Clinical and surgical approach of burns in primary care
DOI:
https://doi.org/10.56294/saludcyt2022157Keywords:
Burns, Wounds, Injuries, TherapeuticsAbstract
Background: burns constitute one of the major health problems, since they can affect several systems, so it is necessary to have an adequate and multidisciplinary management according to the needs of each type of patient in order to avoid irreversible alterations. Most burn injuries can be of minor and major risk; those of high spectrum can cause significant morbimortality.
Objective: to determine the clinical and surgical approach to burns in primary care by means of a literature review.
Methods: a non-experimental, descriptive, literature review type study was carried out, including studies containing quantitative information on the clinical and surgical approach to burns in primary care. The information was collected from articles containing a time period of 5 years and indexed in the Pubmed database.
Results: burn management strategies could be assessed in terms of primary care as well as the clinical and surgical approach from the selected documents. The strategies used were the use of cold water and dressings, drugs, pressure methods and tissue grafts.
Conclusions: according to the review carried out by our team, it is possible to conclude that the establishment of the appropriate treatment (clinical and/or surgical approach) will depend on the type of burn given its severity and extent, the nutritional status and the intensity of the pain presented by the patient. It should be noted that an early treatment reduces the risk of developing complications
References
1. Jeschke MG, van Baar ME, Choudhry MA, Chung KK, Gibran NS, Logsetty S. Burn injury. Nat Rev Dis Primers. 2020;6(1):11. https://doi.org/10.4103%2Fjfmpc.jfmpc_1172_21
2. Romanowski KS, Carson J, Pape K, Bernal E, Sharar S, Wiechman S, et al. American Burn Association Guidelines on the Management of Acute Pain in the Adult Burn Patient: A Review of the Literature, a Compilation of Expert Opinion, and Next Steps. J Burn Care Res. 2020;41(6):1129-51. https://doi.org/10.1093%2Fjbcr%2Firaa119
3. Julian F Guest, Graham W Fuller, Jacky Edwards. Cohort study evaluating management of burns in the community in clinical practice in the UK: costs and outcomes. BMJ Open. 2019;(22):29-8. https://doi.org/10.1136%2Fbmjopen-2019-035345
4. Wang Y, Beekman J, Hew J, Jackson S, Issler-Fisher AC, Parungao R, et al. Burn injury: Challenges and advances in burn wound healing, infection, pain and scarring. Adv Drug Deliv Rev. 2018;123:3-17. https://doi.org/10.1016/j.addr.2017.09.018
5. Markiewicz-Gospodarek A, Kozioł M, Tobiasz M, Baj J, Radzikowska-Büchner E, Przekora A. Burn Wound Healing: Clinical Complications, Medical Care, Treatment, and Dressing Types: The Current State of Knowledge for Clinical Practice. Int J Environ Res Public Health. 2022;19(3):1338. https://doi.org/10.3390/ijerph19031338
6. Roshangar L, Soleimani Rad J, Kheirjou R, Reza Ranjkesh M, Ferdowsi Khosroshahi A. Skin Burns: Review of Molecular Mechanisms and Therapeutic Approaches. Wounds. 2019;31(12):308-15.
7. El Khatib A, Jeschke MG. Contemporary Aspects of Burn Care. Medicina (Kaunas). 2021;57(4):386. https://doi.org/10.3390/medicina57040386
8. Kao Y, Loh EW, Hsu CC, Lin HJ, Huang CC, Chou YY, et al. Fluid Resuscitation in Patients With Severe Burns: A Meta-analysis of Randomized Controlled Trials. Acad Emerg Med. 2018;25(3):320-9. https://doi.org/10.1111/acem.13333
9. Karim AS, Shaum K, Gibson ALF. Indeterminate-Depth Burn Injury-Exploring the Uncertainty. J Surg Res. 2020;245:183-97. https://doi.org/10.1016/j.jss.2019.07.063
10. Hamblin MR. Novel pharmacotherapy for burn wounds: what are the advancements. Expert Opin Pharmacother. 2019;20(3):305-21. https://doi.org/10.1080/14656566.2018.1551880
11. Palackic A, Jay JW, Duggan RP, Branski LK, Wolf SE, Ansari N, et al. Therapeutic Strategies to Reduce Burn Wound Conversion. Medicina (Kaunas). 2022;58(7):922. https://doi.org/10.3390/medicina58070922
12. Jeschke MG, Shahrokhi S, Finnerty CC, Branski LK, Dibildox M, ABA Organization & Delivery of Burn Care Committee. Wound Coverage Technologies in Burn Care: Established Techniques. J Burn Care Res. 2018;39(3):313-8. https://doi.org/10.1097/bcr.0b013e3182920d29
13. Soussi S, Dépret F, Benyamina M, Legrand M. Early Hemodynamic Management of Critically Ill Burn Patients. Anesthesiology. 2018;129(3):583-9. https://doi.org/10.1097/aln.0000000000002314
14. Miranda Altamirano A. Uso de apósitos en quemaduras. Cirugía Plástica Ibero-Latinoamericana. 2020;46:31-8. https://doi.org/10.4321/s0376-78922020000200008
15. Mofazzal Jahromi MA, Sahandi Zangabad P, Moosavi Basri SM, Sahandi Zangabad K, Ghamarypour A, Aref AR, et al. Nanomedicine and advanced technologies for burns: Preventing infection and facilitating wound healing. Adv Drug Deliv Rev. 2018;123:33-64. https://doi.org/10.1016/j.addr.2017.08.001
16. Giretzlehner M, Ganitzer I, Haller H. Technical and Medical Aspects of Burn Size Assessment and Documentation. Medicina (Kaunas). 2021;57(3):242. https://doi.org/10.3390/medicina57030242
17. Salvatierra EL, Bricio BV, Guarga NO, Rivarés LG, Pardo BM. Revisión bibliográfica sobre el tratamiento y terapias existentes para el dolor en las quemaduras graves. Nuberos científica 2021;5:23-7
18. Cruz-Nocelo EJ, Zúñiga-Carmona VH, Serratos-Vázquez MC. Pain management in patients with severe burns. Revista Mexicana de Anestesiologia. 2021;44(1):55-62. https://doi.org/10.35366/97778
19. Weiser MR, Gonen M, Usiak S, Pottinger T, Samedy P, Patel D, Seo S, Smith JJ, Guillem JG, Temple L, Nash GM, Paty PB, Baldwin-Medsker A, Cheavers CE, Eagan J, Garcia-Aguilar J; Memorial Sloan Kettering Multidisciplinary Surgical-Site Infection Reduction Team. Effectiveness of a multidisciplinary patient care bundle for reducing surgical-site infections. Br J Surg. 2018;105(12):1680-1687. https://doi.org/10.1002/bjs.10896
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Copyright (c) 2022 Rashel Lizbeth Cordero Alvarado, Ignacio Guillermo Quinde Morocho, Tatiana Pilar Guaita Pintado, Andrés Felipe Mercado González (Author)
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