The Burn Patient

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.

Perioperative anesthesia management of the burn patient.

Burn patients provide numerous challenges to the anesthesiologist. It is important to understand the multiple physiologic disruptions that follow a burn injury as well as the alterations in pharmacokinetics and pharmacodynamics of commonly used anesthetics. Thought must be given to surgery during initial fluid resuscitation and the airway challenges many of these patients present. Finally, the ...

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...