An analysis of mortality in patients with burns covering 40 per cent BSA or more: a retrospective review covering 24 years (1964–88)

Benmeir, P.; Sagi, Amir; Greber, Brian J.; Vardy, DA; Lusthaus, S.; Picard, Elyse; Baruchin, A.M.; Hauben, Daniel J.; Ben-Yaqar, Y.; Rosenberg, Lior; Mahler, Dan

doi:10.1016/s0305-4179(05)80075-0

Cited by 40 publications

(8 citation statements)

References 16 publications

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“…Despite its widespread use, few studies (31,32,(35)(36)(37) have addressed the adequacy of surgical tangential excision. One study (31) examined excised burn eschars from 15 patients, nine of whom were children.…”

Section: Discussionmentioning

confidence: 99%

Histological assessment of tangentially excised burn eschars

Gurfinkel¹,

Rosenberg²

2010

J Plast Surg

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Section: Discussionmentioning

confidence: 99%

Histological assessment of tangentially excised burn eschars

Gurfinkel¹,

Rosenberg²

2010

J Plast Surg

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“…10 Inhalation injury may also contribute to the damage sustained by the lungs. 2 Currently, the expected mortality for adults with ARDS is 50%.…”

Section: Discussionmentioning

confidence: 99%

Successful Management of Adult Smoke Inhalation with Extracorporeal Membrane Oxygenation

Thompson¹,

Molnár²,

Hines³

et al. 2005

Journal of Burn Care & Rehabilitation

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Pulmonary complications remain one of the leading causes of mortality in patients with burns. We report two cases of adult patients with thermal and inhalation injuries who were placed on extracorporeal membrane oxygenation (ECMO) and survived. Patient 1 was a 42-year-old male who suffered 15% TBSA and a severe inhalation injury requiring intubation upon arrival to the emergency department. Patient 2 was a 24-year-old female in a house fire who received 20%TBSA and was noted to be in respiratory distress and intubated on the scene by the paramedic team. Three days after admission, patient 1 developed severe respiratory failure. He decompensated, despite maximum conventional management, and was placed on ECMO. After 300 hours of ECMO, his pulmonary function had improved, and he was decannulated. Patient 2 also developed severe refractory respiratory failure and was placed on ECMO. She was decannulated 288 hours later. Both patients were discharged home shortly afterwards and have managed well. ECMO should be considered when patients are facing a respiratory death from inhalation injury on conventional mechanical ventilation.

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“…5,11 Duration of exposure, the concentration of the gas, and the depth of inhalation determine the severity of this injury. Anhydrous ammonia is primary an upper respiratory tract irritant, although it can also seriously damage the lower respiratory tract when inhaled for a long period of time at high concentration.…”

Section: Discussionmentioning

confidence: 99%