Palmieri Tina L
Shriners Hospital for Children Northern California, Sacramento, CA 95817, USA.
Clin Plast Surg. 2009 Oct;36(4):607-15. doi: 10.1016/j.cps.2009.05.012.
The number of cases of mortality after burn injury continues to decline, in part because of advances in respiratory, fluid, and sepsis management. However, care needs to be exercised in the application of these new techniques and technologies, many of which have never been assessed or have been incompletely studied in patients who have burn injury. Use of any of these advances in critical care needs to be individualized for any given patient and altered based on the patient's response to therapy. Future advances in the critical care of burns will require multicenter prospective trials at dedicated burn centers to define the optimal therapy for the patient who has burn injury.
烧伤后死亡病例数持续下降，部分原因是呼吸、液体和脓毒症管理方面的进展。然而，在应用这些新技术时需谨慎，其中许多技术从未在烧伤患者中进行过评估或研究不充分。对于任何特定患者，重症监护中这些进展的使用都需要个体化，并根据患者对治疗的反应进行调整。烧伤重症监护的未来进展将需要在专门的烧伤中心进行多中心前瞻性试验，以确定烧伤患者的最佳治疗方法。
