Pediatric burn resuscitation, management, and recovery for the pediatric anesthesiologist

Joseph Sofia, Aditee Ambardekar

Research output: Contribution to journalReview articlepeer-review

Abstract

PURPOSE OF REVIEW: The purpose of this article is to summarize literature in pediatric burn resuscitation and management that is relevant to the pediatric anesthesiologist. The scope of the literature is expanding as long-term survival in even the most critically ill, burn-injured children has increased. RECENT FINDINGS: Longstanding variations in the care of burn-injured children exist despite decades of experience in burn care management. There seems to be a discomfort outside major burn centers in the triage, evaluation, and assessment of burned children. This is evidenced by the prevalence of 'unnecessary intubations', continued overestimation of total body surface area injured, and subsequent fluid administration disproportionate to injury leading to over-resuscitation. Techniques, such as virtual reality and regional anesthesia are increasingly available and serve adjuncts to pharmacologic therapies for anxiolysis and analgesia. Such techniques reduce opioid utilization while maintaining patient comfort and satisfaction particularly during wound dressing changes. Questions about transfusion threshold and ratio of blood products remain topics of ongoing research. SUMMARY: Literature review continues to reveal underpowered or retrospective analyses of these very important questions. Public health burden caused by burns warrants rigorous, prospective studies to take the best care of these patients and portend the best long-term outcomes. Collaboration amongst pediatric anesthesiologists who care for these children is necessary to develop and execute powered studies to answer important questions.

Original languageEnglish (US)
Pages (from-to)360-367
Number of pages8
JournalCurrent opinion in anaesthesiology
Volume33
Issue number3
DOIs
StatePublished - Jun 1 2020

ASJC Scopus subject areas

  • Anesthesiology and Pain Medicine

Fingerprint Dive into the research topics of 'Pediatric burn resuscitation, management, and recovery for the pediatric anesthesiologist'. Together they form a unique fingerprint.

Cite this