Management of the Burn Patient
Classification Assessment criteria Minor burn injury <15% TBSA burn in adults <40 years age <10% TBSA burn in adults >40 years age <2% TBSA full-thickness burn without risk of functional or esthetic…
Management of Burn Patients
Fig. 34.1 WHO surgical safety checklist With the patient surgically cleaned and draped, many techniques can be sequentially or concomitantly used to reduce blood loss [24]. The intraoperative measures available…
Autologous Coverage for a 90% TBSA Full-Thickness Burns
Fig. 45.1 Patient at admission, presenting a 90% TBSA full-thickness burn injury Fig. 45.2 Multiple escharotomies were done upon admission Fig. 45.3 Early debridement of this very deep burn injury…
Management of Acute Burn Wounds in Rural Areas of Low-Income Countries: Global Burn Surgery
Fig. 46.1 Lower face and neck contracture with oral incontinence—preoperative photos Under general anesthesia, the burn contractures were released at the base of the neck contracture. When released, the soft…
of Burn Injuries
45–51 °C within minutes 51 and 70 °C within seconds Above 70 °C less than a second The depth and severity of the burn are also determined by the ability of the contact…
Reconstruction: The Role of Integra in the Dorsum Hand and Wrist Reconstruction
Fig. 44.1 Folliculitis, both dorsum hands Decision was taken to completely excise all the scarred tissue and previous skin grafts and reconstruct with Integra as dermal substitute (Fig. 44.2). Skin…
Necrolysis Spectrum from Basic Theory to Practice Essentials
Classification Type of lesions Distribution %BSA EMM Typical target Acral – SJS Spots atypical target Widespread <10 SJS–TEN overlap Spots atypical target Widespread 10–30% TEN with spots Spots atypical target…
Size Estimation, Challenges, and Novel Technology
Requirements Environmental Usability in IT-environment 0 0 100 25 100 Equipment needed 50 100 50 0 50 Usability in clinical settings 0 0 100 25 100 Usability in preclinical settings…
42. Frostbite
Fig. 42.1 Diagram showing the effect of a closed (a) and an open (b) arterio-venous anastomosis. From Boyd JD. Arterio-venous anastomoses. London Hospital Gazette 1939;42:2–8 42.4 Pathophysiology The general frostbite…
Care in Burns
Under–resuscitation Over–resuscitation Oliguria < 0.3 mL/kg/h Polyuria > 1.0 mL/kg/h Hemoglobin > 18 g/dL (Hct > 55%) Decreasing PaO2/FiO2, →pulmonary edema Sodium > 145 mEq/L Increasing pulmonary artery wedge pressure, central venous pressure (CVP) Cardiac index < 2 L/min/m2 Rapidly increasing cutaneous edema Mixed venous oxygen saturation…
