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Clinics in Plastic Surgery

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https://www.readbyqxmd.com/read/28576258/volume-1-rescue-resuscitation-and-resurfacing
#1
EDITORIAL
Charles Scott Hultman, Michael W Neumeister
No abstract text is available yet for this article.
July 2017: Clinics in Plastic Surgery
https://www.readbyqxmd.com/read/28576257/management-of-the-chronic-burn-wound
#2
REVIEW
Stephen Tyler Elkins-Williams, William A Marston, Charles Scott Hultman
This article reviews the current evidence in using hyperbaric oxygen therapy (HBOT) in burn wounds. There is also separate consideration of diabetic foot burns and a protocol for use of HBOT in a specific case. The challenges of using HBOT in an acute burn care setting are reviewed. Next the pathophysiology of Marjolin ulcers is reviewed. The current thinking in diagnosis, treatment, and prevention of Marjolin ulcers is discussed. Finally, a background in using topical growth factors (tGF) is provided, followed by a summary of the current evidence of tGF in burn wounds...
July 2017: Clinics in Plastic Surgery
https://www.readbyqxmd.com/read/28576256/negative-pressure-wound-therapy-for-burns
#3
REVIEW
Neel A Kantak, Riyam Mistry, David E Varon, Eric G Halvorson
Negative pressure wound therapy (NPWT) has become a widely used treatment for acute and chronic wounds. NPWT is indicated for a variety of complex wounds, and some studies validate its use for certain aspects of burn care. Although further research is needed to explore the benefits for burns, NPWT has proven beneficial in its use as a dressing that bolsters skin grafts, promotes integration of bilaminate dermal substitutes, promotes re-epithelialization of skin graft donor sites, and potentially reduces the zone of stasis...
July 2017: Clinics in Plastic Surgery
https://www.readbyqxmd.com/read/28576255/chemical-electrical-and-radiation-injuries
#4
REVIEW
Jonathan Friedstat, David A Brown, Benjamin Levi
This article reviews the unique challenges presented by chemical, electrical, and radiation injuries. The authors discuss pathophysiology and diagnosis of these injuries and provide recommendations for management.
July 2017: Clinics in Plastic Surgery
https://www.readbyqxmd.com/read/28576254/even-better-than-the-real-thing-xenografting-in-pediatric-patients-with-scald-injury
#5
REVIEW
Paul Diegidio, Steven J Hermiz, Shiara Ortiz-Pujols, Samuel W Jones, David van Duin, David J Weber, Bruce A Cairns, Charles Scott Hultman
This article reviews a single burn center experience with porcine xenografts to treat pediatric scald injuries, over a 10-year period. The authors compare xenografting to autografting, as well as wound care only, and provide outcome data on length of stay, incidence of health care-associated infections, and need for reconstructive surgery.
July 2017: Clinics in Plastic Surgery
https://www.readbyqxmd.com/read/28576253/stem-cells-and-tissue-engineering-regeneration-of-the-skin-and-its-contents
#6
REVIEW
Amy L Strong, Michael W Neumeister, Benjamin Levi
In this review, the authors discuss the stages of skin wound healing, the role of stem cells in accelerating skin wound healing, and the mechanism by which these stem cells may reconstitute the skin in the context of tissue engineering.
July 2017: Clinics in Plastic Surgery
https://www.readbyqxmd.com/read/28576252/skin-substitutes-and-bioscaffolds-temporary-and-permanent-coverage
#7
REVIEW
Anthony G Haddad, Giorgio Giatsidis, Dennis P Orgill, Eric G Halvorson
Advancements in surgical wound treatment have led to skin substitutes and bioscaffolds as temporary and permanent coverage for burn wounds. Skin substitutes are used to improve wound coverage and restore the functional and aesthetic qualities of skin, and help to prevent wound infection and maintain a moist wound healing environment. Although allografts are preferred when autografts are not possible, high costs and limited availability have led to the use of xenografts and the development of skin substitutes and bioscaffolds...
July 2017: Clinics in Plastic Surgery
https://www.readbyqxmd.com/read/28576251/surgical-excision-of-burn-wounds-best-practices-using-evidence-based-medicine
#8
REVIEW
Timothy H F Daugherty, Amanda Ross, Michael W Neumeister
This article reviews guidelines for burn wound excision, regarding timing, depth, and technique. The authors collect evidence from both animal models and the clinical literature, to recommend best practices for burn wound excision.
