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Intensive Care Medicine pp 853–862Cite as

Perioperative Management of the Severely Burned Patient

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Abstract

Burn care has improved markedly since the end of World War II. Important innovations include aggressive fluid resuscitation, early excision and grafting of burn wounds, more effective antibiotics, advances in enteral nutritional support and the development of multidisciplinary burn centers. Most patients with burns involving 80% or more of the total body surface area will survive if promptly treated. A recent study identified three risk factors that are predictive of increased mortality following thermal injury: age greater than 60 years, burns over more than 40% of the total body surface area, and the presence of inhalation injury [1]. Mortality increased in proportion to the number of risk factors present. Significant coexisting disease or delays in resuscitation also increased the mortality rate.

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Authors
  1. E. R. Sherwood
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  2. L. C. Woodson
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Editor information

Editors and Affiliations

  1. Department of Intensive Care, Erasme Hospital, Free University of Brussels, Route de Lennik 808, B-1070, Brussels, Belgium

    Jean-Louis Vincent MD, PhD, FCCM, FCCP (Head) (Head)

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© 2002 Springer Science+Business Media New York

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Sherwood, E.R., Woodson, L.C. (2002). Perioperative Management of the Severely Burned Patient. In: Vincent, JL. (eds) Intensive Care Medicine. Springer, New York, NY. https://doi.org/10.1007/978-1-4757-5551-0_76

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  • DOI: https://doi.org/10.1007/978-1-4757-5551-0_76

  • Publisher Name: Springer, New York, NY

  • Print ISBN: 978-1-4757-5553-4

  • Online ISBN: 978-1-4757-5551-0

  • eBook Packages: Springer Book Archive

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