A non-systematic literature review shall be discussed in an attempt to answer these questions. The purpose of this article is to review whether patients with airway burn or inhalation injury should be prophylactically intubated, or if different approaches are available to make an airway management decision. For several decades reports have been published of studies suggesting that prophylactic intubation of patients with inhalation injury or airway burn may decrease mortality 4 - 6 consequently, the Advanced Trauma Life Support (ATLS) and the Advanced Burn Life Support (ABLS) recommend an early intubation threshold for these patients. It has been a usual practice to intubate patients with airway burn or inhalation injury early, because of the risk of edema and loss of patency. SIVIGILA (Public Health Surveillance System) reported 879 cases from Decemthrough January 14, 2017, of which 385 (43.8%) were minors. 2 In Colombia, the most recent reports date back to the December holidays and are associated with firework burns. 1 The World Health Organization estimated a total of 265,000 deaths per year as a result of burns in 2016 in 2004, approximately 11 million people experienced severe burns requiring medical care worldwide. Burns are the fourth cause of trauma around the world, with 90% of the cases reported in low-income countries, resulting in high mortality and morbidity, prolonged length of hospital stay, disfigurement, and disability.
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