Challenges in the Management of Large Burns.
Critical care
Large burns
Morbidity
Mortality
Palliative care
Surgical care
Journal
Clinics in plastic surgery
ISSN: 1558-0504
Titre abrégé: Clin Plast Surg
Pays: United States
ID NLM: 0424767
Informations de publication
Date de publication:
Apr 2024
Apr 2024
Historique:
medline:
2
3
2024
pubmed:
2
3
2024
entrez:
1
3
2024
Statut:
ppublish
Résumé
Large burns provoke profound pathophysiological changes. Survival rates of patients with large burns have improved significantly with the advancement of critical care and adaptation of early excision protocols. Nevertheless, care of large burn wounds remains challenging secondary to limited donor sites, prolonged time to wound closure, and immunosuppression. The development of skin substitutes and new grafting techniques decreased time to wound closure. Individually, these methods have limited success, but a combination of them may yield more successful outcomes. Early identification of patients with likely poor prognosis should prompt goals of care discussion and involvement of a palliative care team when possible.
Identifiants
pubmed: 38429052
pii: S0094-1298(23)00088-3
doi: 10.1016/j.cps.2023.11.007
pii:
doi:
Types de publication
Journal Article
Review
Langues
eng
Sous-ensembles de citation
IM
Pagination
319-327Informations de copyright
Copyright © 2023 Elsevier Inc. All rights reserved.
Déclaration de conflit d'intérêts
Disclosure The authors have no disclosures.