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Anesthetic considerations for major burn injury in pediatric patients
Author(s) -
FUZAYLOV GENNADIY,
FIDKOWSKI CHRISTINA W.
Publication year - 2009
Publication title -
pediatric anesthesia
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.704
H-Index - 82
eISSN - 1460-9592
pISSN - 1155-5645
DOI - 10.1111/j.1460-9592.2009.02924.x
Subject(s) - medicine , intensive care medicine , anesthetic , anesthesia , pediatric burn , burn injury , sepsis , burn center , severe burn , total body surface area , critically ill , emergency medicine , poison control , surgery
Summary Major burn injury remains a significant cause of morbidity and mortality in pediatric patients. With advances in burn care and with the development of experienced multi‐disciplinary teams at regionalized burn centers, many children are surviving severe burn injury. As members of the multi‐disciplinary care team, anesthesia providers are called upon to care for these critically ill children. These children provide several anesthetic challenges, such as difficult airways, difficult vascular access, fluid and electrolyte imbalances, altered temperature regulation, sepsis, cardiovascular instability, and increased requirements of muscle relaxants and opioids. The anesthesia provider must understand the physiologic derangements that occur with severe burn injury as well as the subsequent anesthetic implications.