{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,4]],"date-time":"2026-06-04T20:17:02Z","timestamp":1780604222999,"version":"3.54.1"},"reference-count":26,"publisher":"Wiley","issue":"10","license":[{"start":{"date-parts":[[2015,5,4]],"date-time":"2015-05-04T00:00:00Z","timestamp":1430697600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J Paediatrics Child Health"],"published-print":{"date-parts":[[2015,10]]},"abstract":"<jats:sec><jats:title>Aim<\/jats:title><jats:p>The aim of the study was to describe characteristics of children with anterior neck burns admitted to our Paediatric Intensive Care Unit (<jats:styled-content style=\"fixed-case\">PICU<\/jats:styled-content>) and to highlight potential airway complications associated with these injuries, especially in children with scalds.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Retrospective review of children with anterior neck burns requiring admission to <jats:styled-content style=\"fixed-case\">PICU J<\/jats:styled-content>anuary 2004\u2013<jats:styled-content style=\"fixed-case\">D<\/jats:styled-content>ecember 2013.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Fifty\u2010two children with anterior neck burns were admitted; average age 6.6 years. Thirty sustained flame\/explosion injuries; 22 scalds. Seventy\u2010nine\u2009per\u2009cent were male. Mean total body surface area (<jats:styled-content style=\"fixed-case\">TBSA<\/jats:styled-content>) burn 21%. Forty\u2010seven were intubated. Some primary reasons for intubation included unconsciousness, inhalational\/ingestion\/direct airway injury and large TBSA. Majority, however, required intubation for airway complications secondary to subcutaneous\/soft tissue anterior neck oedema not associated with airway injury\/ingestion\/inhalational burns. The scalds subgroup mean age was 2.3 years. Eighty\u2010two\u2009per\u2009cent were male. Mean <jats:styled-content style=\"fixed-case\">TBSA<\/jats:styled-content> 18%. There were no inhalational\/ingestion\/airway injuries. Nineteen children were intubated; average 9.3\u2009h post\u2010injury. Majority (63%) were intubated post\u2010arrival in the Burn Unit, compared with flame\/explosion group (32%). Primary reasons for intubation included large burns, although majority (74%) required intubation for airway complications secondary to subcutaneous and soft tissue anterior neck oedema. For the flame\/explosion group this was the case in only 46%, with other primary reasons such as unconsciousness or inhalational injury being the immediate precedent.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>These results demonstrate that subcutaneous and soft tissue oedema secondary to anterior neck burns may contribute to airway narrowing and compromise requiring intubation. When assessing children's airways, evolving oedema should be recognised and higher observation or early intubation considered regardless of the mechanism of injury.<\/jats:p><\/jats:sec>","DOI":"10.1111\/jpc.12912","type":"journal-article","created":{"date-parts":[[2015,5,4]],"date-time":"2015-05-04T07:23:31Z","timestamp":1430724211000},"page":"976-981","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":5,"title":["Airway compromise in children with anterior neck burns: Beware the scalded child"],"prefix":"10.1111","volume":"51","author":[{"given":"Ela J","family":"Hyland","sequence":"first","affiliation":[{"name":"The Children's Hospital's Burns Research Institute and the Department of Anaesthesia The Children's Hospital at Westmead Sydney Medical School The University of Sydney  Sydney New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"John G","family":"Harvey","sequence":"additional","affiliation":[{"name":"The Children's Hospital's Burns Research Institute and the Department of Anaesthesia The Children's Hospital at Westmead Sydney Medical School The University of Sydney  Sydney New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andrew JP","family":"Martin","sequence":"additional","affiliation":[{"name":"The Children's Hospital's Burns Research Institute and the Department of Anaesthesia The Children's Hospital at Westmead Sydney Medical School The University of Sydney  Sydney