摘要: Abstract The safe management of complex burns injuries requires an understanding the obligatory pathophysiological changes and current treatment options. anaesthetic team must have, collectively, specialist skills in resuscitation, airway management, critical care procedures small children access to expert advice non-burns co-morbidity. experience treating relatively numbers these patients for prolonged periods time is unusual practice. Flexibility required tailor practices fit with overall patient objectives. Communication are necessary multidisciplinary membership dealings patients, relatives managerial authorities. Regular commitment anaesthesia acquire consolidate expertise this group patients. Issues include altered drug effects, monitoring, blood conservation techniques choices fluid therapy environmental metabolic control. contribution personnel continues evolve. Traditional roles resuscitation preparation transfer, care, pain surgery remain important but input influence future direction acute services, ensure that training development needs met.