Treatment of the seriously burned infant

The Journal of Burn Care & Rehabilitation
R L SheridanM Lydon

Abstract

Infants (younger than 12 months) with large (more than 30%) burns are reported to have poorer chances for survival than older children with similar injuries. However, recent experience with such infants has been positive, prompting a 5-year review of management techniques. The injuries were approached in an organized fashion that included precise fluid support, excision, and biologic closure of full-thickness wounds within 5 days, limited exposure to high inflating pressures (more than 40 cm H2O), weekly replacement of central venous catheters, and intensive nutritional support via the enteral route whenever possible. Twelve such infants were treated during the 5-year interval. Their average age was 7.8 months (range, 1 to 12 month[s]), average weight was 8.8 kg (range, 4.3 to 13 kg), and average burn size was 42% (range, 30% to 90%). Inhalation injury was present in two of the children, and one child aspirated hot liquid. Six (50%) of the infants required the support of a mechanical ventilator for an average of 11.6 days (range, 4 to 18 days). Eight children required an average of 5.7 operations (range, 1 to 18 operation[s]), seven required central venous catheters, and five required arterial cannulae. Major infectious complic...Continue Reading

Citations

Mar 15, 2011·Burns : Journal of the International Society for Burn Injuries·S G CoxV L Fitzpatrick-Swallow
Nov 24, 2004·Burns : Journal of the International Society for Burn Injuries·Lior RosenbergAdam J Singer
Jan 13, 2006·Burns : Journal of the International Society for Burn Injuries·Prem N SharmaIbrahim E Ghoneim
Sep 25, 2001·Current Problems in Surgery·R L Sheridan
Mar 7, 2014·Medical Journal, Armed Forces India·Vijay LangerM K Mukherjee
Jul 27, 2004·The Journal of Burn Care & Rehabilitation·Patrick R KadilakRobert L Sheridan
Aug 1, 2007·Journal of Burn Care & Research : Official Publication of the American Burn Association·Robert Sheridan
Jun 10, 2003·Pediatric Critical Care Medicine : a Journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies·Robert L. SheridanRonald G. Tompkins
Jun 3, 2018·Pediatrics in Review·Robert L Sheridan
Sep 8, 2017·Burns and Trauma·Kathleen S Romanowski, Tina L Palmieri
May 20, 1998·Current Problems in Pediatrics·R L Sheridan

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