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Verbrennungstiefe und Ausmaß

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Verbrennungen

Zusammenfassung

Die exakte Beurteilung von Verbrennungsausmsmaß und Tiefe ist eine der wesentlichsten Grundlagen für den wissenschaftlichen Umgang und die erfolgreiche Behandlung von thermischen und chemischen Verletzungen. Was auf den ersten Blick einfach aussieht ist in einem hohen Ausmaß individuellen Einflussgrößen ausgesetzt und bedarf bei näherer Betrachtung der Objektivierung.

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Literatur

  1. Arturson G (1996) Mechanism of injury. In: Settle JAD (ed) Principles and practice of burns management. Churchill Livingstone, New York, pp 61–82

    Google Scholar 

  2. Webne S, Kaplan BJ, Shaw M (1989) Pediatric burn prevention: an evaluation of the efficacy of a strategy to reduce tap water temperature in a population at risk for scalds. J Dev Behav Pediatr 10: 187–191

    Article  CAS  PubMed  Google Scholar 

  3. Papp A, Kiraly K, Harma M, Lahtinen T, Uusaro A, Alhava E (2004) The progression of burn depth in experimental burns: a histological and methodological study. Burns 30: 684–690

    Article  CAS  PubMed  Google Scholar 

  4. Lu S, Xiang J, Jin S et al (2002) [Histological observation of the effects of tangential excision within twenty-four postburn hours on the progressive injury of the progression of deep partial thickness burn wound]. Zhonghua Shao Shang Za Zhi 18: 235–237

    PubMed  Google Scholar 

  5. Moritz AR, Henriques FC (1947) Studies of thermal injuries II. The relative importance of time and surface temperature in the causation of cutaneous burns. Am J Pathol 23: 695–720

    PubMed  CAS  Google Scholar 

  6. Davies JWL (1997) Interactions of heat with tissues. In: Cooper GJ (ed) Scientific foundations of trauma. Butterworth-Heinemann, Oxford, pp 389–409

    Google Scholar 

  7. Diller KR, Hayes LJ, Baxter CR (1983) A mathematical model for the thermal efficacy of cooling therapy for burns. J Burn Care Rehabil 4: 81–89

    Article  Google Scholar 

  8. Moserova J, Houskova E (1986) [The effect of immediate cooling of burns on the extent of subsequent changes]. Rozhl Chir 65: 785–790

    CAS  PubMed  Google Scholar 

  9. Blomgren I, Eriksson E, Bagge U (1985) The effect of different cooling temperatures and immersion fluids on post-burn oedema and survival of the partially scalded hairy mouse ear. Burns Incl Therm Inj 11: 161–165

    CAS  PubMed  Google Scholar 

  10. Boykin JV, Eriksson J, Sholley MM, Pittmann RN (1981) Cold water treatment of scald injury and inhibition of histamin mediated burn edema. J Surg Res 31: 111–123

    Article  PubMed  Google Scholar 

  11. Jandera V, Hudson DA, de Wet PM, Innes PM, Rode H (2000) Cooling the burn wound: evaluation of different modalites. Burns 26: 265–270

    Article  CAS  PubMed  Google Scholar 

  12. Heggers JP, Robson M, London MD (1982) Cooling and the prostoglandin effect in thermal injury. J Burn Care Rehabil 3: 350–357

    Article  CAS  Google Scholar 

  13. Blomgren I, Eriksson E, Bagge U (1985) The effect of different cooling temperatures and immersion fluids on post-burn oedema and survival of the partially scalded hairy mouse ear. Burns Incl Therm Inj 11: 161–165

    CAS  PubMed  Google Scholar 

  14. Demling RH, Mazess RB, Wolberg W (1979) The effect of immediate and delayed cold immersion on burn edema formation and resorption. J Trauma 19: 56–60

    Article  CAS  PubMed  Google Scholar 

  15. Raine TJ, Heggers JP, Robson MC, London MD, Johns L (1981) Cooling the burn wound to maintain microcirculation. J Trauma 21: 394–397

    Article  CAS  PubMed  Google Scholar 

  16. Sawada Y, Urushidate S, Yotsuyanagi T, Ishita K (1997) Is prolonged and excessive cooling of a scalded wound effective? Burns 23: 55–58

    Article  CAS  PubMed  Google Scholar 

  17. Steen M (2002) Leitlinien Verbrennungsbehandlung der Deutschen Gesellschaft für Verbrennungsmedizin. 1-2-2002. Ref Type: Internet Communication

