Initial management of severe burn injury

Research output: Contribution to journalReview article

Abstract

Purpose of review Patients with severe burn injuries pose significant challenges for the intensivist. Though average burn sizes have decreased over time, severe burn injuries involving greater than 20% of the total body surface area still occur. Verified burn centers are limited, making the management of severely burn injured patients at nonspecialized ICUs likely. Current practices in burn care have increased survivability even from massive burns. It is important for intensivists to be aware of the unique complications and therapeutic options in burn critical care management. This review critically discusses current practices and recently published data regarding the evaluation and management of severe burn injury. Recent findings Burn patients have long, complex ICU stays with accompanying multiorgan dysfunction. Recent advances in burn intensive care have focused on acute respiratory distress syndrome from inhalation injury, acute kidney injury (AKI), and transfusion, resulting in new strategies for organ failure, including renal replacement therapy and extracorporeal life support. Summary Initial evaluation and treatment of acute severe burn injury remains an ongoing area of study. This manuscript reviews current practices and considerations in the acute management of the severely burn injured patient.

Original languageEnglish (US)
JournalCurrent Opinion in Critical Care
DOIs
StateAccepted/In press - Jan 1 2019

Fingerprint

Wounds and Injuries
Critical Care
Burn Units
Extracorporeal Membrane Oxygenation
Renal Replacement Therapy
Body Surface Area
Adult Respiratory Distress Syndrome
Burns
Acute Kidney Injury
Inhalation
Therapeutics

Keywords

  • burn
  • renal failure
  • respiratory failure
  • resuscitation
  • transfusion

ASJC Scopus subject areas

  • Critical Care and Intensive Care Medicine

Cite this

Initial management of severe burn injury. / Tejiram, Shawn; Romanowski, Kathleen; Palmieri, Tina L.

In: Current Opinion in Critical Care, 01.01.2019.

Research output: Contribution to journalReview article

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