Burn from any cause is definitely harm to your patient, skin is considered not an important vital organ, however, skin is essential to protect your internal organ and prevent heat and fluid loss. When your patient has problems with his/her skin, insensible fluid losses together with visible fluid loss can precipitate your patient's homaeostasis.
When you have to evaluate your burn patient, you have to establish two things, one is degree of tissue injury, the severity of burn from 1st degree to 3rd degree. Then you have to estimate the extent of the injury, the percentage of your patient's skin involved relative to total body surface area. This will have to be examined because it is essential for the treatment plan you patient is in need.
Further anaesthetic considerations for the management of your burn patient will include; what type of injury such as flame, acid, or electrical because the consequences of each cause would be different, and also when the injury happened either acute injury or in the convalescence phase. The scar from chronic wound would definitely affect your decision on how to intubate your patient such as the lower photo here. If your patient is scheduled for skin graft, you have to ask also where the donor skin will come from and which position your patient will be required.
Burn management is very difficult however it is a very challenging discipline. Get it or Lose it.
When you have to evaluate your burn patient, you have to establish two things, one is degree of tissue injury, the severity of burn from 1st degree to 3rd degree. Then you have to estimate the extent of the injury, the percentage of your patient's skin involved relative to total body surface area. This will have to be examined because it is essential for the treatment plan you patient is in need.
Further anaesthetic considerations for the management of your burn patient will include; what type of injury such as flame, acid, or electrical because the consequences of each cause would be different, and also when the injury happened either acute injury or in the convalescence phase. The scar from chronic wound would definitely affect your decision on how to intubate your patient such as the lower photo here. If your patient is scheduled for skin graft, you have to ask also where the donor skin will come from and which position your patient will be required.
Burn management is very difficult however it is a very challenging discipline. Get it or Lose it.
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