[Anesthesia and management of recovery for severely burned pediatric patients].
The incidence of burns in children is high. Their severity and high mortality rate, coupled with the complexity of the pathophysiological mechanisms involved mean that burns must be treated exhaustively as soon after injury as possible. The airway must be managed and fluid started in the first hours to preserve vital organ function. Avoiding hypothermia, ischemic infection, and toxicity arising from dead tissue will be other priorities. Placing skin grafts over lesions will be the final stage of surgical treatment. All of these processes will involve management of pain as well as provision of the psychological support these children will need to overcome physical and psychological sequelae and allow them to take up social activities after recovery.
Silvestre Pérez
M A
MA
Servicio de Anestesiología y Reanimación, Hospital Infantil La Fe, Valencia.
Matoses Jaén
M S
MS
Peiró Tudela
M C
MC
López Navarro
A M
AM
Tomás Braulio
J
J
D000758:Anesthesia; D000762:Anesthesia Recovery Period; D000906:Antibodies / Q000627:therapeutic use; D001424:Bacterial Infections / Q000209:etiology / Q000517:prevention & control; D002056:Burns / Q000150:complications / Q000473:pathology / Q000503:physiopathology / Q000601:surgery; D002059:Burns, Inhalation / Q000150:complications / Q000473:pathology / Q000503:physiopathology / Q000601:surgery; D002648:Child; D005440:Fluid Therapy; D006801:Humans; D015601:Injury Severity Score; D007442:Intubation, Intratracheal; D009751:Nutritional Requirements; D010146:Pain / Q000188:drug therapy / Q000209:etiology; D011379:Prognosis; D014139:Tracheostomy
D000906:Antibodies