OBJECTIVE To determine patient and injury variables that influence fluid requirements following burn injury and examine the association between fluid volume received and outcome. BACKGROUND Fluid resuscitation remains the cornerstone of acute burn management. Recent studies suggest that patients today are receiving more fluid per percent total body surface area (TBSA) than in the past. Theref...

BACKGROUND Conventional wisdom and published reports suggest that children, particularly those younger than 48 months, have higher mortality rates after burns than young adults. However, coincident with refinements in resuscitation, operative techniques, and critical care, survival rates for children with burns seem to have improved. To document this change and to define current expectations, a...

OBJECTIVE The use of negative-pressure-wound-therapy (NPWT) is associated with improved outcomes in smaller burns. We report our experience using extra-large (XL) NPWT dressings to treat ≥15% total body surface area (TBSA) burned and describe our technique and early outcomes. We also provide NPWT exudate volume for predictive fluid resuscitation in these critically ill patients. METHODS We re...

BACKGROUND Different surgical techniques have evolved since excision and autografting became the treatment of choice for deep burns in the 1970s. The treatment plan at the Burn Center, Linköping University Hospital, Sweden, has shifted from single-stage excision and immediate autografting to staged excisions and temporary cover with xenografts before autografting. The aim of this study was to f...

objective: to compare the outcome of patients with up to 60% total body surface area (tbsa) thermal burns undergoing ultra-early and early excision and grafting. methods: this historical cohort study was performed in two referral burn centers of shiraz during a 1-year period from 2015 to 2016. we included those patients with thermal burns up to 60% tbsa who underwent ultra-early (48-72 hours) a...

OBJECTIVE Most of the literature about Curling's ulcer was published from 1960 through 1980. Therefore, an updated study of Curling's ulcer is needed. We analyzed the risk factors affecting ulcer incidence in burn patients. METHODS We retrospectively analyzed the medical records of burn patients who were admitted to two burn centers. We collected information about the general characteristics ...

OBJECTIVE We report clinical and functional outcomes obtained after application of an autologous bioengineered composite skin (ABCS) produced in a single Spanish tissue-engineering unit. MATERIALS/METHODS Twenty-five burned patients treated with ABCS from 1999 to 2007 in five burn centres were included in the study. Mean age was 29 years (SD 11), with mean total body surface area (TBSA) burne...

BACKGROUND Pulmonary failure has emerged as one of the leading causes of mortality in burned children due, in part, to the success in reducing the incidence of sepsis, early surgery and fluid resuscitation, and new advances in nutritional support. To evaluate the effect of pulmonary injury, age, gender, race, and burn size on mortality, the records of 3179 burned children admitted to our burn c...

conclusion preventive programs for reducing the risk of burns are needed. furthermore, high percentage of tbsa and mortality and the presence of multi-drugs resistance bacteria are major concerns in our hospital. patients and methods in a descriptive study, medical files of 6082 consecutive admissions for burn injury treated at taleghani burn hospital over a five-year period were reviewed. resu...

BACKGROUND Use of colloids in acute burn resuscitation may reduce fluid requirements, but effect on mortality is unknown. We hypothesized that patients who received albumin would have similar mortality to patients who did not receive albumin. METHODS We performed a case-controlled study of inpatients who sustained burns of > or =20% total body surface area (TBSA). Patients who received albumi...