July 2017: Clinics in Plastic Surgery
https://www.readbyqxmd.com/read/28576250/patient-safety-in-burn-care-application-of-evidence-based-medicine-to-improve-outcomes
#9
REVIEW
Elizabeth L Dale, Charles Scott Hultman
This article reviews 5 areas in burn care that increasingly use evidence-based medicine to optimize quality and safety: resuscitation protocols, transfusion practices, vascular access, venous thromboembolic prophylaxis, and rational use of antibiotics.
July 2017: Clinics in Plastic Surgery
https://www.readbyqxmd.com/read/28576249/pediatric-burn-care-unique-considerations-in-management
#10
REVIEW
Amita R Shah, Lillian F Liao
Severe pediatric burns require a multidisciplinary team approach at a specialized pediatric burn center. Special attention must be paid to estimations of total body surface area, fluid resuscitation and metabolic demands, and adequate analgesia and sedation. Long-term effects involve scar management and psychosocial support to the child and their family. Compassionate comprehensive burn care is accomplished by a multidisciplinary team offering healing in the acute setting and preparing the child and family for long-term treatment and care...
July 2017: Clinics in Plastic Surgery
https://www.readbyqxmd.com/read/28576248/life-threatening-skin-disorders-treated-in-the-burn-center-impact-of-health-care-associated-infections-on-length-of-stay-survival-and-hospital-charges
#11
REVIEW
Steven J Hermiz, Paul Diegidio, Shiara Ortiz-Pujols, Roja Garimella, David J Weber, David van Duin, Charles Scott Hultman
This article reviews a single burn center experience with life-threatening skin disorders, over a 10-year period. It explores the incidence of health care-associated infections and the impact on length of stay, hospital charges, and mortality.
July 2017: Clinics in Plastic Surgery
https://www.readbyqxmd.com/read/28576247/burn-center-care-of-patients-with-stevens-johnson-syndrome-and-toxic-epidermal-necrolysis
#12
REVIEW
Robert Cartotto
Stevens-Johnson syndrome and toxic epidermal necrolysis are rare, life-threatening, cutaneous drug reactions. Medications are the most common cause, although an infection may be responsible. A link between genetics and certain medications has been established. Clinical diagnosis should be confirmed with biopsy. When the area of epidermal detachment approaches 30%, burn center care is advisable. An ophthalmologist should be consulted to optimize ocular care. Pharmacologic interruption has been sought but there is little consensus on the most appropriate agent and no high-quality studies have been conducted to demonstrate if any of these agents lead to improved survival...
July 2017: Clinics in Plastic Surgery
https://www.readbyqxmd.com/read/28576246/venous-thromboembolism-in-patients-with-thermal-injury-a-review-of-risk-assessment-tools-and-current-knowledge-on-the-effectiveness-and%C3%A2-risks-of-mechanical-and-chemical-prophylaxis
#13
REVIEW
Christopher J Pannucci, Andrea T Obi, Benjamin H Timmins, Amalia L Cochran
Venous thromboembolism (VTE) can be a life-threatening or limb-threatening complication of thermal injury. The severity of burn injury can be used to predict VTE risk among patients with thermal injury, and a weighted risk-stratification tool has been developed. This article reviews the incidence, diagnosis, and management of thromboembolic events in patients with burns. The article particularly focuses on identifying those patients who are at highest risk for VTE and provides recommendations on mechanical and chemical prophylaxis...
July 2017: Clinics in Plastic Surgery
https://www.readbyqxmd.com/read/28576245/acalculous-cholecystitis-in-burn-patients-is-there-a-role-for-percutaneous-cholecystostomy
#14
REVIEW
Steven J Hermiz, Paul Diegidio, Roja Garimella, Shiara Ortiz-Pujols, Hyeon Yu, Ari Isaacson, Matthew A Mauro, Bruce A Cairns, Charles Scott Hultman
Although acute acalculous cholecystitis is uncommon in burn patients, this condition can be rapidly fatal due to delays in diagnosis and treatment and should always be considered in the differential diagnosis when burn patients become septic, develop abdominal pain, or have hemodynamic instability. This article reviews the use of percutaneous cholecystostomy in burn patients as both a diagnostic and therapeutic intervention.