New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andrew JA","family":"Holland","sequence":"additional","affiliation":[{"name":"The Children's Hospital's Burns Research Institute and the Department of Anaesthesia The Children's Hospital at Westmead Sydney Medical School The University of Sydney  Sydney New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2015,5,4]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/B978-1-4377-2786-9.00035-7"},{"key":"e_1_2_9_3_1","volume-title":"Emergency Management of Severe Burns Manual","author":"The Education Committee of the Australian and New Zealand Burns Association","year":"2013"},{"key":"e_1_2_9_4_1","first-page":"272","article-title":"Pediatric burns: the forgotten trauma of childhood","volume":"49","author":"Holland AJ","year":"2006","journal-title":"Can. J. Surg."},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.prrv.2013.02.010"},{"key":"e_1_2_9_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0196-0644(96)70302-5"},{"key":"e_1_2_9_7_1","first-page":"248","article-title":"Respiratory emergencies in children","volume":"48","author":"Rotta AT","year":"2003","journal-title":"Respir. Care"},{"key":"e_1_2_9_8_1","doi-asserted-by":"publisher","DOI":"10.1097\/00001503-200406000-00004"},{"key":"e_1_2_9_9_1","doi-asserted-by":"publisher","DOI":"10.1097\/BCR.0b013e3181923eb4"},{"key":"e_1_2_9_10_1","volume-title":"Respiratory Physiology: The Essentials","author":"West JB","year":"2011"},{"key":"e_1_2_9_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.paed.2012.11.008"},{"key":"e_1_2_9_12_1","doi-asserted-by":"publisher","DOI":"10.1097\/00004630-199909000-00011"},{"key":"e_1_2_9_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/0305-4179(96)00032-0"},{"key":"e_1_2_9_14_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1460-9592.2008.02884.x"},{"key":"e_1_2_9_15_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpedsurg.2011.04.018"},{"key":"e_1_2_9_16_1","doi-asserted-by":"publisher","DOI":"10.1016\/0305-4179(93)90110-T"},{"key":"e_1_2_9_17_1","first-page":"209","article-title":"Pediatric upper aero\u2010digestive and respiratory tract burns","volume":"3","author":"Ofri A","year":"2013","journal-title":"Int. J. Burns Trauma"},{"key":"e_1_2_9_18_1","doi-asserted-by":"publisher","DOI":"10.1016\/0305-4179(94)90037-X"},{"key":"e_1_2_9_19_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.prrv.2003.09.007"},{"key":"e_1_2_9_20_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1651-2227.2000.tb00427.x"},{"key":"e_1_2_9_21_1","doi-asserted-by":"publisher","DOI":"10.1097\/00000542-199609000-00005"},{"key":"e_1_2_9_22_1","doi-asserted-by":"publisher","DOI":"10.1097\/00000542-200108000-00008"},{"key":"e_1_2_9_23_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(13)61093-4"},{"key":"e_1_2_9_24_1","doi-asserted-by":"publisher","DOI":"10.1055\/s-0029-1237355"},{"key":"e_1_2_9_25_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.burns.2014.02.013"},{"key":"e_1_2_9_26_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.burns.2013.05.016"},{"key":"e_1_2_9_27_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.burns.2013.12.021"}],"container-title":["Journal of Paediatrics and Child Health"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1111%2Fjpc.12912","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1111%2Fjpc.12912","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/jpc.12912","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,9,23]],"date-time":"2023-09-23T20:58:42Z","timestamp":1695502722000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/jpc.12912"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2015,5,4]]},"references-count":26,"journal-issue":{"issue":"10","published-print":{"date-parts":[[2015,10]]}},"alternative-id":["10.1111\/jpc.12912"],"URL":"https:\/\/doi.org\/10.1111\/jpc.12912","archive":["Portico"],"relation":{},"ISSN":["1034-4810","1440-1754"],"issn-type":[{"value":"1034-4810","type":"print"},{"value":"1440-1754","type":"electronic"}],"subject":[],"published":{"date-parts":[[2015,5,4]]},"assertion":[{"value":"2015-03-24","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2015-05-04","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}