PERIOPERATIVE CARE OF THE BURN-INJURED PATIENT

Abstract

Background: Burn injuries are challenge both to patients and members of the burn team. Anesthesiologists are involved throughout the resuscitation and recovery phases of the burn patient in the emergency department, burn intensive care unit and operating room. Aim of the Work.The aim of this essay is to provide an updated review of the pathophysiology of burn injury and the proper anesthetic management of burn- injured patients. Conclusion: During anesthesia there is a continual requirement to monitor the patient’s physiological state, to confirm correct equipment function, and to avoid patient awareness. Accepted recommendations state that the following monitoring devices are essential to the safe conduct of anesthesia: pulse oximetry, non-invasive blood pressure monitor, ECG and capnography. Securing central venous access before generalized tissue oedema obscures landmarks is preferable. Keywords: burn, fluid resuscitation, pain management, anesthetic management