    Google Scholar 

  18. Singh V, Devgan L, Bhat S, Milner SM (2007) The pathogenesis of burn wound conversion. Ann Plast Surg 59: 109–115

    Article  CAS  PubMed  Google Scholar 

  19. Robson MC, Del Beccaro EJ, Heggers JP (1979) The effect of prostaglandins on the dermal microcirculation after burning, and the inhibition of the effect by specific pharmacological agents. Plast Reconstr Surg 63: 781–787

    Article  CAS  PubMed  Google Scholar 

  20. Rawlingson A (2003) Nitric oxide, inflammation and acute burn injury. Burns 29: 631–640

    Article  PubMed  Google Scholar 

  21. Kao CC, Garner WL (2000) Acute burns. Plast Reconstr Surg 105: 2482–2492

    Article  CAS  PubMed  Google Scholar 

  22. Nwariaku FE, Sikes PJ, Lightfoot E, Mileski WJ, Baxter C (1996) Effect of a bradykinin antagonist on the local inflammatory response following thermal injury. Burns 22: 324–327

    Article  CAS  PubMed  Google Scholar 

  23. Sawhney CP, Sharma RK, Rao KR, Kaushish R (1989) Long-term experience with 1 per cent topical silver sulphadiazine cream in the management of burn wounds. Burns 15: 403–406

    Article  CAS  PubMed  Google Scholar 

  24. Miller PR, Kuo KN, Lubicky JP (1995) Clubfoot deformity in Down’ syndrome. Orthopedics 18: 449–452

    CAS  PubMed  Google Scholar 

  25. Matouskova E, Broz L, Pokorna E, Koenigova R (2002) Prevention of burn wound conversion by allogenig ceratinocytes cultured on allegenic xenodermis. Cell Tissue Banking 3: 29–35

    Article  CAS  Google Scholar 

  26. Jaskille AD, Jeng JC, Sokolich JC, Lunsford P, Jordan MH (2007) Repetitive ischemia-reperfusion injury: a plausible mechanism for documented clinical burn-depth progression after thermal injury. J Burn Care Res 28: 13–20

    Article  PubMed  Google Scholar 

  27. Kim DE, Phillips TM, Jeng JC et al (2001) Microvascular assessment of burn depth conversion during varying resuscitation conditions. J Burn Care Rehabil 22:406–416

    Article  CAS  PubMed  Google Scholar 

  28. Carvajal HF (1994) Fluid resuscitation of pediatric burn victims: a critical appraisal. Pediatr Nephrol 8: 357–366

    Article  CAS  PubMed  Google Scholar 

  29. O’ullivan ST, O’Connor TP (1997) Immunosuppression following thermal injury: the pathogenesis of immunodysfunction. Br J Plast Surg 50: 615–623

    Article  Google Scholar 

  30. Bjornson AB, Altemeier WA, Bjornson HS (1976) Reduction in C3 conversion in patients with severe thermal injury. J Trauma 16: 905–911

    Article  CAS  PubMed  Google Scholar 

  31. Nelson KM, Turinsky J (1981) Local effect of burn on skeletal muscle insulin responsiveness. J Surg Res 31: 288–297

    Article  CAS  PubMed  Google Scholar 

  32. Shangraw RE, Turinsky J (1979) Local effect of burn injury on glucose and amino acid metabolism by skeletal muscle. JPEN J Parenter Enteral Nutr 3: 323–327

    Article  CAS  PubMed  Google Scholar 

  33. Turinsky J, Shangraw R (1979) Biphasic alterations in glucose metabolism by soleus muscle from the burned limb. Adv Shock Res 2: 23–30

    CAS  PubMed  Google Scholar 

  34. Jackson DM (1953) The diagosis of the depth of burning. Br J Surg 40: 588–596

    Article  CAS  PubMed  Google Scholar 

  35. Watts AM, Tyler MP, Perry ME, Roberts AH, McGrouther DA (2001) Burn depth and its histological measurement. Burns 27: 154–160

    Article  CAS  PubMed  Google Scholar 

  36. Devgan L, Bhat S, Aylward S, Spence RJ (2006) Modalities for the assessment of burn wound depth. J Burns Wounds 5: 1–9

    Google Scholar 

  37. Lawson RN, Gaston JP (1964) Temperature measurements of localized pathological processes. Ann NY Acad Sci 121: 90–98

    Article  CAS  PubMed  Google Scholar 

  38. Renkielska A, Nowakowski A, Kaczmarek M et al (2005) Static thermography revisited — an adjunct method for determining the depth of the burn injury. Burns 31: 768–775

