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Neurotrauma Management for the Severely Injured Polytrauma Patient pp 329–336Cite as

Care of Patients with Burns and Traumatic Brain Injury

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Abstract

The combination of thermal injury and traumatic brain injury (TBI) poses a significant resuscitation challenge. Limited data exist on the effect of severe burns (>20 % of the total body surface area) on the brain. These data suggest that even in the absence of TBI, burns may cause disruption of the blood–brain barrier (BBB). Burn patients require large volumes (2–4 ml/kg/% burn) of fluid for resuscitation during the first 24 h postburn. This, combined with loss of BBB integrity, may cause cerebral edema during the early postburn period. In patients with TBI and burns, close attention to parsimonious fluid management; liberal use of intracranial pressure monitoring during resuscitation; and careful consideration of alternative approaches to include hypertonic saline or mannitol infusion may be required.

The opinions or assertions contained herein are the private views of the authors and are not to be construed as official or as reflecting the views of the Department of the Army or the Department of Defense.

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Author information

Authors and Affiliations

  1. U.S. Army Institute of Surgical Research, 3698 Chambers Pass, JBSA Fort Sam Houston, San Antonio, TX, 78234-6315, USA

    Leopoldo C. Cancio

  2. Division of Trauma, Department of Surgery, University of Texas Health Science Center at San Antonio, 7703 Floyd Curl Drive, San Antonio, TX, 78229, USA

    Basil A. Pruitt Jr.

Authors
  1. Leopoldo C. Cancio
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  2. Basil A. Pruitt Jr.
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Corresponding author

Correspondence to Leopoldo C. Cancio .

Editor information

Editors and Affiliations

  1. Neuroscience Department, Inova Neuroscience Institute Inova Fairfax Medical Campus, Falls Church, Virginia, USA

    James M. Ecklund

  2. Pediatric Neurosciences, Inova Neuroscience Institute, Falls Church, Virginia, USA

    Leon E. Moores

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Cancio, L.C., Pruitt, B.A. (2017). Care of Patients with Burns and Traumatic Brain Injury. In: Ecklund, J., Moores, L. (eds) Neurotrauma Management for the Severely Injured Polytrauma Patient. Springer, Cham. https://doi.org/10.1007/978-3-319-40208-6_30

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  • DOI: https://doi.org/10.1007/978-3-319-40208-6_30

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-40206-2

  • Online ISBN: 978-3-319-40208-6

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