Bronchial Asthma Clinical Trial
Official title:
Pathophysiologic Changes in the Respiratory System After Fire Smoke Inhalation
Fire smoke inhalation may contribute to intrabronchial inflammation, airway obstruction and impaired gas exchange. In this study the investigators will examine if the scope of inhalation injury can be assessed soon after hospital admission based on clinical markers, biochemical markers, Peak Expiratory Flow (PEF), spirometry and bronchoscopy. At 6 months a lung function test and metacholine test will be performed to examine whether patients have developed increased bronchial hyperreactivity (asthma) or not after the initial fire smoke exposure.
Fire smoke inhalation may contribute to intrabronchial inflammation, airway obstruction and
impaired gas exchange. The scope of injury in fire smoke victims ranges from cough and minor
airway irritation to severe respiratory failure and long term mechanical ventilation in the
Intensive Care Unit. Some patients with high HbCO-levels are also treated with hyperbaric
oxygen therapy.
In this study the investigators will examine if the scope of inhalation injury can be
assessed soon after admission based on clinical markers, biochemical markers, Peak
Expiratory Flow (PEF), spirometry and bronchoscopy. The clinical effect of fiberoptic
bronchoscopy after severe smoke inhalation will also be examined. At 6 months a lung
function test and metacholine test will be performed to examine whether they have developed
asthma/increased bronchial hyperreactivity or not after the initial fire smoke exposure. Lab
staff (flowcytometer and cytokine analysis) are unaware of patient identity and whether the
patient is a smoke-exposed patient or a healthy volunteer in the control group of
non-exposed persons.
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Intervention Model: Single Group Assignment, Masking: Open Label, Primary Purpose: Diagnostic
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