Application of Flexible Bronchoscopy in Inhalation Lung Injury

Background: As acute inhalational injury is an uncommon presentation to most institutions, a standard approach to its assessment and management, especially using flexible bronchoscopy, has not received significant attention. Methods: The objective of this study is to evaluate the value of using flexible bronchoscopy as part of the evaluation and management of patients with inhalational lung injury. Twenty-three cases of inhalational lung injury were treated in our three hospitals after a fire in a residential building. The twenty cases that underwent bronchoscopy as part of their management are included in this analysis. After admission, the first bronchoscopy was conducted within 18-72 hours post inhalational injury. G2-level patients were reexamined 24 hours after the first bronchoscopy, while G1-level patients were reexamined 72 hours later. Subsequently, all patients were re-examined every 2-3 days until recovered or until only tunica mucosa bronchi congestion was identified by bronchoscopy. Results: Twenty patients had airway injury diagnosed by bronchoscopy including burns to the larynx and glottis or large airways. Bronchoscopic classification of the inhalation injury was performed, identifying 12 cases of grade G1 changes and 8 cases of grade G2. The airway injury in the 12 cases of grade G1 patients demonstrated recovery in 2-8 days, in the airway injury of the 8 cases of grade G2 patients had a prolonged recovery with airway injury improving in 6-21 days averaged. The difference in recovery time between the two groups was significant (P Conclusions: The use of flexible bronchoscopy has great value in the diagnosis of inhalational injury without any complications. Its use should be incorporated into clinical practice

Relational Quantum Mechanics and Probability

We present a derivation of the third postulate of Relational Quantum Mechanics (RQM) from the properties of conditional probabilities.The first two RQM postulates are based on the information that can be extracted from interaction of different systems, and the third postulate defines the properties of the probability function. Here we demonstrate that from a rigorous definition of the conditional probability for the possible outcomes of different measurements, the third postulate is unnecessary and the Born's rule naturally emerges from the first two postulates by applying the Gleason's theorem. We demonstrate in addition that the probability function is uniquely defined for classical and quantum phenomena. The presence or not of interference terms is demonstrated to be related to the precise formulation of the conditional probability where distributive property on its arguments cannot be taken for granted. In the particular case of Young's slits experiment, the two possible argument formulations correspond to the possibility or not to determine the particle passage through a particular path.Comment: Foundations of Physics, Springer Verlag, 201