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J Intensive Care Med. 2016 Sep;31(8):499-510. doi: 10.1177/0885066615592346. Epub 2015 Jun 24.

Update on Severe Burn Management for the Intensivist.

Author information

1
Burn Center, United States Army Institute of Surgical Research, Fort Sam Houston, TX, USA Department of Medicine, Uniformed Services University of the Health Sciences, Bethesda, MD, USA.
2
Burn Center, United States Army Institute of Surgical Research, Fort Sam Houston, TX, USA Department of Medicine, Uniformed Services University of the Health Sciences, Bethesda, MD, USA kevin.k.chung.mil@mail.mil.
3
Department of Medicine, William Beaumont Army Medical Center, Fort Bliss, TX, USA.
4
Department of Surgery, Mount Sinai Beth Israel Medical Center, New York, NY, USA.
5
Joseph M. Still Burn Center, Augusta, GA, USA.

Abstract

Thermal injury of humans causes arguably the most severe perturbations in physiology that can be experienced. These physiologic derangements start immediately and can persist in some form until months or even years after the burn wounds are healed. Burn shock, marked activation of the systemic inflammatory response, multiple-organ failure, infection, and wound failure are just a few of the insults that may require management by the intensivist. The purpose of this article is to review recent advances in the critical care management of thermally injured patients.

KEYWORDS:

critical care; mechanical ventilation; resuscitation; sedation; shock

PMID:
26112758
DOI:
10.1177/0885066615592346
[Indexed for MEDLINE]

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