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Related Experiment Videos

S Siah1,2, M Aissa3,2

  • 1Service de chirurgie plastique et des brûlés, hôpital militaire d'instruction Mohamed V, Rabat, Maroc.

Annals of Burns and Fire Disasters
|July 10, 2018
PubMed
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A severe burn patient experienced cardiac arrest during surgery due to blood loss, low blood volume, and hypothermia. This case highlights the critical management of cardiopulmonary arrest in the operating room for burn patients.

Area of Science:

  • Emergency Medicine
  • Surgical Critical Care
  • Burn Management

Context:

  • Severe burn injuries necessitate complex surgical interventions, including skin grafting.
  • Perioperative complications such as bleeding, hypovolemia, and hypothermia pose significant risks during burn surgeries.

Purpose:

  • To report a case of asystole during a dermo-epidermal graft in a severe burn patient.
  • To review the management strategies for cardiopulmonary arrest in the operating theatre specifically within the context of burn surgery.

Summary:

  • A patient undergoing a dermo-epidermal graft for severe burns on both upper limbs developed asystole.
  • The cardiac arrest was attributed to perioperative bleeding, hypovolemia, and hypothermia.
  • Management protocols for operating room cardiopulmonary arrest in burn surgery were reviewed.

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Impact:

  • This case underscores the importance of vigilant hemodynamic monitoring and proactive management of physiological derangements during burn surgery.
  • It emphasizes the need for specialized protocols to address cardiopulmonary arrest in the unique environment of the operating theatre for burn patients.
  • The findings contribute to improving patient safety and outcomes in complex burn reconstructions.