RT Book, Section
A1 Crow, John P.
A2 Ziegler, Moritz M.
A2 Azizkhan, Richard G.
A2 Allmen, Daniel von
A2 Weber, Thomas R.
SR Print(0)
ID 1100438723
T1 Burn Injury
T2 Operative Pediatric Surgery, 2e
YR 2014
FD 2014
PB McGraw-Hill Education
PP New York, NY
SN 978-0-07-162723-8
LK accesspediatrics.mhmedical.com/content.aspx?aid=1100438723
RD 2024/04/19
AB Most  children  survive  a  burn  injury  regardless  of  the  size  of  cutaneous  injury.Sepsis,  respiratory  failure,  and  anoxic  brain  injury  are  the  leading  causes  of  death  in  pediatric  burn  victims.The  Parkland  formula  with  modifications  for  size  and  presence  of  inhalational  injury  is  the  resuscitation  formula  of  choice.Colloid  is  often  used  to  prevent  crystalloid  over-resuscitation  despite  a  lack  of  evidence  regarding  outcome.Early  burn  wound  excision  with  skin  coverage  is  the  most  important  therapeutic  maneuver  with  full-thickness  injury  to  the  skin.Silver-impregnated  products  provide  excellent  wound  coverage  for  exposed  dermis  present  in  donor  sites  and  partial-thickness  wounds  and  limited  full-thickness  burn  wounds.Dermal  replacement  products  are  valuable  in  extensive  burn  injury  for  wound  coverage  and  neodermal  development.Optimal  nutrition  is  essential  in  the  management  of  moderate  and  large  surface  area  burn  injury.Pharmacological  therapy  is  helpful  in  optimizing  nutrition  and  blunting  the  hypermetabolic  response.