Anaesthesia for patients with burns injuries

作者: K Langley , K Sim

DOI: 10.1054/CACC.2002.0385

关键词:

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.

参考文章(25)
Ron D Robertson, Patricia Bond, Bonny Wallace, Kristopher Shewmake, John Cone, The tumescent technique to significantly reduce blood loss during burn surgery Burns. ,vol. 27, pp. 835- 838 ,(2001) , 10.1016/S0305-4179(01)00057-2
William W. Monafo, Initial management of burns. The New England Journal of Medicine. ,vol. 335, pp. 1581- 1586 ,(1996) , 10.1056/NEJM199611213352108
Joyce A. Wahr, Myocardial ischaemia in anaemic patients. BJA: British Journal of Anaesthesia. ,vol. 81, pp. 10- 15 ,(1998)
W Furman, K T Moran, T J O'Reilly, A M Munster, A new algorithm for calculation of blood loss in excisional burn surgery. American Surgeon. ,vol. 54, pp. 207- 208 ,(1988)
Mervyn Singer, Graham Nimmo, ABC of intensive care Blackwell Pub.. ,(2011)
C. I. G. A. Reviewers, C. I. G. A. Reviewers, Cochrane Injuries Group Albumin ReviewersWhy albumin may not work BMJ. ,vol. 317, pp. 235- 240 ,(1998) , 10.1136/BMJ.317.7153.235
Harriet W Hopf, Maurene Viele, Jessica J Watson, John Feiner, Richard Weiskopf, Thomas K Hunt, Mariam Noorani, Hooi Yeap, Rachel Ho, Pearl Toy, Subcutaneous Perfusion and Oxygen During Acute Severe Isovolemic Hemodilution in Healthy Volunteers Archives of Surgery. ,vol. 135, pp. 1443- 1449 ,(2000) , 10.1001/ARCHSURG.135.12.1443
Dennis C. Gore, David Chinkes, John Heggers, David N. Herndon, Steven E. Wolf, Manubdai Desai, Association of hyperglycemia with increased mortality after severe burn injury. Journal of Trauma-injury Infection and Critical Care. ,vol. 51, pp. 540- 544 ,(2001) , 10.1097/00005373-200109000-00021
Geraldine Gallagher, Colin P. Rae, John Kinsella, Treatment of pain in severe burns. American Journal of Clinical Dermatology. ,vol. 1, pp. 329- 335 ,(2000) , 10.2165/00128071-200001060-00001
Greet Van den Berghe, Pieter Wouters, Frank Weekers, Charles Verwaest, Frans Bruyninckx, Miet Schetz, Dirk Vlasselaers, Patrick Ferdinande, Peter Lauwers, Roger Bouillon, Intensive Insulin Therapy in Critically Ill Patients The New England Journal of Medicine. ,vol. 345, pp. 1359- 1367 ,(2001) , 10.1056/NEJMOA011300