Skip to main content
Key Specialties
Cardiology Diabetology Endocrinology Gastroenterology Geriatrics and Gerontology Gynecology and Obstetrics Hematology Infectious Disease Internal Medicine Nephrology Neurology Oncology Pediatrics Respiratory Medicine Rheumatology Surgery
Congress Coverage
2024 ACC Congress 2023 ESMO Congress 2023 EASD Congress 2023 ERS Congress 2023 ESC Congress 2023 EHA Congress 2023 ASCO Annual Meeting
Clinical Collections
Advances in Alzheimer’s

At a glance: The ONWARDS insulin icodec trials

A round-up of the ONWARDS phase 3 clinical trials evaluating the novel weekly insulin icodec in people with diabetes.
ADVANCED SEARCH
Log in
Top
Current Anesthesiology Reports
Published in: Current Anesthesiology Reports 1/2016

01-03-2016 | Anesthesia for Trauma (JW Simmons, Section Editor)

Anesthetic Management of the Burn Patient

Authors: Christian Diez, Albert J. Varon

Published in: Current Anesthesiology Reports | Issue 1/2016

Login to get access

Abstract

Burn victims are among the most challenging patients to care for. Major burn patients require immediate attention for airway management, evaluation of inhalation injury, and fluid resuscitation. Patients with extensive burns usually require multiple procedures and extended hospital stays. In these patients, the evaluation of vascular access, availability of blood products, and determining where to place standard and advanced monitors are important in planning. Lastly, postoperative pain management and complications of prolonged mechanical ventilation are challenging issues that constantly need to be addressed.
Literature
1.
•• Bittner EA, et al. Acute and perioperative care of the burn-injured patient. Anesthesiology. 2015;122(2):448–64. Recent publication discussing the care of burns patients. Article is inclusive of pathophysiology, operative care, and pain management.
2.
Orgill DP. Excision and skin grafting of thermal burns. N Engl J Med. 2009;360(9):893–901.CrossRef
3.
Pierre EJ, Varon A. Anesthetic management of the burn patient. In: Smith C, Varon AJ, editors. Essentials of trauma anesthesia. Cambridge: Cambridge University Press; 2012. p. 253–62.CrossRef
4.
Jeschke MG, et al. Morbidity and survival probability in burn patients in modern burn care. Crit Care Med. 2015;43(4):808–15.CrossRef
5.
Greenhalgh DG. Can we really predict morbidity and mortality in burn patients? Crit Care Med. 2015;43(4):918–9.CrossRef
6.
Yowler C. Burn injuries: critical care in severe burn injury. In: Smith C, editor. Trauma anesthesia. Cambridge: Cambridge University Press; 2015. p. 657–65.CrossRef
7.
ATLS Subcommittee, American College of Surgeons’ Committee on Trauma, A.W.G. International. Advanced trauma life support (ATLS(R)): the ninth edition. J Trauma Acute Care Surg. 2013;74(5):1363–6.
8.
Ledingham IM, Watt I. Influence of sedation on mortality in critically ill multiple trauma patients. Lancet. 1983;1(8336):1270.CrossRef
9.
• Fahy BG, et al. A single consent for serial anesthetics in burn surgery. Anesth Analg. 2015;121(1):219–22. Reports on consents for burn patients. Article discusses the advantages of not requiring multiple consents for the same procedures, for both the clinicians and patients or proxies.
10.
Cartotto R, Callum J. A review of the use of human albumin in burn patients. J Burn Care Res. 2012;33(6):702–17.CrossRef
11.
Park SH, Hemmila MR, Wahl WL. Early albumin use improves mortality in difficult to resuscitate burn patients. J Trauma Acute Care Surg. 2012;73(5):1294–7.CrossRef
12.
Roberts I, et al. The CRASH-2 trial: a randomised controlled trial and economic evaluation of the effects of tranexamic acid on death, vascular occlusive events and transfusion requirement in bleeding trauma patients. Health Technol Assess. 2013;17(10):1–79.CrossRef
13.
Walsh K, Nikkhah D, Dheansa B. What is the evidence for tranexamic acid in burns? Burns. 2014;40(5):1055–7.CrossRef
14.
Tang YM, Chapman TW, Brooks P. Use of tranexamic acid to reduce bleeding in burns surgery. J Plast Reconstr Aesthet Surg. 2012;65(5):684–6.CrossRef
15.
• Ballian N, et al. Glucose metabolism in burn patients: the role of insulin and other endocrine hormones. Burns. 2010;36(5):599–605. Discusses the role of glucose metabolism and glucose lowering agents in bun patients. Moreover, describes how endogenous mediators affect glucose regulation.
16.
• Jeschke MG. Clinical review: glucose control in severely burned patients—current best practice. Crit Care. 2013;17(4):232. Reviews publications observing tight glycemic control in burn patients. Attempts to identify a range that increases glycemic control without the dangers of hypoglycemia.
Metadata
Title
Anesthetic Management of the Burn Patient
Authors
Christian Diez
Albert J. Varon
Publication date
01-03-2016
Publisher
Springer US
Published in
Current Anesthesiology Reports / Issue 1/2016
Electronic ISSN: 2167-6275
DOI
https://doi.org/10.1007/s40140-016-0150-0

Other articles of this Issue 1/2016

Current Anesthesiology Reports 1/2016 Go to the issue

Anesthesia for Trauma (JW Simmons, Section Editor)

Trauma Anesthesia Contributions to the Acute Care Anesthesiology Model and the Perioperative Surgical Home

Anesthesia for Trauma (JW Simmons, Section Editor)

Anesthetic Considerations and Ventilation Strategies in Cardiothoracic Trauma

Anesthesia for Trauma (JW Simmons, Section Editor)

The Anesthesiology/Emergency Medicine Combined Residency: Defining a New Future for Trauma Resuscitation

Anesthesia for Trauma (JW Simmons, Section Editor)

Changing Paradigms in Hemostatic Resuscitation: Timing, Extent, Economic Impact, and the Role of Factor Concentrates

Anesthesia for Trauma (JW Simmons, Section Editor)

Trauma Hand-Offs: Moving Patients Through Multiple Phases and Locations of Care

Anesthesia for Trauma (JW Simmons, Section Editor)

Radiographic Imaging and Ultrasound in Early Trauma Management: Damage Control Radiology for the Anesthesiologist