Air-fluidized therapy in the treatment of severe burns: A retrospective study from a burn intensive care unit in Austria

Nickl, Stefanie; Fochtmann-Frana, Alexandra; Nedomansky, Jakob; Hitzl, Wolfgang; Kamolz, Lars‐Peter; Haslik, Werner

doi:10.1016/j.burns.2019.07.026

Cited by 3 publications

(3 citation statements)

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“…This study further confirmed the superiority and reliability of PCCO monitoring compared with traditional monitoring. Nowadays, the mortality of severe burns patients worldwide is still at a relatively high level, and has been reported as ranging between 12.2% and 47.6% (3,21,22). As our burns center has many years of experience in severe burns diagnosis and treatment, the mortality is maintained at a relatively low level, and in this study, the overall mortality of enrolled patients was 3.7% in the control group and 4.9% in the study group, respectively.…”

Section: Discussionmentioning

confidence: 51%

“…In cases of severe burns, the homeostasis of the body will be disrupted due to stress reactions and subsequent infection. Multiple types of inflammatory related factors are released from immune cells, resulting in increased capillary permeability (3), and a large amount of body fluids will be transferred from the blood vessel to the intercellular space, resulting in insufficient volume of circulating blood. Therefore, burns patients are very prone to hypovolemia and shock (4), which can lead to organ dysfunction or failure, such as acute kidney injury (AKI) and acute respiratory distress syndrome (ARDS).…”

Section: Introductionmentioning

confidence: 99%

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Fluid resuscitation based on pulse contour cardiac output monitoring is associated with improved prognosis in adult severe burn patients: a retrospective cohort study

Zhu¹,

Yang²,

Ding³

et al. 2021

Ann Palliat Med

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Background: A monitoring method is needed to further guide fluid resuscitation in severe burn injury. This study was performed to investigate the effects of pulse contour cardiac output (PCCO) monitoring on the prognosis of adult severe burns patients. Methods:We conducted a retrospective study enrolling patients from January 2015 to December 2020, who were divided into a control group receiving conventional monitoring and a study group receiving PCCO monitoring. The primary outcomes were 28-day mortality and total mortality, and the secondary outcomes included burn-related complications and the length of hospital stay and ICU stay. Multivariable logistic regression analysis and linear regression analysis were performed to determine the risk factors of burnsrelated complications and length of hospital stay in enrolled patients.Results: A total of 109 patients in the control group and 82 patients in the study group were enrolled. While the area of full thickness burn was much higher in the control group than in the study group (P=0.021), no significant difference was found in other characteristics between the two groups. During fluid resuscitation, the fluid volume ratio of the study group was significantly different from that of the control group, and both in the first 24 hours and the second 24 hours, the resuscitation fluid volume ratio and colloid volume ratio was significantly higher in the control group than in the study group (all P<0.001). Eight patients died during treatment, and there were more patients experiencing AKI and ARDS in the control group than in the study group (P=0.029 and 0.016). The lengths of hospital stay and ICU stay in the study group was much shorter than in the control group (P<0.001 and 0.005). In addition, TBSA was an important risk factor for both AKI and ARDS, and the existence of inhalation injury and older age increased the incidence of ARDS. Higher TBSA, inhalation injury, and burn-related complications were related to longer hospital stay in enrolled patients.Conclusions: Fluid resuscitation according to PCCO monitoring can effectively reduce the volume of colloid and overall fluid volume and reduce the incidence of burns-related complications and shorten the length of hospital stay.

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Section: Discussionmentioning

confidence: 51%

Section: Introductionmentioning

confidence: 99%

Fluid resuscitation based on pulse contour cardiac output monitoring is associated with improved prognosis in adult severe burn patients: a retrospective cohort study

Zhu¹,

Yang²,

Ding³

et al. 2021

Ann Palliat Med

View full text Add to dashboard Cite

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“…With the advancement of medical technology, the survival rate of patients with severe burn injuries has greatly improved (Nickl et al, 2020; Tompkins, 2015). Studies have shown that the survival rate of such patients can reach 98.9% in some burn centers in China (Chen et al, 2013; Luo et al, 2009).…”

Section: Introductionmentioning

confidence: 99%

The influences of social support and emotion regulation strategies on posttraumatic growth of burn survivors: A cross‐sectional study in Linyi, China

Cheng

et al. 2022

Nursing & Health Sciences

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This cross‐sectional study aimed to test the influences of social support and emotion regulation strategies (cognitive reappraisal and expression suppression) on burn survivors' posttraumatic growth. A convenience sampling method was adopted to recruit 130 burn survivors from the department of burns and plastic surgery of a public hospital in Linyi, China. Data were collected using self‐reported questionnaires on social support, emotion regulation strategies, and posttraumatic growth. Structural equation modeling was performed to explore the associations among social support, emotion regulation strategies, and posttraumatic growth in burn survivors. The results showed that social support positively affected cognitive reappraisal and negatively affected expression suppression. Furthermore, it positively affected posttraumatic growth. Moreover, social support indirectly influenced posttraumatic growth through cognitive reappraisal, which implies that cognitive reappraisal played a partial mediating effect in the relationship between social support and posttraumatic growth. These findings provide new insights into the predictors of posttraumatic growth. Cognitive reappraisal and social support should be taken into account to improve burn survivors' posttraumatic growth.

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Application and Management of Cultured Epidermal Autografts on Posterior Burns—A 5-Year, Multicenter, Retrospective Review of Outcomes

Homsombath

Mullins

Brandigi

et al. 2022

Journal of Burn Care &Amp; Research

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Severe burns on the posterior trunk present a treatment challenge in that these surfaces bear the major portion of body weight, with shearing forces exerted when changing the patient from supine to prone position. In our high-volume center at Burn and Reconstructive Centers of America, we developed protocols for use of cultured epidermal autografts (CEA) for coverage of large burns, including those specific to posterior burns. This paper describes techniques and approaches, including milestone timelines, to treat and manage these patients. Key factors for successful treatment begin with early development of a detailed surgical plan. Members of the trained team participate in the plan and understand standard procedures and any deviation. Patients are identified early for treatment with CEA so that a full thickness skin biopsy can be sent to the manufacturer for processing. Patients with >30% total body surface area (TBSA) burns are considered for CEA burn wound coverage due to the potential for conversion of superficial partial thickness to deep partial thickness or full thickness burns over hospitalization time. We also present the outcomes in patients with posterior trunk burns treated with CEA from 2016 to 2019 in 3 participating centers within our network. Data in 40 patients with mean TBSA of 56% demonstrated a high rate of successful CEA engraftment (83%), and overall survival rate (90%) following one or two applications with CEA and/or CEA+split thickness skin graft (STSG). Development of standard treatment protocols and surgical plans have enabled positive outcomes with CEA in severe burns including posterior burns.

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Air-fluidized therapy in the treatment of severe burns: A retrospective study from a burn intensive care unit in Austria

Cited by 3 publications

References 21 publications

Fluid resuscitation based on pulse contour cardiac output monitoring is associated with improved prognosis in adult severe burn patients: a retrospective cohort study

Fluid resuscitation based on pulse contour cardiac output monitoring is associated with improved prognosis in adult severe burn patients: a retrospective cohort study

The influences of social support and emotion regulation strategies on posttraumatic growth of burn survivors: A cross‐sectional study in Linyi, China

Application and Management of Cultured Epidermal Autografts on Posterior Burns—A 5-Year, Multicenter, Retrospective Review of Outcomes

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