Document Detail


Pediatric thermal injury: acute care and reconstruction update.
MedLine Citation:
PMID:  19568145     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: The acute and reconstructive care of each pediatric burn patient presents unique challenges to the plastic surgeon and the burn care team.
METHODS: : The purpose of this review article is to highlight the interdependence between the acute and reconstructive needs of pediatric burn patients as it pertains to each anatomical site. Relevant principles of acute pediatric burn care and burn reconstruction are outlined, based on the authors' experience and review of the literature.
RESULTS: The need for late reconstruction in pediatric burn survivors is significantly influenced by the acute surgical and rehabilitative treatments. With their vulnerability to airway swelling, hypothermia, pulmonary edema, and ischemia-reperfusion injury, pediatric patients with large burns require precise, life-saving treatment in the acute phase. Decision-making in pediatric burn reconstruction must take into account the patient's future growth, maturity, and often lack of suitable donor sites.
CONCLUSION: Appropriately selected reconstructive techniques are essential to optimize function, appearance, and quality of life in pediatric burn survivors.
Authors:
Alexis D Armour; David A Billmire
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Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  Plastic and reconstructive surgery     Volume:  124     ISSN:  1529-4242     ISO Abbreviation:  Plast. Reconstr. Surg.     Publication Date:  2009 Jul 
Date Detail:
Created Date:  2009-07-01     Completed Date:  2010-06-03     Revised Date:  2011-02-16    
Medline Journal Info:
Nlm Unique ID:  1306050     Medline TA:  Plast Reconstr Surg     Country:  United States    
Other Details:
Languages:  eng     Pagination:  117e-127e     Citation Subset:  AIM; IM    
Affiliation:
Department of Medical Staff, Shriners Hospitals for Children, USA.
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MeSH Terms
Descriptor/Qualifier:
Breast / injuries
Burns / mortality,  surgery,  therapy*
Child
Craniocerebral Trauma / surgery
Humans
Hypothermia / physiopathology
Lower Extremity / injuries,  surgery
Neck Injuries / surgery
Quality of Life
Reconstructive Surgical Procedures
Upper Extremity / injuries,  surgery

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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