• Medicina intensiva · Jan 2016

    Update in the management of critically ill burned patients.

    • J A Lorente and R Amaya-Villar.
    • Cuidados intensivos, Hospital Universitario de Getafe, Madrid, Spain; CIBER de Enfermedades Respiratorias, Madrid, Spain; Universidad Europea, Madrid, Spain. Electronic address: joseangel.lorente@salud.madrid.org.
    • Med Intensiva. 2016 Jan 1; 40 (1): 46-8.

    AbstractThe management of critically ill burn patients is challenging. These patients have to be managed in specialized centers, where the expertise of physicians and nursing personnel guarantees the best treatment. Mortality of burn patients has improved over the past decades due to a better understanding of burn shock pathophysiology, optimal surgical management, infection control and nutritional support. Indeed, a more aggressive resuscitation, early excision and grafting, the judicious use of topical antibiotics, and the provision of an adequate calorie and protein intake are key to attain best survival results. General advances in critical care have also to be implemented, including protective ventilation, glycemic control, selective decontamination of the digestive tract, and implementation of sedation protocols. Copyright © 2015 Elsevier España, S.L.U. and SEMICYUC. All rights reserved.

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