Burn management

@article{Endorf2011BurnM,
  title={Burn management},
  author={Frederick W. Endorf and David H. Ahrenholz},
  journal={Current Opinion in Critical Care},
  year={2011},
  volume={17},
  pages={601–605}
}
Purpose of reviewTo update critical care practitioners on the recent advancements in burn care. Recent findingsParticular topics discussed include airway management, acute resuscitation, issues within the intensive care unit, nutrition, and wound management. SummaryThis is a concise review of the recent burn literature tailored to the critical care practitioner. Criteria for extubation of burn patients are examined, as is the need for cuffed endotracheal tubes in pediatric burn patients… 
Toward Targeted Early Burn Care: Lessons From a European Survey
TLDR
The results of this study suggest that targeted and individualized therapies using a bundle of basic and advanced hemodynamic parameters, indirect calorimetry, and laser Doppler imaging is not common yet, and reinforce the subsequent need for large clinical trials to evaluate the impact of such guided therapies to provide recommendations with a significant level of evidence.
Acute burn resuscitation and fluid creep: it is time for colloid rehabilitation.
TLDR
A comprehensive review of literature about fluid creep is conducted, trying to determine the etiology behind it as well as to propose strategies to control its magnitude and complications, namely through colloid administration amongst other options.
Emergency in Burn; Burn in Emergency
TLDR
Review of the literature related to emergency burn treatment was performed and presented to all physicians as a summary guide and some questions such as how should be physician, who first meet with the burned patient, evaluated the patient are addressed.
A Protocol of Early Aggressive Acceleration of Tube Feeding Increases Ileus Without Perceptible Benefit in Severely Burned Patients
  • J. Kesey, S. Dissanaike
  • Medicine
    Journal of burn care & research : official publication of the American Burn Association
  • 2013
TLDR
The protocol was successfully implemented and resulted in early achievement of goal tube feed rates, however, this resulted in tube feed intolerance as manifested by more cases of clinical ileus.
A 12-Year Comparison of Common Therapeutic Interventions in the Burn Unit
  • C. Whitehead, M. Serghiou
  • Medicine, Psychology
    Journal of burn care & research : official publication of the American Burn Association
  • 2009
TLDR
Overall comparison from 1994 to 2006 shows that common therapy techniques are being initiated earlier in the patient's acute burn stay, consistent with recent medical trends of earlier acute discharges and more focus on outpatient rehabilitation.
MANAGEMENT OF BURNS IN THE ELDERLY PRISE EN CHARGE DES BRÛLÉS ÂGÉS
TLDR
Age has consistently been shown to be a strong predictor of in-hospital mortality among burn patients, its impact well influencing survival up to two years after the initial injury.
The view of severely burned patients and healthcare professionals on the blind spots in the aftercare process: a qualitative study
TLDR
The variability in aftercare processes and structures, as well as the failure to implement locally developed best-practices on a wider scale emphasize the need for a comprehensive network, which can initiate transversal activities such as the development of discharge protocols, common guidelines, and quality criteria.
New approach to skin burn treatment: Potential of secretome from wharton’s jelly mesenchymal stem cell therapy
TLDR
One case was reported, a 47-year-old woman with second-degree burns who was given intervention in the form of secretome from Placenta Warton Jelly Mesenchymalchymal Stem Cell (SC-PWJSC), there was excellent wound healing without hypertrophy scar or keloid with significant no local or systemic side effects were found.
Skin exposure to aliphatic polyisocyanates in the auto body repair and refinishing industry: III. A personal exposure algorithm.
TLDR
The skin exposure algorithm developed in this study provides task-based personal daily and weekly average skin exposure indices that are adjusted for the use of PPE that can be used to assess isocyanate exposure-response relationships.
Hydrogen sulfide attenuates the inflammatory response in a mouse burn injury model.
TLDR
The results suggested that H2S regulates the inflammatory response induced by burn injury by modulating the levels of TNF‑α, IL‑6, IL‐8 and IL‑10 and the MPO activity was decreased by NaHS.
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References

SHOWING 1-10 OF 35 REFERENCES
Early Enteral Nutrition in Burns: Compliance With Guidelines and Associated Outcomes in a Multicenter Study
  • M. Mosier, T. Pham, D. Herndon
  • Medicine
    Journal of burn care & research : official publication of the American Burn Association
  • 2011
TLDR
The investigators advocate that initiation of EN by 24 hours be used as a formal recommendation in nutrition guidelines for severe burns, and that nutrition guidelines be actively disseminated to individual burn centers to permit a change in practice.
Pre–Burn Center Management of the Burned Airway: Do We Know Enough?
TLDR
Education is warranted in the prehospital community to reduce unnecessary intubation of the burn patient, as a significant number of burn patients have their initial airway management by preburn center providers.
Colloid Normalizes Resuscitation Ratio in Pediatric Burns
TLDR
The addition of colloid restores normal I/O in pediatric patients and is a helpful means of evaluating fluid demands during burn shock resuscitation.
Effect of early enteral nutrition on morbidity and mortality in children with burns.
Respiratory management of inhalation injury.
High-frequency percussive ventilation and low tidal volume ventilation in burns: A randomized controlled trial*
TLDR
A high-frequency percussive ventilation-based strategy resulted in similar clinical outcomes when compared with a low-tidal volume ventilation- based strategy in burn patients with respiratory failure, however, the low-Tidal Volume ventilation strategy failed to achieve ventilation and oxygenation goals in a higher percentage necessitating rescue ventilation.
Enteral feeding during operative procedures in thermal injuries.
TLDR
Enteral nutrition can be provided safely during the perioperative period and provides the additional benefits of reducing caloric deficits, wound infections, and exogenous albumin supplementation.
The Impact of Laser Doppler Imaging on Time to Grafting Decisions in Pediatric Burns
TLDR
There was a significant reduction in time to grafting decision in the LDI group, which could potentially lead to reduced length of stay, reduced number of hospital visits, and streamlined care for the patient and their family.
Beta-blocker use is associated with improved outcomes in adult burn patients.
TLDR
Beta-blockers have the potential to improve adult burn outcomes and should be studied in a randomized, clinical trial.
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