Care in Burns

Nov 4, 2020 by in Aesthetic plastic surgery Comments Off on 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…

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Improvement in Burn Care

Nov 4, 2020 by in Aesthetic plastic surgery Comments Off on Improvement in Burn Care

Fig. 8.1 Resources, and how they are utilized within a system or process of care, influence outcomes Bailey described quality improvement as ‘a broad range of activities of varying degrees…

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Burns

Nov 4, 2020 by in Aesthetic plastic surgery Comments Off on Burns

Physiologic differences • Children seem more susceptible to symptomatic bronchospasm than adults • Young infants may have a less mature renal concentrating ability than adults • Young children seem to handle fluid overload…

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Burns

Nov 4, 2020 by in Aesthetic plastic surgery Comments Off on Burns

Fig. 36.1 Escharotomy of the hand is performed by incising the eschar in the intermetacarpal spaces. Care is taken not to unnecessarily sever or expose underlying extensor tendons Patients with…

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Management of Burn Patients and Fluid Resuscitation

Nov 4, 2020 by in Aesthetic plastic surgery Comments Off on Management of Burn Patients and Fluid Resuscitation

Q—Fluid filtration rate Kf—Capillary filtration coefficient (capillary surface area x hydraulic conductivity) Pcap—Capillary hydrostatic pressure Pi—Interstitial hydrostatic pressure σ—Reflection coefficient (Permeability) πp—Plasma oncotic pressure πi—Interstitial oncotic pressure After a deep…

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and Scar Management

Nov 4, 2020 by in Aesthetic plastic surgery Comments Off on and Scar Management

Fig. 38.1 Keloids (upper row) and h ypertrophic scar (bottom row) before (a) and 6 months after (b) four sessions of open spray cryotherapy (two passes of 10 s each) followed by…

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