Related Experiment Videos
[Anesthesia in severely burnt patients: a 10-year experience]
C D'Eramo1, C Grattagliano, L Lombardelli
1Servizio di Anestesia e Rianimazione, U.S.L. 4, Parma, Italia.
Cahiers D'Anesthesiologie
|January 1, 1994
Summary
This study analyzed anesthetic practices for 314 severely burned patients undergoing escharrectomy and skin grafts between 1982-1991. Combined general anesthesia, primarily with isoflurane, was most common, while ketamine was used for pediatric patients.
Area of Science:
- Anesthesiology
- Burn Surgery
- Trauma Care
Context:
- Retrospective analysis of anesthetic activity from 1982-1991.
- Focus on 314 severely burned patients undergoing escharrectomy with cutaneous grafts.
- Burn injuries represented 53.4% of all hospitalizations during the study period.
Purpose:
- To review and analyze anesthetic techniques employed in the surgical management of severe burn patients over a decade.
- To identify trends in anesthetic choices based on patient age and burn severity.
- To evaluate the incidence of specific anesthetic agents used in this patient population.
Summary:
- The study found the highest incidence of these interventions in 1990 (19.5%).
- Patients aged 12 to 60 years were most frequently affected.
- Burns covered less than 30% of the body surface in 51% of cases.
- Combined general anesthesia (76%) using isoflurane (68%) was prevalent.
- Monopharmacological ketamine anesthesia (24%) was predominantly used in pediatric patients (0-12 years, 63.1%).
Impact:
- Provides insights into historical anesthetic practices for severe burn management.
- Highlights age-specific anesthetic considerations in burn surgery.
- Informs future anesthetic protocols for escharrectomy and skin grafting in burn patients.
- Contributes to the understanding of anesthetic agent selection in trauma care.