Surgical management of complications of burn injury

2007 ◽  
pp. 502-512
Author(s):  
Elizabeth A. Beierle ◽  
Dai H. Chung
Keyword(s):  
Surgical Management ◽  
Burn Injury ◽  
Management Of Complications

Surgical management of complications of burn injury

2012 ◽  
pp. 421-431.e2
Author(s):  
Nadja C. Colon ◽  
Cameron Schlegel ◽  
Dai H. Chung
Keyword(s):  
Surgical Management ◽  
Burn Injury ◽  
Management Of Complications

Surgical Management of Complications of Burn Injury

2018 ◽  
pp. 386-395.e3
Author(s):  
Omar Nunez Lopez ◽  
Fredrick J. Bohanon ◽  
Ravi S. Radhakrishnan ◽  
Dai H. Chung
Keyword(s):  
Surgical Management ◽  
Burn Injury ◽  
Management Of Complications

scholarly journals Treatment of Anaemia in Patients with Acute Burn Injury: A Study of Blood Transfusion Practices

2021 ◽  
Vol 10 (3) ◽  
pp. 476
Author(s):  
Ioana Tichil ◽  
Samara Rosenblum ◽  
Eldho Paul ◽  
Heather Cleland
Keyword(s):  
Blood Transfusion ◽  
Surgical Management ◽  
Burn Injury ◽  
Total Body Surface Area ◽  
Perioperative Period ◽  
Hospital Length ◽  
Hospital Length Of Stay ◽  
Burn Care ◽  
Transfusion Requirements ◽  
Total Body

Objective: To determine blood transfusion practices, risk factors, and outcomes associated with the use of blood products in the setting of the acute management of burn patients at the Victorian Adult Burn Service. Background: Patients with burn injuries have variable transfusion requirements, based on a multitude of factors. We reviewed all acute admissions to the Victorian Adult Burns Service (VABS) between 2011 and 2017: 1636 patients in total, of whom 948 had surgery and were the focus of our analysis. Method and results: Patient demographics, surgical management, transfusion details, and outcome parameters were collected and analyzed. A total of 175 patients out of the 948 who had surgery also had a blood transfusion, while 52% of transfusions occurred in the perioperative period. The median trigger haemoglobin in perioperative was 80mg/dL (IQR = 76–84.9 mg/dL), and in the non-perioperative setting was 77 mg/dL (IQR = 71.61–80.84 mg/dL). Age, gender, % total body surface area (TBSA) burn, number of surgeries, and intensive care unit and hospital length of stay were associated with transfusion. Conclusions: The use of blood transfusions is an essential component of the surgical management of major burns. As observed in our study, half of these transfusions are related to surgical procedures and may be influenced by the employment of blood conserving strategies. Furthermore, transfusion trigger levels in stable patients may be amenable to review and reduction. Risk adjusted analysis can support the implementation of blood transfusion as a useful quality indicator in burn care.

scholarly journals Epidemiology of burn injury in older adults: An Australian and New Zealand perspective

2020 ◽  
Vol 6 ◽  
pp. 205951312095233
Author(s):  
Lincoln M Tracy ◽  
Yvonne Singer ◽  
Rebecca Schrale ◽  
Jennifer Gong ◽  
Anne Darton ◽  
...  
Keyword(s):  
Older Adults ◽  
New Zealand ◽  
Older Adult ◽  
Surgical Management ◽  
Surgical Procedure ◽  
Burn Injury ◽  
Burn Injuries ◽  
Younger Patients ◽  
Care Community ◽  
Burn Care

Introduction: The ageing global population presents a novel set of challenges for trauma systems. Less research has focused on the older adult population with burns and how they differ compared to younger patients. This study aimed to describe, and compare with younger peers, the number, causes and surgical management of older adults with burn injuries in Australia and New Zealand. Methods: The Burns Registry of Australia and New Zealand was used to identify patients with burn injuries between 1 July 2009 and 31 December 2018. Temporal trends in incidence rates were evaluated and categorised by age at injury. Patient demographics, injury severity and event characteristics, surgical intervention and in-hospital outcomes were investigated. Results: There were 2394 burn-injured older adults admitted during the study period, accounting for 13.4% of adult admissions. Scalds were the most common cause of burn injury in older adults. The incidence of older adult burns increased by 2.96% each year (incidence rate ratio = 1.030, 95% confidence interval = 1.013–1.046, P < 0.001). Compared to their younger peers, a smaller proportion of older adult patients were taken to theatre for a surgical procedure, though a larger proportion of older adults received a skin graft. Discussion: Differences in patient and injury characteristics, surgical management and in-hospital outcomes were observed for older adults. These findings provide the Australian and New Zealand burn care community with a greater understanding of burn injury and their treatments in a unique group of patients who are at risk of poorer outcomes than younger people. Lay Summary The number and proportion of older persons in every country of the world is growing. This may create challenges for healthcare systems. While burn injuries are a unique subset of trauma that affect individuals of all ages, less is known about burns in older adults and how they differ from younger patients. We wanted to look at the number, type, management, and outcomes of burns in older adults in Australia and New Zealand. To do this, we used data from the Burns Registry of Australia and New Zealand, or BRANZ. The BRANZ is a database that collects information on patients that present to Australian and New Zealand hospitals that have a specialist burns unit. Our research found that one in eight adult burns patients was over the age of 65, and that the rate of burn injuries in older adults has increased over the last decade. Older adult burns patients were most commonly affected by scalds after coming in contact with wet heat such as boiling liquids or steam. Fewer older adults went to theatre for an operation or surgical procedure compared to their younger counterparts. However, a larger proportion of older adults that went to theatre had a skin graft (where skin is removed from an uninjured part of the body and placed over the injured part). This research provides important information about a unique and growing group of patients to the local burn care community. It also highlights potential avenues for injury prevention initiatives.

