Decompression
Fluid shifts cause tissue oedema, which, combined with loss of soft tissue elasticity
after deep circumferential burns, may lead to raised compartment pressures. This is a
surgical emergency.
• airway obstruction with neck burns
• breathing problems with thoracic burns
• compartment syndrome with limb burns.
Decompression is required: incision of the burn (escharotomy) may be adequate, but
a deeper decompression in the form of fasciotomy is occasionally required. These
procedures are best performed under controlled conditions in the operating room,
with general anaesthesia and diathermy. There are guidelines for the preferred lines
of incision, with particular care taken to avoid nerve damage.
Fluid shifts cause tissue oedema, which, combined with loss of soft tissue elasticity
after deep circumferential burns, may lead to raised compartment pressures. This is a
surgical emergency.
• airway obstruction with neck burns
• breathing problems with thoracic burns
• compartment syndrome with limb burns.
Decompression is required: incision of the burn (escharotomy) may be adequate, but
a deeper decompression in the form of fasciotomy is occasionally required. These
procedures are best performed under controlled conditions in the operating room,
with general anaesthesia and diathermy. There are guidelines for the preferred lines
of incision, with particular care taken to avoid nerve damage.
0 التعليقات:
إرسال تعليق