Burn care and management:
Gespeichert in:
| Format: | Buch |
|---|---|
| Sprache: | English |
| Veröffentlicht: |
Philadelphia [u.a.]
Saunders
2000
|
| Schriftenreihe: | Clinics in plastic surgery
27,1 |
| Schlagworte: | |
| Online-Zugang: | Inhaltsverzeichnis |
| Beschreibung: | VII, 165 S. zahlr. Ill. |
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| 650 | 2 | |a Brûlure - Thérapeutique | |
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| 650 | 2 | |a Intervention chirurgicale reconstructive | |
| 650 | 2 | |a Main - Chirurgie | |
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| 650 | 7 | |a Reconstructieve chirurgie |2 gtt | |
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Datensatz im Suchindex
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| adam_text | BURN CARE AND MANAGEMENT
CONTENTS
Preface ix
Edward A. Luce
Current Status of Burn Resuscitation 1
Charles J. Yowler and Richard B. Fratianne
The ABCs (airway, breathing, circulation) of initial management of the
critically ill burn patient are reviewed. Indications for intubation, manage¬
ment of carbon monoxide poisoning, and the initial management of smoke
inhalation are reviewed. An in depth review of fluid administration dis¬
cusses current controversies and potential complications of the initial re¬
suscitation.
Current Status of Burn Wound Pathophysiology 11
Nicole S. Gibran and David M. Heimbach
Recent progress in burn care, including aggressive surgical wound closure,
has led to improved survival rates for patients with large burns. As a
result, physicians now must address issues such as rehabilitation and
reconstruction for patients who have survived fluid resuscitation, acute
respiratory distress syndrome (ARDS), and extensive grafting procedures,
and who may have impaired mobility and hypertrophic scars. Despite
advances, clinicians cannot reliably predict or prevent the formation of
hypertrophic scars. This article discusses the pathophysiology of burn
wounds, which is required knowledge for an understanding of hypertro¬
phic scar formation.
Primary Excision of the Burn Wound 23
Joseph M. Still, Jr and Edward J. Law
Early excision of burn eschar and wound closure significantly improves
survival following major burn injury. Immediate primary excision per¬
formed by burn experienced surgeons in dedicated burn care facilities can
reduce further morbidity and mortality, length of hospital stay and medical
costs. Burn care at the millennium is evolving rapidly into a subcategory
of trauma surgery, with burn patients increasingly being viewed as victims
CLINICS IN PLASTIC SURGERY
VOLUME 27 • NUMBER 1 • JANUARY 2000 V
of major trauma who benefit most from immediate and definitive surgical
correction of their injuries.
The Acute and Subacute Management of the Burned Hand 49
Edward A. Luce
Management of the severely burned upper extremity remains a significant
challenge to the most experienced clinician. An understanding of the
underlying mechanism that uncorrected could culminate in a negative
outcome is the key to formulation of a successful treatment plan. Initial
proper splinting, avoidance of edema, the appropriate sequencing and
integration of physical therapy, and judicious surgical intervention, all
considered within the framework of the individual patient, are the compo¬
nents of the treatment plan that yields the most consistently good results.
Reconstruction of the Burned Hand 65
Roger E. Salisbury
Survival statistics of burn victims have continued to improve in recent
years; however, mistakes in follow up care continue to be made. Lack of
education and sensitivity to the needs of the burned hand during the
acute period, competing treatment priorities during rehabilitation, and
greed are among reasons for mistakes that can jeopardize patient recovery.
The author addresses these concerns by documenting problems and sug¬
gesting planning.
Splints and Scar Management for Acute and Reconstructive
Burn Care 71
Roderick B. Jordan, Joyce Daher, and Kathy Wasil
Comprehensive care of the burn patient includes appropriate positioning
of affected extremities during the healing process, prevention of joint
contracture, therapeutic intervention to restore normal range of motion,
management of subsequent burn scars, and patient education regarding
therapy. The increasing trend to outpatient treatment of the patient with
less severe burns, the patient recovering from major burns, and following
reconstructive procedures presents a challenge to the burn care team to
achieve these objectives. Because patients assume comfortable positions
during burn management, affected joints or regions must be splinted in
positions of function to avoid contracture. Pressure therapy to prevent and
treat hypertrophic burn scars is an integral component of burn care.
Multiple materials and methods are available with treatment starting soon
after burn wound closure and modified as needed until scar maturation
has occurred.
Acute and Reconstructive Management of the Burned Eyelid 87
Bruce M. Achauer and Stefan R. Adair
Introduced in 1875, the use of full thickness skin graft for release of a
lower eyelid ectropion secondary to burn contractures remains a mainstay
of current burn treatment. The authors address issues such as acute care,
the exposed cornea, scar management, and surgical management of eyelid
deformities.
