tailieunhanh - Báo cáo y học: "Burns: learning from the past in order to be fit for the future"

Tuyển tập các báo cáo nghiên cứu về y học được đăng trên tạp chí y học quốc tế cung cấp cho các bạn kiến thức về ngành y đề tài: Burns: learning from the past in order to be fit for the future. | Kamolz Critical Care 2010 14 106 http content 14 1 106 CRITICAL CARE COMMENTARY L__ Burns learning from the past in order to be fit for the future Lars-Peter Kamolz See related research by Williams etal. http content 13 6 R183 Abstract Many advances have been made in the understanding and treatment of burns. Advances in burn surgery and critical care have decreased mortality and morbidity. Survival from severe burns is no longer the exception but unfortunately death still occurs. Williams and colleagues have determined in their recent paper the predominant causes of death in order to develop new treatment avenues and future trajectories suitable to increase survival and overall outcome. A lot of burn deaths may be preventable with better airway management and a more precise and adequate volume management but the leading cause of death in patients suffering from severe burns which has to be faced is sepsis. Sepsis due to multidrug-resistant organisms will continue to impede efforts to increase survival and new strategies that go beyond the surgical and clinical techniques which are already implemented have to be developed in order to fight these organisms and their related complications. In the previous issue of Critical Care Williams and colleagues 1 provide an overview of the predominant causes of death in burned pediatric patients in order to develop new treatment avenues and future trajectories. Over the past decades there has been a significant decrease in mortality and morbidity in severe burns due to improved burn wound management and approaches in critical care 2-4 . Many advances have been made not only concerning the pathophysiology of burns 5 but also concerning burn management. Survival from severe burns is no longer the exception but unfortunately death still occurs 1 . Correspondence Vienna Burn Center Division of Plastic and Reconstructive Surgery Department of Surgery Medical .