title: Update on Severe Burn Management for the Intensivist.
abstract: Thermal injury of humans causes arguably the most severe perturbations in physiology that can be experienced. These physiologic derangements start immediately and can persist in some form until months or even years after the burn wounds are healed. Burn shock, marked activation of the systemic inflammatory response, multiple-organ failure, infection, and wound failure are just a few of the insults that may require management by the intensivist. The purpose of this article is to review recent advances in the critical care management of thermally injured patients.
authors.affiliation: Burn Center, United States Army Institute of Surgical Research, Fort Sam Houston, TX, USA Department of Medicine, Uniformed Services University of the Health Sciences, Bethesda, MD, USA.
authors.forename: Jonathan B
authors.initials: JB
authors.lastname: Lundy
authors.affiliation: Burn Center, United States Army Institute of Surgical Research, Fort Sam Houston, TX, USA Department of Medicine, Uniformed Services University of the Health Sciences, Bethesda, MD, USA kevin.k.chung.mil@mail.mil.
authors.forename: Kevin K
authors.initials: KK
authors.lastname: Chung
authors.affiliation: Burn Center, United States Army Institute of Surgical Research, Fort Sam Houston, TX, USA Department of Medicine, Uniformed Services University of the Health Sciences, Bethesda, MD, USA.
authors.forename: Jeremy C
authors.initials: JC
authors.lastname: Pamplin
authors.affiliation: Department of Medicine, William Beaumont Army Medical Center, Fort Bliss, TX, USA.
authors.forename: Craig R
authors.initials: CR
authors.lastname: Ainsworth
authors.affiliation: Department of Surgery, Mount Sinai Beth Israel Medical Center, New York, NY, USA.
authors.forename: James C
authors.initials: JC
authors.lastname: Jeng
authors.affiliation: Joseph M. Still Burn Center, Augusta, GA, USA.
authors.forename: Bruce C
authors.initials: BC
authors.lastname: Friedman
mesh_terms: D002056:Burns / Q000150:complications / Q000628:therapy*; D058406:Cardiac Resynchronization Therapy; D003422:Critical Care; D019468:Disease Management; D006801:Humans; D009102:Multiple Organ Failure / Q000209:etiology; D012769:Shock / Q000209:etiology
keywords: critical care; mechanical ventilation; resuscitation; sedation; shock