Management of Critical Burn Injuries: Recent Developments / 대한구급학회지
The Korean Journal of Critical Care Medicine
; : 9-21, 2017.
Article
Dans En
| WPRIM
| ID: wpr-770982
Responsable en Bibliothèque :
WPRO
ABSTRACT
BACKGROUND:
Burn injury and its subsequent multisystem effects are commonly encountered by acute care practitioners. Resuscitation is the major component of initial burn care and must be managed to restore and preserve vital organ function. Later complications of burn injury are dominated by infection. Burn centers are often called to manage problems related to thermal injury, including lightning and electrical injuries.METHODS:
A selected review is provided of key management concepts as well as of recent reports published by the American Burn Association.RESULTS:
The burn-injured patient is easily and frequently over resuscitated, with ensuing complications that include delayed wound healing and respiratory compromise. A feedback protocol designed to limit the occurrence of excessive resuscitation has been proposed, but no new “gold standard” for resuscitation has replaced the venerated Parkland formula. While new medical therapies have been proposed for patients sustaining inhalation injury, a paradigm-shifting standard of medical therapy has not emerged. Renal failure as a specific contributor to adverse outcome in burns has been reinforced by recent data. Of special problems addressed in burn centers, electrical injuries pose multisystem physiologic challenges and do not fit typical scoring systems.CONCLUSION:
Recent reports emphasize the dangers of over resuscitation in the setting of burn injury. No new medical therapy for inhalation injury has been generally adopted, but new standards for description of burn-related infections have been presented. The value of the burn center in care of the problems of electrical exposure, both manmade and natural, is demonstrated in recent reports.
Texte intégral:
1
Indice:
WPRIM
Sujet Principal:
Réanimation
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Cicatrisation de plaie
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Unités de soins intensifs de brûlés
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Brûlures
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Lésion par inhalation de fumée
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Inspiration
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Insuffisance rénale
/
Éclairs
Type d'étude:
Guideline
Limites du sujet:
Humans
langue:
En
Texte intégral:
The Korean Journal of Critical Care Medicine
Année:
2017
Type:
Article