    Article  PubMed  Google Scholar 

  39. Renkielska A, Nowakowski A, Kaczmarek M, Ruminski J (2006) Burn depths evaluation based on active dynamic IR thermal imaging — a preliminary study. Burns 32: 867–875

    Article  PubMed  Google Scholar 

  40. Heimbach D, Engrav L, Grube B, Marvin J (1992) Burn depth: a review. World J Surg 16: 10–15

    Article  CAS  PubMed  Google Scholar 

  41. Moserova J, Hlava P, Malinsky J (1982) Scope for ultrasound diagnosis of the depth of thermal damage. Preliminary report. Acta Chir Plast 24: 235–242

    CAS  PubMed  Google Scholar 

  42. Cantrell JH, Jr. (1984) Can ultrasound assist an experienced surgeon in estimating burn depth? J Trauma 24: S64–S70

    PubMed  Google Scholar 

  43. Brink JA, Sheets PW, Dines KA, Etchison MR, Hanke CW, Sadove AM (1986) Quantitative assessment of burn injury in porcine skin with high-frequency ultrasonic imaging. Invest Radiol 21: 645–651

    Article  CAS  PubMed  Google Scholar 

  44. Bauer JA, Sauer T, (1989) Cutaneous 10 MHz ultrasound B scan allows the quantitative assessment of burn depth. Burns Incl Therm Inj 15: 49–51

    CAS  PubMed  Google Scholar 

  45. Wachtel TL, Leopold GR, Frank HA, Frank DH (1986) B-mode ultrasonic echo determination of depth of thermal injury. Burns Incl Therm Inj 12: 432–437

    CAS  PubMed  Google Scholar 

  46. Leape LL, Randolph JG (1965) The early surgical treatment of burns. II. Clinical application of intravenous vital dye (patent blue V) in the differentiation of partial and fullthickness burns. Surgery 57: 886–893

    CAS  PubMed  Google Scholar 

  47. Zawacki BE, Walker HL (1970) An evaluation of patent blue V, bromphenol blue, and tetracycline for the diagnosis of burn depth. Plast Reconstr Surg 45: 459–465

    Article  CAS  PubMed  Google Scholar 

  48. Li TZ (1985) [Experiences on application of a silver sulphadiazine-methylene blue cream for tangential excision and escharotomy of burn wounds]. Zhonghua Zheng Xing Shao Shang Wai Ke Za Zhi 1: 55–56, 49.

    CAS  PubMed  Google Scholar 

  49. Heimbach D, Mann R, Engrav L (2002) Evaluation of burn wound management decisions. In: Herndon DN (ed) Total burn care, 3rd edn. Saunders, Philadelphia, pp 101–108

    Google Scholar 

  50. Gatti JE, LaRossa D, Silverman DG, Hartford CE (1983) Evaluation of the burn wound with perfusion fluorometry. J Trauma 23: 202–206

    Article  CAS  PubMed  Google Scholar 

  51. Kamolz LP, Andel H, Haslik W et al (2003) Indocyanine green video angiographies help to identify burns requiring operation. Burns 29: 785–791

    Article  PubMed  Google Scholar 

  52. Haslik W, Kamolz LP, Andel H, Winter W, Meissl G, Frey M (2004) The influence of dressings and ointments on the qualitative and quantitative evaluation of burn wounds by ICG video-angiography: an experimental setup. Burns 30: 232–235

    Article  CAS  PubMed  Google Scholar 

  53. Tokunaga Y, Ozaki N, Wakashiro S et al (1988) Effects of perfusion pressure during flushing on the viability of the procured liver using noninvasive fluorometry. Transplantation 45: 1031–1035

    Article  CAS  PubMed  Google Scholar 

  54. Jeng JC, Bridgeman A, Shivnan L et al (2003) Laser Doppler imaging determines need for excision and grafting in advance of clinical judgment: a prospective blinded trial. Burns 29: 665–670

    Article  CAS  PubMed  Google Scholar 

  55. Anselmo VJ, Zawacki BE (1977) Multispectral photographic analysis. A new quantitative tool to assist in the early diagnosis of thermal burn depth. Ann Biomed Eng 5: 179–193

