engleski

UPDATE MANAGEMENT OF PEDIATRIC BURNS: FLUID RESUSCUTATION, METABOLIC CARE, INFECTION CONTROL AND SURGICAL TREATMENT OF THE BURNS WOUND

Children, especially younger ones, form a risky group among burned patients. The number of burned victim among children has been decreased in most of European countries including Croatia. The burn care for burned children must take place in specialized burn unit and burn centre for children. The complex pathophysiology of severe burn injury still make it one of the most demanding therapeutic challenges. Scald burns secondary to household accidents predominate in most cases, constituting 70% of all thermal injuries in infant, toddlers, and pre-school children. Recent advances in the area of pathophysiology of burn shock and burn infection, intensive care, surgical treatment and skin substitutes have a strong reflectiononthefourmainlevelsofmoderntreatmentof burned children: fluidreplacement, metaboliccare, preventionofinfection, andburnwoundsurgery.However, deliveryoftheseoutcomes in not easy and requires a multidisciplinary effort team of surgeons, paediatricians, physiatrists, physical and occupational therapists, nurses, anesthesiologists, social workers, psychiatrists, and psychologists with great experience in burn care, need to work together as a unit. Unless such coordinated multidisciplinary aftercare is provided, it is not possible to achieve the highest quality outcome after serious burn injuries.

PAEDIATRIC BURNS; FLUID RESUSCITATION; METABOLIC REQUIREMENTS; INFECTION CONTROL AND SURGICAL TREATMENT

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