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Medical management of paediatric burn injuries: best practice part 2

Rachel D'Cruz1, Hugh C O Martin, Andrew J A Holland

  • 1Burns Unit, The Children's Hospital at Westmead Burns Research Institute, Sydney, New South Wales, Australia; Douglas Cohen Department of Paediatric Surgery, The Children's Hospital at Westmead, Sydney Medical School, The University of Sydney, Sydney, New South Wales, Australia.

Journal of Paediatrics and Child Health
|April 5, 2013
PubMed

Insights

Severe paediatric burns (>20%) present complex metabolic challenges. Evidence supports pharmacological modulators and holistic care coordinated by specialized Burns Units for optimal outcomes in children with extensive burn injuries.

Area of Science:

  • Paediatric burn management
  • Metabolic alterations in severe burns
  • Surgical innovations in burn care

Background:

  • Burns are a significant cause of injury in Australian children.
  • Severe burns (>20%) lead to complex metabolic disturbances.
  • Advances in surgical techniques are improving burn care.

Purpose of the Study:

  • To review the management of severe paediatric burns.
  • To highlight the role of pharmacological modulators in hyper-metabolism.
  • To emphasize the importance of multidisciplinary care in Burns Units.

Main Methods:

  • Review of current literature on paediatric burn management.
  • Analysis of evidence for pharmacological interventions.
  • Discussion of holistic, multidisciplinary care models.

Main Results:

  • Severe paediatric burns (>20%) cause significant metabolic alterations.
  • Pharmacological modulators show promise in managing hyper-metabolism.
  • Multidisciplinary coordination within Burns Units is crucial for optimal outcomes.

Conclusions:

  • Holistic, multidisciplinary care coordinated by Burns Units is essential for managing severe paediatric burns.
  • Pharmacological strategies are increasingly important for addressing hyper-metabolic states.
  • Continued focus on prevention remains critical despite advances in treatment.

Keywords:
bloodburndebridementmetabolismmultidisciplinary teamnutrition

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