Surgical Management of Complications after Hearing Aid Fitting

2004 ◽  
Vol 114 (2) ◽  
pp. 317-322 ◽  
Author(s):  
Darius Kohan ◽  
Alexander Sorin ◽  
Stephen Marra ◽  
Marc Gottlieb ◽  
Ronald Hoffman
Keyword(s):  
Surgical Management ◽  
Hearing Aid ◽  
Hearing Aid Fitting ◽  
Management Of Complications

Surgical Management of Complications of Fiberoptic Colonoscopy

1991 ◽  
Vol 1 (4) ◽  
pp. 236???239 ◽  
Author(s):  
Robert E. Miller ◽  
Peter M. Bossart ◽  
Howard I. Tiszenkel ◽  
Fred M. Kimmelstiel
Keyword(s):  
Surgical Management ◽  
Management Of Complications ◽  
Fiberoptic Colonoscopy

Is Primary Anastomosis Safe in the Surgical Management of Complications of Acute Diverticulitis?

2007 ◽  
Vol 73 (8) ◽  
pp. 787-791 ◽  
Author(s):  
Michael J. Stumpf ◽  
Fausto Y. Vinces ◽  
Joseph Edwards
Keyword(s):  
Surgical Management ◽  
Primary Anastomosis ◽  
Acute Diverticulitis ◽  
Statistical Significance ◽  
Low Risk ◽  
Apache Ii Score ◽  
Past Century ◽  
Management Of Complications ◽  
Diseased Segment ◽  
Risk Patients

The purpose of this article is to determine whether primary anastomosis is a safe option in the surgical management of complications of acute diverticulitis in low-risk patients. Over the past century, the management of diverticulitis has evolved from a three-stage procedure to resection and primary anastomosis. In the beginning of the century, Mayo described drainage and proximal colostomy, a three-stage procedure. This was done by performing a diverting colostomy but leaving the diseased segment of colon, hoping that the inflammation would subside. Later, the patient went back for resection of the diseased segment. Then a third procedure was performed for reversal of the colostomy. Around the late 1970s to early 1980s, it was found that patients had better outcomes if the diseased segment was resected during the first operation–the Hartman procedure. During the late 1990s to early 2000s, some surgeons began performing resection and primary anastomosis in selected groups of patients with diverticulitis. There have been a number of studies published showing that resection and primary anastomosis has an acceptable morbidity and mortality. However, most of these studies are retrospective and do not achieve statistical significance. They also do not attempt to establish guidelines to help decide which patients are good candidates for resection and primary anastomosis. The goal of this study is to establish safe and reasonable practice guidelines that can be applied to a selected group of (low-risk) patients. This study is a retrospective review of all the patients treated surgically for complications of acute diverticulitis from 1998 to 2003 at United Hospital Medical Center in Port Chester, New York. Patients were classified as high or low risk based on their age, APACHE II score, American Society of Anesthesiologists class, and Hinchey score. There were a total of 66 patients operated on for complications of acute diverticulitis (left-sided) over this 5-year period. Thirty-six of them underwent resection and primary anastomosis and 30 underwent the Hartman procedure. Of the 36 who underwent resection and primary anastomosis, 19 were considered low risk. There were no complications in this low-risk group who underwent primary anastomosis. Patients who were low risk based on the mentioned criteria can safely undergo resection and primary anastomosis.

scholarly journals Surgical Management of Complications to Arterial Puncture

1966 ◽  
Vol 164 (6) ◽  
pp. 1021-1026 ◽  
Author(s):  
S. -E. BERGENTZ ◽  
L. O. HAXSSON ◽  
B. NORBACK
Keyword(s):  
Surgical Management ◽  
Arterial Puncture ◽  
Management Of Complications

The surgical management of complications of vulval lichen sclerosus

2012 ◽  
Vol 162 (1) ◽  
pp. 79-82 ◽  
Author(s):  
Mahalakshmi Gurumurthy ◽  
Nneka Morah ◽  
Giorgio Gioffre ◽  
Margaret E. Cruickshank
Keyword(s):  
Surgical Management ◽  
Lichen Sclerosus ◽  
Management Of Complications
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