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Burn intensive care.

Shawn P Fagan1, Mary-Liz Bilodeau1, Jeremy Goverman1

  • 1Sumner Redstone Burn Center, Massachusetts General Hospital, 55 Fruit Street, Boston, MA 02114, USA.

The Surgical Clinics of North America
|August 3, 2014
PubMed
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Advances in critical care, resuscitation, infection control, and hypermetabolic response management have significantly improved survival rates for burn patients. Modern intensive care for thermal injuries now achieves over 90% survival for large burns, a major leap from past outcomes.

Area of Science:

  • Medicine
  • Surgery
  • Intensive Care Medicine

Background:

  • Survival rates for severe thermal injuries have dramatically improved over recent decades.
  • Historical mortality rates for burns exceeding 40% total body surface area (TBSA) were significantly higher.

Purpose of the Study:

  • To review recent advancements in burn treatment.
  • To discuss the impact of these advances on modern intensive care for burn patients.

Main Methods:

  • Review of literature on burn treatment advancements.
  • Analysis of factors contributing to improved survival rates in thermal injuries.

Main Results:

  • The lethal dose 50 (LD50) for thermal injuries has increased from 42% TBSA to over 90% TBSA for young patients.
Keywords:
BurnsColloidIntensive carePostburn hypermetabolism

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  • Key improvements include critical care, resuscitation, early excision for infection control, and pharmacologic management of hypermetabolism.

    • Conclusions:

    • Modern intensive care has revolutionized burn treatment outcomes.
    • Multidisciplinary advancements have led to unprecedented survival rates for severe burn injuries.