Clinical review: The critical care management of the burn patient

被引：90

作者：

Snell, Jane A. ^{[1
]}

Loh, Ne-Hooi W. ^{[2
]}

Mahambrey, Tushar ^{[3
]}

Shokrollahi, Kayvan ^{[4
]}

机构：

[1] Aintree Univ Hosp NHS Fdn Trust, Dept Anaesthesia, Liverpool L9 7AL, Merseyside, England

[2] Walton Ctr Neurol & Neurosurg, Horsley ICU, Dept Neuroanaesthesia & Crit Care, Liverpool L9 7LJ, Merseyside, England

[3] Whiston Hosp, Intens Care Unit, Prescot L35 5DR, England

[4] Whiston Hosp, Mersey Reg Burns Unit, Prescot L35 5DR, England

来源：

CRITICAL CARE | 2013年 / 17卷 / 05期

关键词：

ACUTE-RENAL-FAILURE; ACUTE KIDNEY INJURY; FREQUENCY OSCILLATORY VENTILATION; RESPIRATORY-DISTRESS-SYNDROME; ACUTE LUNG INJURY; SELECTIVE DECONTAMINATION; INHALATION INJURY; DIGESTIVE-TRACT; FLUID RESUSCITATION; BLOOD-TRANSFUSION;

D O I：

10.1186/cc12706

中图分类号：

R4 [临床医学];

学科分类号：

1002 ; 100602 ;

摘要：

Between 4 and 22% of burn patients presenting to the emergency department are admitted to critical care. Burn injury is characterised by a hypermetabolic response with physiologic, catabolic and immune effects. Burn care has seen renewed interest in colloid resuscitation, a change in transfusion practice and the development of anti-catabolic therapies. A literature search was conducted with priority given to review articles, meta-analyses and well-designed large trials; paediatric studies were included where adult studies were lacking with the aim to review the advances in adult intensive care burn management and place them in the general context of day-to-day practical burn management.

引用

页数：10

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