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Cardiovascular dysfunction in burns: review of the literature
G S Abu-Sittah1, K A Sarhane, S A Dibo
1Division of Plastic and Reconstructive Surgery, American University of Beirut Medical Center.
Insights
Major burn injuries cause significant heart problems, increasing risks of sepsis and death. This review covers cardiac dysfunction after burns and how to monitor it effectively.
Area of Science:
- Cardiology
- Trauma Surgery
- Critical Care Medicine
Background:
- Major burn injury triggers severe hemodynamic and cardiodynamic changes.
- Cardiac dysfunction is a key factor influencing outcomes after burns, linked to poorer results.
- The acute phase response following burns is characterized by cardiac stress.
Purpose of the Study:
- To provide a comprehensive review of cardiac dysfunction in burn patients.
- To discuss the various monitoring modalities used for cardiac dysfunction in burns.
- To consolidate current literature on post-burn cardiac complications.
Main Methods:
- Literature review of existing studies on burn-related cardiac dysfunction.
- Analysis of evidence regarding hemodynamic and cardiodynamic derangements.
- Compilation of information on monitoring techniques for cardiac function post-burn.
Main Results:
- Burn injuries lead to significant cardiac stress and dysfunction.
- The severity of cardiac dysfunction correlates with patient outcomes.
- Various monitoring methods exist for assessing cardiac status in burn patients.
Conclusions:
- Cardiac dysfunction is a critical determinant of outcomes in major burn injuries.
- Effective monitoring of cardiac function is essential for managing burn patients.
- Further research may refine monitoring strategies and improve patient survival.
Abstract:
Major burn injury produces substantial hemodynamic and cardiodynamic derangements, which contribute to the development of sepsis, multiple organ failure, and death. Cardiac stress is the hallmark of the acute phase response and its severity determines postburn outcomes, with poorer outcomes associated with cardiac dysfunction. With available evidence from the literature, the present is a comprehensive review of cardiac dysfunction in burns as well as the different monitoring modalities.
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