title: Anesthetic management of the pregnant burn patient: excision and grafting to emergency Cesarean section.
abstract: Pregnant patients with burn injuries present a unique challenge for general medical care and require special anesthetic considerations. A 21 year old woman at 28 weeks' gestation, who suffered 45% total burn surface area partial and full-thickness burns during a fire in her home, is presented. Anesthetic management included preparation and care during excision and skin grafting procedures, and during emergency Cesarean delivery. The management plan was developed by a multi-disciplinary team of personnel from the departments of burn surgery, obstetrics, anesthesiology, neonatology, and nursing.
authors.affiliation: Temple University School of Medicine, Philadelphia, PA 19140, USA; Western Pennsylvania Hospital Department of Anesthesiology, Pittsburgh, PA 15224, USA.
authors.forename: Misty A
authors.initials: MA
authors.lastname: Radosevich
authors.forename: Helene
authors.initials: H
authors.lastname: Finegold
authors.forename: William
authors.initials: W
authors.lastname: Goldfarb
authors.forename: Christopher
authors.initials: C
authors.lastname: Troianos
mesh_terms: D000773:Anesthesia, Obstetrical / Q000379:methods*; D000777:Anesthetics / Q000008:administration & dosage*; D002056:Burns / Q000150:complications* / Q000473:pathology; D002585:Cesarean Section / Q000379:methods*; D005260:Female; D006801:Humans; D010348:Patient Care Team / Q000458:organization & administration; D011247:Pregnancy; D011248:Pregnancy Complications / Q000473:pathology; D016038:Skin Transplantation / Q000379:methods; D055815:Young Adult
chemical_list: D000777:Anesthetics
keywords: Anesthesia; Burn wounds; Neonatology; Pregnancy burn injury; obstetrical