    Article  CAS  PubMed  Google Scholar 

  56. de Boer JF, Milner TE, van Gemert MJC (1977) Twodimensional birefringence imaging in biological tissue by polarisation — sensitive optical coherence tomografy. Opt Len 22: 934–936

    Article  Google Scholar 

  57. Jiao S, Yu W, Stoica G, Wang LV (2003) Contrast mechanisms in polarization-sensitive Mueller-matrix optical coherence tomography and application in burn imaging. Appl Opt 42: 5191–5197

    Article  PubMed  Google Scholar 

  58. Park BH, Saxer C, Srinivas SM, Nelson JS, de Boer JF (2001) In vivo burn depth determination by high-speed fiberbased polarization sensitive optical coherence tomography. J Biomed Opt 6: 474–479

    Article  CAS  PubMed  Google Scholar 

  59. Eisenbeiss W, Marotz J, Schrade JP (1999) Reflectionoptical multispectral imaging method for objective determination of burn depth. Burns 25: 697–704

    Article  CAS  PubMed  Google Scholar 

  60. Dirnberger J, Giretzlehner M, Ruhmer M, Haller H, Rodemund C (2003) Modelling human burn injuries in a three-dimensional virtual environment. Stud Health Technol Inform 94: 52–58

    CAS  PubMed  Google Scholar 

  61. Hammond JS, Ward CG (1987) Transfers from emergency room to burn center: errors in burn size estimate. J Trauma 27: 1161–1165

    Article  CAS  PubMed  Google Scholar 

  62. Amirsheybani HR, Crecelius GM, Timothy NH, Pfeiffer M, Saggers GC, Manders EK (2001) The natural history of the growth of the hand: I. Hand area as a percentage of body surface area. Plast Reconstr Surg 107: 726–733

    Article  CAS  PubMed  Google Scholar 

  63. Rossiter ND, Chapman P, Haywood IA (1996) How big is a hand? Burns 22: 230–231

    Article  CAS  PubMed  Google Scholar 

  64. Nagel TR, Schunk JE (1997) Using the hand to estimate the surface area of a burn in children. Pediatr Emerg Care 13: 254–255

    Article  CAS  PubMed  Google Scholar 

  65. Knaysi GA, Crikelair GF, Cosman B (1968) The role of nines: its history and accuracy. Plast Reconstr Surg 41: 560–563

    Article  CAS  PubMed  Google Scholar 

  66. Wachtel TL, Berry CC, Wachtel EE, Frank HA (2000) The inter-rater reliability of estimating the size of burns from various burn area chart drawings. Burns 26: 156–170

    Article  CAS  PubMed  Google Scholar 

  67. Berry MG, Evison D, Roberts AH (2001) The influence of body mass index on burn surface area estimated from the area of the hand. Burns 27: 591–594

    Article  CAS  PubMed  Google Scholar 

  68. Livingston EH, Lee S (2000) Percentage of burned body surface area determination in obese and nonobese patients. J Surg Res 91: 106–110

    Article  CAS  PubMed  Google Scholar 

  69. Lund CC, Browder CN (1944) The estimate of the areas of burn. Surg Gyn Obstet 79: 352–358

    Google Scholar 

  70. Nichter LS, Bryant CA, Edlich RF (1985) Efficacy of burned surface area estimates calculated from charts — the need for a computer-based model. J Trauma 25: 477–481

    Article  CAS  PubMed  Google Scholar 

  71. Alm J (2003) A retrospective study of TBSA-B calculating: V manual estimated burnchart versus computerized burncharts. Final programme and abstracts. 10th Congress European Burns Association Bergen, Norway Sept. 10–13, 2003. Bergen, Norway. EBA, p 158

    Google Scholar 

  72. Neuwalder JM, Sampson C, Breuing KH, Orgill DP (2002) A review of computer-aided body surface area determination: SAGE II and EPRI’ 3D Burn Vision. J Burn Care Rehabil 23: 55–59

    Article  CAS  PubMed  Google Scholar 

  73. Haller H (2007) Data collection in burn injuries — rationale for BurnCase 3D. Osteo Trauma Care 15: 34–41

    Article  Google Scholar 

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Haller, H. (2009). Verbrennungstiefe und Ausmaß. In: Kamolz, LP., Herndon, D.N., Jeschke, M.G. (eds) Verbrennungen. Springer, Vienna. https://doi.org/10.1007/978-3-211-79896-6_14

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  • DOI: https://doi.org/10.1007/978-3-211-79896-6_14

  • Publisher Name: Springer, Vienna

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