Perioperative Period Of Reconstructive And Burn Surgery In Intensive Care Medicine

Publication date: Available online 19 December 2019Source: Medicina Intensiva (English Edition)Author(s): M. Sánchez-Sánchez, J.R. Martínez, B. Civantos, Pablo MillánAbstractBurned patients may need prolonged admissions in the Intensive Care Service, both for initial care and for the pre and postoperative treatment of the multiple surgeries they require. The initial resuscitation of critically burned patients requires adequate monitoring to calculate the fluid therapy necessary to replenish the losses and ensure tissue perfusion, but without excesses that increase interstitial edema. In addition, monitoring can evaluate the systemic inflammatory response that can lead to shock and organic dysfunctions. After this initial phase we will find a critical patient who requires multiple reinterventions in non-optimal situations, so he will need special care over a long period of time. In addition, the SMI offers specific postoperative care for reconstructive surgery and the transplantation of composite tissues (upper limb and face) in which its success depends on a rigorous control through adequate monitoring and treatment.ResumenLos pacientes quemados pueden necesitar ingresos prolongados en el Servicio de Medicina Intensiva (SMI), tanto para la atención inicial como para el tratamiento pre y postoperatorio de las múltiples cirugías que precisan. La reanimación inicial del paciente quemado crítico requiere una adecuada monitorización para calcular la fluidoterapia necesar...
Source: Medicina Intensiva - Category: Intensive Care Source Type: research