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…
Aesthetic plastic surgery
Management of Facial Burns, Acute Versus Long-Term, Surgical Versus Non-surgical Face Transplant
Fig. 35.1 Deep partial thickness burns. Aspect before enzymatic debridement Fig. 35.2 Same wound after enzymatic debridement. Note that all dead tissues have been removed with the protection of living…
Resuscitation Strategies and Technology
Fig. 16.1 Graph from Burn Navigator showing current volume (green), Parkland (yellow) and Modified Brooke (bright green) guidelines and projected 24-hour fluid volume A single-center cohort study showed that computerized…
Telemedicine and Transportation in Pre-hospital Burn Management
Factors influencing the need for transfer of thermally injured patients Pre-hospital factors Experience treating burn injuries Knowledge of the treatment of burn injuries Resources for treating burn injuries Specialized intensive…
Care of the Burned Patient
Fig. 24.1 Dose–response curves for rocuronium in burned and non-burned adults. On the y-axis, the train-of-four (TOF) ratio is represented as the percentage of twitch suppression between the fourth and…
Support for the Burn Patient
kcal/day Comments Adult formulas Harris Benedict Men: 66.5 + 13.8 (weight in kg) + 5 (height in cm) − 6.76 (age in years) Women: 655 + 9.6 (weight in kg) + 1.85 (height in cm) − 4.68 (age in years) Estimates…
of Burns: Established and Novel Technologies
Dressing agent Active substance Presentation Main use Advantages Disadvantages Bacitracin Bacitracin Ointment Superficial burns, skin grafts Gram + coverage No Gram − or fungal coverage Polymyxin Polymyxin B Ointment Superficial burns, skin grafts Gram − coverage…
Burn Management
• Size, depth, and location of burn • Patient’s age, comorbidities, and functional state • Concern for abuse or neglect • Home support including assistance in wound care and transportation Table 33.2 Burn Center…
and Prevention of Pain in Children and Adults with Burn Injuries
Fig. 25.1 Multimodal analgesia 25.2 Burn Pain Pathophysiology The majority of burn patients experience different distinct and at times overlapping entities of pain pathophysiology concurrently and/or subsequently, explaining the need…