Reconstruction of the Burned Nose and Ear 97
Steven L. Bernard
This article discusses the acute, intermediate, and long term care of pa¬
tients with burns of the nose and ears. A thermal injury to these facial
Vi CONTENTS
features results in extreme disfigurement that is immediately obvious to
all who see the patient. The complex structure of the nose and ear makes
their reconstruction artistically and technically demanding. A thorough
knowledge of what is possible is necessary to understand what is best for
each patient.
Reconstruction of the Burned Breast 113
Susan E. MacLennan, Mark D. Wells, and Henry W. Neale
Fundamental principles of management of breast burns begin with recog¬
nition and preservation of any viable breast bud tissue. Reconstruction
begins when the burned breast envelope is insufficient to allow un¬
restricted breast development. Complete contracture release is obtained by
incision or excision of the restricting burn scar and thick split thickness
grafting. Occasionally, breast mound reconstruction with regional muscu
locutaneous flaps or tissue expanders is necessary. Balancing procedures
such as reduction or mastopexy of an opposite unburned breast are often
helpful. After a period of 6 to 12 months of compression garments, scar
management, and settling, nipple areola reconstruction is undertaken, and
consists of a combination of local flaps, full thickness grafting, or compos¬
ite grafts tailored to each patient s needs. Long term follow up is necessary
to ensure that breast development continues satisfactorily and that con
tractures do not occur.
Tissue Expansion in Head and Neck Burn Reconstruction 121
Susan E. MacLennan, Julia F. Corcoran, and Henry W. Neale
Tissue expansion is a versatile addition to the armamentarium of the
reconstructive burn surgeon. It has proven particularly useful in the forgiv¬
ing tissues of the head and neck, providing an alternative to traditional
skin grafting and flaps and often yielding superior aesthetic results. This
article addresses indications and techniques for tissue expansion in the
head and neck burn patient.
Electrical Burns 133
Edward A. Luce
Electrical burns can be divided into flash or typical thermal injury and
high tension injury. High tension injuries usually are greater than one
thousand volts and produce clinically characteristic entry and exit wounds.
The optimal management of patients with high tension electrical injury
has evolved into a plan of urgent exploration and debridement, aggressive
redebridement, and early wound closure.
Reconstruction of the Burned Foot 145
Daniel P. Goldberg, John O. Kucan, and Deborah Bash
Because of its unique and highly specialized anatomy, burns of the foot
create some of the most challenging wounds for the reconstructive sur¬
geon. The initial management, strategies and choices for repair, and the
long term function of the reconstructed foot are discussed.
Index 163
Subscription Information Inside back cover
CONTENTS vii
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| series2 | Clinics in plastic surgery |
| spelling | Burn care and management Edward A. Luce guest ed. Philadelphia [u.a.] Saunders 2000 VII, 165 S. zahlr. Ill. txt rdacontent n rdamedia nc rdacarrier Clinics in plastic surgery 27,1 Brandwonden gtt Brûlure - Thérapeutique Cou - Chirurgie Intervention chirurgicale reconstructive Main - Chirurgie Pied - Chirurgie Reconstructieve chirurgie gtt Te︠te - Chirurgie Plastische Chirurgie (DE-588)4046280-8 gnd rswk-swf Verbrennung Medizin (DE-588)4062659-3 gnd rswk-swf (DE-588)4143413-4 Aufsatzsammlung gnd-content Verbrennung Medizin (DE-588)4062659-3 s Plastische Chirurgie (DE-588)4046280-8 s DE-604 Luce, Edward A. Sonstige oth Clinics in plastic surgery 27,1 (DE-604)BV000003656 27,1 HBZ Datenaustausch application/pdf http://bvbr.bib-bvb.de:8991/F?func=service&doc_library=BVB01&local_base=BVB01&doc_number=008841393&sequence=000002&line_number=0001&func_code=DB_RECORDS&service_type=MEDIA Inhaltsverzeichnis |
| spellingShingle | Burn care and management Clinics in plastic surgery Brandwonden gtt Brûlure - Thérapeutique Cou - Chirurgie Intervention chirurgicale reconstructive Main - Chirurgie Pied - Chirurgie Reconstructieve chirurgie gtt Te︠te - Chirurgie Plastische Chirurgie (DE-588)4046280-8 gnd Verbrennung Medizin (DE-588)4062659-3 gnd |
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| title | Burn care and management |
| title_auth | Burn care and management |
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| title_full | Burn care and management Edward A. Luce guest ed. |
| title_fullStr | Burn care and management Edward A. Luce guest ed. |
| title_full_unstemmed | Burn care and management Edward A. Luce guest ed. |
| title_short | Burn care and management |
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| topic | Brandwonden gtt Brûlure - Thérapeutique Cou - Chirurgie Intervention chirurgicale reconstructive Main - Chirurgie Pied - Chirurgie Reconstructieve chirurgie gtt Te︠te - Chirurgie Plastische Chirurgie (DE-588)4046280-8 gnd Verbrennung Medizin (DE-588)4062659-3 gnd |
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