BURN SHOCK IN PEDIATRIC AFTER THERMAL INJURY AND MULTIPLE ORGAN FAILURE SYNDROMES
Keywords:
Burns shock, treatment, antishock infusion-transfusion, coveringAbstract
Burns covering more than one-third of the total body surface area lead to the unique derangements of cardiovascular function known as burn shock. Burn shock results from the interplay of direct tissue injury, hypovolemia, and release of multiple mediators of inflammation. The course and treatment of 56 pediatric patients with burn shock have been analyzed. With the purpose of investigation all patients with burn shock were subdivided into 2 groups: The first (control) 23 children and was treated according to traditional antishock infusion-transfusion therapy without inotropic therapy. The second (basic) group included 33 patients with burn shock and underwent a complex, antishock infusion-transfusion therapy with employment of inotropic and organoprotective therapy depending on dysfunction of vitals and systems. The victims of burns - material prove high spread POI in patients with burns, that requires complex, purposeful conservative (local and general) and surgical treatment for its reduction and prevention of unfavorable results
References
Centers for Disease Control and Prevention, National Center for Injury Prevention and Control Web-based Injury Statistics Query and Reporting System (WISQARS) fatal injury data 2016. 2. 2.Wolf SE, DebroyM, HerndonDN. The cornerstones and directions of pediatric burn care pediatr. Surgery 1997; 12:312-320. 3. 3.Schulman CI, KingDRPediatric fluid resuscitation after thermal injury. J Craniofac Sur. 2008;19(4):910–912. 4. Herndon D.N. Total burn care // 2nd edition, W.B. Saunders; 2001 5. Daltroy L., Liang M., Phillips C. et al. American Burn Asssociattion / Shriners Hospitals or Children burn outcomes questionnaire: construction and psychometric properties. J. Burn Care Rehabil 2000; 21:29-39. 6. Matveenko A.V. et. al. Burn shock. // Collection of scientific works of the I Congress ofRussian Combustiologists.World without burns, Moscow, October 17-21, 2005. - P. 69- 70. 7. Carvajal H.F., Parks D.H. Burns in Children. Chicago-London-BocaRaton, 1988. 8. Demling R. H., La Lond Ch. Burn Trauma. NewYork, 1989. 9. Chang R, Holcomb JB. Choice of fluid therapy in the initial management of sepsis, severe sepsis, and septic shock. Shock 2016;46:17- 26.
Downloads
Published
How to Cite
Issue
Section
License
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.