[Clinical guidelines for timing of escharectomy and skin grafting during burn shock stage in extensively burned patients].
OBJECTIVE
To provide practical clinical guidelines to doctors who have no hemodynamic monitoring facilities in performing escharectomy during the shock period in extensively burned patients.


METHODS
We analyzed our clinical experiences in 60 patients with extensive burn.


RESULTS
Puting forward several clinical indexes for timing of escharectomy during burn shock stage: 1. Amount of fluids in the first 24 h postburn 2.6-3.0 ml.kg-1.1% TBSA-1; 2. Output of urine 80-100 ml/h; 3. Mentally fully conscious; 4. Thirst significantly alleviated and there is no nausea and vomiting; 5. Pulse 100/min; 6. Hb < or = 150 g/L; 7. Hct < or = 0.50.


CONCLUSIONS
With the clinical indexes as guidelines, we assume that escharectomy could be performed during burn shock stage with reasonable safety.
Guo
Z
Z
Burn Institute, 304th Hospital of People's Liberation Army, Beijing.
Sheng
Z
Z
He
L
L
D002056:Burns / Q000150:complications / Q000503:physiopathology / Q000601:surgery*; D005440:Fluid Therapy; D006339:Heart Rate; D006801:Humans; D012774:Shock, Traumatic / Q000209:etiology / Q000503:physiopathology / Q000601:surgery*; D016038:Skin Transplantation; D013997:Time Factors; D014554:Urination