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Critical care of burns patients 

Critical care of burns patients
Chapter:
Critical care of burns patients
Author(s):

Francis Andrews

DOI:
10.1093/med/9780199699537.003.0013
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date: 27 September 2020

The critical care management of burns patients requires a multidisciplinary collaborative approach to optimise the chances of patient survival. Early oral endotracheal intubation is essential if there is evidence of airway injury or injury that will affect breathing capacity, with early bronchoscopic evaluation of the upper and lower airway. Mechanical ventilation should follow strategies for acute respiratory distress syndrome (ARDS) management and weaning from ventilation requires an evidence-based approach; patients may require a tracheostomy as part of a weaning process. Burns patients are at an increased risk of hospital-acquired infection, especially ventilator acquired pneumonia and vascular catheter infection which should be treated rapidly. Attention to balanced sedation and nutrition are required to optimize the care of these patients. Another particular risk is acute renal failure due to rhabdomyolysis and careful fluid management is required to try and prevent this serious complication.

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