|
Accession number;05A0261245
|
| Title;Initial Management of Pediatric Burn Injuries |
| Author;
YASUDA KAZUHIRO
(Sugamobyoin)
|
Journal Title;Japanese Journal of Pediatric Surgery
|
Journal Code:Z0323B
|
ISSN:0385-6313
|
|
VOL.37;NO.2;PAGE.195-199(2005)
|
| Figure&Table&Reference;FIG.2, REF.21 |
| Pub. Country;Japan |
| Language;Japanese |
| Abstract;Postburn lung dysfunction and hypovolemia (burn shock) are major causes of mortality at the initial period in burned pediatric patients. Upon arrival of the patient, the physician needs to assess the basics of airway, breathing, and circulation. When there is a strong possibility of inhalation injury or CO poisoning, endotracheal intubation and oxygen therapy are required immediately. Hypovolemia becomes severe rapidly due to increased capillary permeability throughout the body (the peak is in the first 24 hours). Fluid resuscitation by transfusion of crystalloid must be initiated as soon as possible. The transfusion rate is adjusted to ensure an hourly urine output of more than 1ml/kg (body weight) in the pediatric patient. Maintaining good capillary flow will prevent acute renal failure or other organ dysfunctions. It is a prerequisite for early skin grafts. (author abst.) |
|
|
|
Related Articles;
|
