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Autograft

•Thin
• Cultured epithelial

inc fluid requirement


• Integra
Group 6A Surgery - Burns
• Alloderm
• Xenograft inc overall metabolic
dec PaO2:FiO2 ratio Gandamra, Norhayna R.
Pneumatic demands Gani, Hareiyane Marwa S.
tourniquet Garganera, Maris Stella B.
Gicaraya, Marlonne John G.
aggressive pulmonary bronchoscopic
Human cadaveric inc airway resistance
toilet evaluation
allograft
Excision and
grafting Abbreviated Injury
bronchodilators clinical presentation dec lung compliance
Score
Cosmetic importance
Nonmeshed sheet grading
(face, neck and diagnosis physiologic effects
grafts treatement
hands) Escharotomy
• Digital Inhalation of
• Thoracic Inhalation Injury caused by smoke inhalation results to Direct Heat Injury
Combustible Products

Meshed auto-
Larger burns
grafted skin
Surgery Parkland/Baxter use of Lactated
Formula Ringer's Solution

Split-thickness BP, urine output,


Wound Coverage
sheet autografts Resuscitation Parameter serum lactate,
Baxter's Formula
abdominal CS,
Compartment extremity CS,
Complications types
Syndrome (CS) intraocular CS, pleural
effusions

Mortality uses Baux Score Revised Baux Score

BURNS Prognosis

ability to
Quality of Life appearance mobility itching
work

Silver-
Silver Mafenide Silver Topical
Treatment impregnated
sulfadiazine acetate nitrate ointments
dressings

side effect
For smaller or donor sites, skin
larger burns that grafts and partial
Nutrition Metabolic nearly healed thickness burns
Rehabilitation
Psychological acidosis
Recovery

focused on Micronutrient
supplementation with
Late Beta-blockers in
Complications Early enteral feeding with Nasojejunal Immune-modulating antioxidant vitamins Anabolic steroid Insulin
Physical and occupational Complications pediatrics and adult
Depression burns >20% TBSA feeding supplements (Vit E and ascorbic oxandrolone therapy
therapy Prevention Burn disasters burn patients
acid) and trace
minerals

Ventilator-associated
Passive range-of-motion Posttraumatic stress Hypertropic scar
Hand burns pneumonia
exercise disorder Engineering/Environment Severity of Injury

Walking independently Foot and


Anxiety Enforcement Expected survival Abdominal Contractures
without crutches or extremities
compartment syndrome
assistive device burns

Education Non-burn hospitals


DVT and pulmonary Heterotopic
emboli and arterial ossification
thrombosis

Emergency response Decontamination and triage

Heparin-associated
thrombocytopenia (HIT)
Economic initiative Irrigation fluid

Cool fluids (phosphorus


pentoxide)

Saline soaked gauze

Sulfur mustard

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