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Severe Burn Injury in a Swine Model for Clinical Dressing Assessment

Severe Burn Injury in a Swine Model for Clinical Dressing Assessment

Published on: November 6, 2018

Burn Care: A Review-Part 2: Beyond 48 Hours.

David G Greenhalgh^1,2, Vinita Puri³

¹Shriners Children's Northern California, Sacramento, California, USA.

World Journal of Surgery

|September 27, 2025

Summary

This summary is machine-generated.

Long-term burn care is complex, requiring extensive nutritional and metabolic support. Managing large burns demands a skilled team focused on rapid wound healing to prevent sepsis.

Keywords:

burns hypermetabolism infection nutrition scarring sepsis skin grafting wound healing

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Area of Science:

Burn management
Trauma care
Wound healing

Background:

Burn patient care extends beyond initial 48 hours, becoming prolonged and challenging.
This review focuses on the long-term management strategies for burn patients.

Purpose of the Study:

To provide guidelines for the comprehensive management of burn injuries.
To highlight the complexities of long-term burn care.

Main Methods:

Review of current literature and expert clinical experience.
Development of management guidelines based on established knowledge.

Main Results:

Burn patients exhibit a profound hypermetabolic response, necessitating increased nutritional and metabolic support.
Destruction of skin barrier increases sepsis risk, making rapid wound healing a primary clinical goal.
Increasing burn size significantly complicates wound healing and patient management.

Conclusions:

Effective management of extensive burns requires a multidisciplinary team approach.
Long-term care necessitates addressing the patient's sustained metabolic and nutritional demands.