Das Verbrennungstrauma –Teil 2

Abstract

After initial stabilization of burn victims at the scene and in the trauma room, a tight cooperation and communication between anesthesiologists, plastic surgeons and intensive care specialists is needed for further therapy. Interdisciplinary communication about preoperative planning, timing of necrectomy and intensive care therapy is vital regarding functional and aesthetic outcome and survival rate. During burn surgery attention has to be paid to excessive blood loss and the danger of hypothermia. The main problems of intensive care therapy involve the evaluation of volume status, high demands for analgesia and sedation, high incidence of septic multiorgan failure and therapy and prophylaxis of the effects of hypermetabolism.

Tratamento da dor em queimados

“…Although these drugs are weak when used alone, they act synergistically with opioids 29 . Due to the inhibition of platelet aggregation, the use of NSAIDs should be avoided in situations in which risk of bleeding is a concern (such as severe burn) 30 . Its use also requires caution in patients with cardiovascular and gastrointestinal diseases 31 .…”