tailieunhanh - Báo cáo y học: " Management of burn injuries – recent developments in resuscitation, infection control and outcomes research"

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: Management of burn injuries – recent developments in resuscitation, infection control and outcomes research | Scandinavian Journal of Trauma Resuscitation and Emergency Medicine BioMed Central Commentary Management of burn injuries - recent developments in resuscitation infection control and outcomes research David J Dries1 2 Open Access Address Regions Hospital Department of Surgery 640 Jackson Street St. Paul MN 55101 USA and 2University of Minnesota Department of Surgery 420 Delaware Street S Minneapolis MN 55455 USA Email David J Dries - Published II March 2009 Received 21 November 2008 _ -r-r__ n__J r__I I Accepted 11 March 2009 Scandinavian Journal of Trauma Resuscitation and Emergency Medicine 2009 17 14 doi 1757-7241 -17-14 This article is available from http content 17 1 14 2009 Dries licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License http licenses by which permits unrestricted use distribution and reproduction in any medium provided the original work is properly cited. Abstract Introduction Burn injury and its subsequent multisystem effects are commonly encountered by acute care practitioners. Resuscitation is the major component of initial burn care and must be managed to restore and preserve remote organ function. Later complications of burn injury are dominated by infection. Burn centers are often called to manage soft tissue problems outside thermal injury including soft tissue infection and Toxic Epidermal Necrolysis. Methods A selected review of recent reports published by the American Burn Association is provided. Results The burn-injured patient is easily and frequently over resuscitated with complications including delayed wound healing and respiratory compromise. A feedback protocol is designed to limit the occurrence of excessive resuscitation has been proposed but no new gold standard for resuscitation has replaced the Parkland formula. Significant additional work has .