July 2017: Clinics in Plastic Surgery
https://www.readbyqxmd.com/read/28576244/clinician-s-guide-to-nutritional-therapy-following-major-burn-injury
#15
REVIEW
Christina Rollins, Franziska Huettner, Michael W Neumeister
This article provides a clinician's guide to nutritional support of the burn patient. The authors review the assessment and management of the needs of the thermally injured patient and provide recommendations on replacement and supplementation with calories, protein, carbohydrates, lipids, fluids, and minerals. Furthermore, the authors compare and contrast enteral versus parenteral delivery of nutrition.
July 2017: Clinics in Plastic Surgery
https://www.readbyqxmd.com/read/28576243/metabolic-and-endocrine-considerations-after-burn-injury
#16
REVIEW
Felicia N Williams, David N Herndon
Severe burn injury is followed by a profound hypermetabolic response that persists up to 2 years after injury. It is mediated by up to 50-fold elevations in plasma catecholamines, cortisol, and glucagon that lead to whole-body catabolism, elevated resting energy expenditures, and multiorgan dysfunction. Modulation of the response by early excision and grafting of burn wounds, thermoregulation, control of infection, early and continuous enteral nutrition, and pharmacologic treatments aimed at mitigating physiologic derangements have markedly decreased morbidity...
July 2017: Clinics in Plastic Surgery
https://www.readbyqxmd.com/read/28576242/sedation-and-pain-management-in-burn-patients
#17
REVIEW
Cornelia Griggs, Jeremy Goverman, Edward A Bittner, Benjamin Levi
Although pain management is a major challenge for clinicians, appropriate pain control is the foundation of efficacious burn care from initial injury to long-term recovery. The very treatments designed to treat burn wounds may inflict more pain than the initial injury itself, making it the clinician's duty to embrace a multimodal treatment approach to burn pain. Vigilant pain assessment, meaningful understanding of the pathophysiology and pharmacologic considerations across different phases of burn injury, and compassionate attention to anxiety and other psychosocial contributors to pain will enhance the clinician's ability to provide excellent pain management...
July 2017: Clinics in Plastic Surgery
https://www.readbyqxmd.com/read/28576241/rational-selection-and-use-of-antimicrobials-in-patients-with-burn-injuries
#18
REVIEW
David M Hill, Scott E Sinclair, William L Hickerson
Caring for patients with burn injuries is challenging secondary to the acute disease process, chronic comorbidities, and underrepresentation in evidence-based literature. Much current practice relies on extrapolation of guidance from different patient populations and wide variations in universal practices. Identifying infections or sepsis in this hypermetabolic population is imperfect and often leads to overprescribing of antimicrobials, suboptimal dosing, and multidrug resistance. An understanding of pharmacokinetics and pharmacodynamics may aid optimization of dosing regimens to better attain treatment targets...
July 2017: Clinics in Plastic Surgery
https://www.readbyqxmd.com/read/28576240/management-of-pulmonary-failure-after-burn-injury-from-vdr-to-ecmo
#19
REVIEW
Apoorve Nayyar, Anthony G Charles, Charles Scott Hultman
This article highlights the challenges in managing pulmonary failure after burn injury. The authors review several different ventilator techniques, provide weaning parameters, and discuss complications.
July 2017: Clinics in Plastic Surgery
https://www.readbyqxmd.com/read/28576239/inhalation-injury-pathophysiology-diagnosis-and-treatment
#20
REVIEW
Samuel W Jones, Felicia N Williams, Bruce A Cairns, Robert Cartotto
The classic determinants of mortality from severe burn injury are age, size of injury, delays of resuscitation, and the presence of inhalation injury. Of the major determinants of mortality, inhalation injury remains one of the most challenging injuries for burn care providers. Patients with inhalation injury are at increased risk for pneumonia (the leading cause of death) and multisystem organ failure. There is no consensus among leading burn care centers in the management of inhalation injury. This article outlines the current treatment algorithms and the evidence of their efficacy...
July 2017: Clinics in Plastic Surgery
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