Anesthetic Challenges in Burn Trauma Patients

Authors

  • Supanadee Jianwittayakit Department of Anesthesiology, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok 10700, Thailand
  • Pattharaporn Sombood Department of Anesthesiology, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok 10700, Thailand
  • Alisa Wanpetch Department of Anesthesiology, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok 10700, Thailand
  • Rathaya Kimura Division of Traumatology Surgery, Department of Surgery, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok 10700, Thailand
  • Anchala Jirakulsawat Division of Operating Nursing, Golden Jubilee Medical Center, Faculty of Medical Siriraj Hospital, Mahidol University, Nakhon Pathom 73170, Thailand
  • Phongthara Vichitvejpaisal Department of Anesthesiology, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok 10700, Thailand

Keywords:

anesthesia, burn, inhalation injury, trauma patients

Abstract

Anesthetic management in burn patients requires a thorough understanding of the unique challenges associated with burn injuries. Anesthesiologists play a vital role in the multidisciplinary approach to burn patient care, ensuring that patients receive optimal pain relief, fluid resuscitation, and airway management. The preoperative management of burn patients includes the assessment of burn depth and extent, evaluation of airway patency, inhalation injury, fluid resuscitation and electrolyte management, antibiotic prophylaxis, and nutritional support. During surgery, monitoring of vital signs, fluid and electrolyte balance, airway management, and pain management are critical aspects of anesthesia care. In the postoperative period, wound care, infection control, pain management, and rehabilitation are crucial. Pediatric burns, inhalation injury, burns with associated trauma, burns in pregnancy, and co-existing medical diseases are special considerations. Anesthetic management in burn patients poses unique challenges, such as hemodynamic instability, increased metabolic rate and oxygen consumption, airway edema, and obstruction. Future directions in burn patient care and anesthesia include the development of new pain management techniques. Improved wound care and infection control strategies may lead to better outcomes for burn patients.

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Published

2024-02-27

How to Cite

Jianwittayakit, S., Sombood, P., Wanpetch, A., Kimura, R., Jirakulsawat, A., & Vichitvejpaisal, P. (2024). Anesthetic Challenges in Burn Trauma Patients . Thai Journal of Anesthesiology, 50(2), 137–148. retrieved from https://he02.tci-thaijo.org/index.php/anesthai/article/view/267993

Issue

Vol. 50 No. 2 (2024): March-April

Section

Review articles

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