PMID: 11311521Apr 20, 2001Paper

Trends in blood conservation in burn care

Burns : Journal of the International Society for Burn Injuries
R L Sheridan, S K Szyfelbein

Abstract

Traditional burn surgery is very bloody, but wide use of blood conserving strategies is becoming common. Uniform application of blood conserving techniques of burn wound excision may substantially decrease blood utilization in burn patients. We chose to examine this trend in our unit. All fresh frozen plasma (FFP) and packed red blood cell (pRBC) use in children with burns of 10% or more of the body surface who were admitted during 2-3 year intervals, separated by a decade, was reviewed in detail. Three subgroups were separately analyzed: children with 10-24% (small), 25-49% (medium) and 50-100% (large) body surface area burns. Between these two intervals a major emphasis was made in techniques of blood conservation during surgery and fresh frozen plasma was replaced by 5% albumin as the routine resuscitative colloid. In Group 1, there were 189 children, of whom 184 (97%) survived to discharge. In Group 2, there were 203 children, of whom 199 (98%) survived to discharge (N.S.). All subgroups were well matched for age, weight and burn size. Discharge hemocrits exceeded 30% in all subgroups. Reductions in FFP use were 100, 95 and 97% in the small, medium and large burn size groups, respectively. Reductions in pRBC use were 89, 63...Continue Reading

References

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Citations

Feb 5, 2004·Journal of the American College of Surgeons·Robert L Sheridan, Ronald G Tompkins
Apr 23, 2003·Burns : Journal of the International Society for Burn Injuries·Tim La H Brown, M J Muller
Jan 17, 2004·The Journal of Burn Care & Rehabilitation·Tina L Palmieri, David G Greenhalgh
Mar 29, 2006·Journal of Burn Care & Research : Official Publication of the American Burn Association·Brett D ArnoldoGary F Purdue
Nov 9, 2006·Journal of Burn Care & Research : Official Publication of the American Burn Association·Peter KwanRobert Cartotto
Jan 26, 2007·Critical Care Medicine·Rob Sheridan
Jan 22, 2011·Journal of Burn Care & Research : Official Publication of the American Burn Association·Joseph A PoslusznyRichard L Gamelli
Feb 26, 2010·Journal of Burn Care & Research : Official Publication of the American Burn Association·Joseph A Posluszny, Richard L Gamelli
Jan 19, 2005·Annals of Plastic Surgery·Joseph E LoseeJoseph M Serletti
Oct 6, 2006·Current Opinion in Anaesthesiology·Peter MarkoAndrea Gabrielli
Mar 4, 2011·Burns : Journal of the International Society for Burn Injuries·Giuseppe CuringaStephen Milner
Nov 21, 2007·Surgery·Kevin Foster
Mar 29, 2005·American Journal of Surgery·Kara K Criswell, Richard L Gamelli
Jun 19, 2004·Injury·Tim La H Brown, Michael J Muller
Sep 25, 2001·Current Problems in Surgery·R L Sheridan
Jan 5, 2011·Burns : Journal of the International Society for Burn Injuries·Jose P Sterling, David M Heimbach
Dec 28, 2016·Plastic and Reconstructive Surgery·Kevin J ZuoEdward E Tredget

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