RT Book, Section
A1 Demling, Robert
A1 Desanti, Leslie
A2 Hall, Jesse B.
A2 Schmidt, Gregory A.
A2 Wood, Lawrence D.H.
SR Print(0)
ID 2280158
T1 Chapter 100. Burns: Inflammation-Infection Phase (Day 7 to Wound Closure)
T2 Principles of Critical Care, 3e
YR 2005
FD 2005
PB The McGraw-Hill Companies
PP New York, NY
SN 9780071416405
LK accessanesthesiology.mhmedical.com/content.aspx?aid=2280158
RD 2023/12/02
AB This  period  is  characterized  by  hypermetabolism  and  sepsis  syndrome  owing  to  wound  inflammation.Adequate  nutritional  support  is  critical  to  attenuate  the  rate  of  catabolism.Enteral  nutrition  should  begin  by  3  days,  and  80%  of  nutritional  needs  should  be  met  by  7  days.Inappropriate  use  of  systemic  antibiotics  is  common  during  this  period  because  infection  is  overdiagnosed.During  this  period,  wound  manipulation  and  operative  procedures  must  be  limited  because  of  wound  colonization  and  hypervascularity.Pulmonary  complications  are  the  most  common  cause  of  mortality  during  this  period;  general  anesthesia  and  transport  are  high-risk  periods.Anemia  is  characteristic  of  this  period  because  of  decreased  red  blood  cell  production  and  continued  red  blood  cell  losses.A  close  working  relationship  with  the  patient  is  the  key  to  control  stress.Pain  and  stress  management  are  major  problems  often  necessitating  extensive  use  of  narcotics,  sedatives,  and  antipsychotic  drugs.