nasal hair, carbon deposition around the nose or oral cavity, and changes in the voice, may herald potential embarrassment of the airway. This should be urgently assessed by a senior anaesthetist for consideration of an early definitive airway,1 which necessitates placement of a cuffed tube fixed in the lumen of the trachea. Traditionally, the tube is secured by ties or tapes fastened around the patient's lower face, and neck.

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