[Burn trauma--Part 2. Anesthesiological, surgical and intensive care management].
After initial stabilization of burn victims at the scene and in the trauma room, a tight cooperation and communication between anesthesiologists, plastic surgeons and intensive care specialists is needed for further therapy. Interdisciplinary communication about preoperative planning, timing of necrectomy and intensive care therapy is vital regarding functional and aesthetic outcome and survival rate. During burn surgery attention has to be paid to excessive blood loss and the danger of hypothermia. The main problems of intensive care therapy involve the evaluation of volume status, high demands for analgesia and sedation, high incidence of septic multiorgan failure and therapy and prophylaxis of the effects of hypermetabolism.
Giessler
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GA
Abt. für Plastische, Hand- und Rekonstruktive Mikrochirurgie, Berufsgenossenschaftliche Unfallklinik Murnau, Professor Kuentscher Str. 8, 82418 Murnau am Staffelsee, Deutschland. goetz.giessler@bgu-murnau.de
Mayer
T
T
Trupkovic
T
T
D000758:Anesthesia; D016063:Blood Loss, Surgical; D002056:Burns / Q000601:surgery / Q000628:therapy*; D003422:Critical Care; D004632:Emergency Medical Services; D006801:Humans; D007035:Hypothermia / Q000517:prevention & control; D033183:Interdisciplinary Communication; D010347:Patient Care Planning; D019651:Plastic Surgery Procedures; D018805:Sepsis / Q000517:prevention & control / Q000628:therapy; D013534:Survival