Lactate in the burn patient

Tracheostomy in the young pediatric burn patient.

OBJECTIVE To evaluate the incidence of complications in comparison with the benefits of tracheostomy in young pediatric burn patients (newborn to 3 years old). DESIGN Retrospective survey. SETTING Tertiary care burn center. PATIENTS A total of 1549 consecutive pediatric burn patients, of whom 180 were intubated. INTERVENTIONS Tracheostomy was performed in 76 children. MAIN OUTCOME MEA...

Lactate clearance in the acutely traumatized patient.

1162 December 2012 W HEN oxygen delivery falls below a critical threshold, the anaerobic threshold, the amount of oxygen available for consumption is not able to meet the needs of cells. These imbalances result in cellular hypoxia, resulting in the failure of mitochondrial oxidative phosphorylation, and as a result energy metabolism becomes wholly dependent on anaerobic glycolysis.1 Anaerobic g...

Nutritional management of the burn patient

The metabolic response to burn injury is similar to that of any physiological trauma, just more pronounced. When the burn injury exceeds 15 to 20% of the total body surface area (TBSA), it results in systemic disturbances, including a major stress response, impaired immunity and extensive fluid redistribution.2,4,5 The loss of circulating volume results in an increase in stress hormones, includ...

Nutritional management of the burn patient

The metabolic response to burn injury is similar to that of any physiological trauma, just more pronounced. When the burn injury exceeds 15 to 20% of the total body surface area (TBSA), it results in systemic disturbances, including a major stress response, impaired immunity and extensive fluid redistribution.2,4,5 The loss of circulating volume results in an increase in stress hormones, includ...

Critical care of the burn patient.