No abstract available.
Burns

No abstract available.
Burns*

No abstract available.
Burns*

No abstract available.
Burns*

No abstract available.
Burns*

No abstract available.
Burns*

OBJECTIVE: This study determined the mean overall adherence to the clinical pathway formulated by the Section of Pulmonology together with the Division of Burns for adult burn patients at high risk for inhalation injury admitted at the UP-PGH ATR Burn Center in a two-year period METHODOLOGY: A retrospective cohort study regarding adherence to the clinical pathway of acutely burned adult patients at high risk for inhalation injury admitted at the UP-PGH ATR Burn Center between August 2016 to July 2018 was conducted. Medical records were reviewed and an adherence checklist was used to assess each item in the clinical pathway. For the adherence and patient profile, descriptive statistics were used. RESULTS: This pilot assessment study showed acceptable rates of adherence and implementation of the clinical pathway. Overall, 60% of the cases followed the clinical pathway completely. While 26.67% had acceptable rates of compliance (more than half of items adhered), while 13% of the cases scored adhered to less than half of the items. CONCLUSION The pathway has been shown to be a feasible clinical pathway that can be implemented in a tertiary hospital setting.
Burns

OBJECTIVE: Profiling of burn patients with inhalational injury will lead to better practices in the immediate and supportive management of their injuries. The goal of this study was to determine demographic and clinical factors associated with mortality in burn patients with inhalational injury admitted at Philippine General Hospital - Alfredo T. Ramirez (PGH - ATR) Burn Center from 2008 to 2013. METHODS: All patients who were admitted from 2008 to 2013 were included in the study. The patient database was searched for cases of burn patients with inhalation injury. Medical records were reviewed for further analysis. This study was exempted from review by the University of the Philippines Manila Research Ethics Board. RESULTS: Out of 1900 burn patients included in the study, 134 presented with concomitant inhalation injury with a prevalence rate of 7.0% and with a mortality rate of 38.06%. The study showed that the following variables: 1) percent total body surface area (%TBSA), 2) length of time from injury to resuscitation, 3) nebulization with N-acetylcysteine, 4) development of pneumonia, 5) administration of systemic antibiotics, and 6) performance of bronchoscopy correlated significantly with patient outcomes (p<0.05). Other variables did not show significant correlations with outcomes. The study also revealed that most of the patients were males with a mean age of 30.62, who sustained severe burns usually greater than 39% TBSA. CONCLUSION Poorer prognostic indicators include: 1) larger burnt body surface area, 2) delayed intubation, 3) delayed resuscitation, and 4) development of pneumonia.
Burns

53 patients with high-voltage electrical burns who were treated in the Department of Burn and Plastic Surgery of Cho Ray Hospital from January 1995 to August 1997 were reviewed. There were 126 electrical burn admissions in this period. Rate of high-voltage electrical burns was 42.06%. Amputation is required in 13 patients because of progressive muscle necrosis and infection. Fasciotomy for diagnostic and therapeutic purposes may be needed.
Burns ; amputation

Recently we have made a research in 21 patients including 11 males and 10 females, aged from 2-37, whose deep burn area were 5-45% the whole body. These patients had been treated in NIB. (National Institute of Burn) and had totally experienced 32 operations of auto-Graft lay frog graft overlay widely meshed skin grating (the advanced technique sandwich). Though this research, we come to the conclusion that: (1) Autograft under lay frog graft overlay widely meshed skin grafting technique can enlarge the graft area and save the healthy skin. Which is of specific significance to the patients who have the area of deep more burn than 20% the body area. (2) This technique helps the auto graft to live better and the tissue to develop well. It reduces the patient's pains and the blood loss when changing the Bandages.
burns ; therapeutics