Servicio de Medicina Intensiva, Unidad de Quemados Críticos, Hospital Universitario La Paz-Carlos III-Cantoblanco/IdiPaz, Madrid, España.
Servicio de Cirugía Plástica, Estética y Reparadora, Unidad de Quemados Críticos, Hospital Universitario La Paz-Cantoblanco-Carlos III/IdiPaz, Madrid, España.
Med Intensiva (Engl Ed). 2020 Mar;44(2):113-121. doi: 10.1016/j.medin.2019.07.005. Epub 2019 Aug 3.
Burned patients may need prolonged admissions in the Intensive Care Service, both for initial care and for the pre and postoperative treatment of the multiple surgeries they require. The initial resuscitation of critically burned patients requires adequate monitoring to calculate the fluid therapy necessary to replenish the losses and ensure tissue perfusion, but without excesses that increase interstitial edema. In addition, monitoring can evaluate the systemic inflammatory response that can lead to shock and organic dysfunctions. After this initial phase we will find a critical patient who requires multiple reinterventions in non-optimal situations, so he will need special care over a long period of time. In addition, the Intensive Care Service offers specific postoperative care for reconstructive surgery and the transplantation of composite tissues (upper limb and face) in which its success depends on a rigorous control through adequate monitoring and treatment.
烧伤患者可能需要在重症监护病房（ICU）接受长时间的住院治疗，这不仅是为了初始治疗，也是为了他们所需的多次手术的术前和术后治疗。严重烧伤患者的初始复苏需要进行充分的监测，以计算出补充丢失液体和确保组织灌注所需的液体疗法，但不能过度，以免增加间质水肿。此外，监测还可以评估可能导致休克和器官功能障碍的全身炎症反应。在这个初始阶段之后，我们会发现一个需要在非最佳情况下进行多次再干预的危重患者，因此他将需要长期的特殊护理。此外，重症监护病房还为重建手术和复合组织（上肢和面部）移植提供特定的术后护理，其成功取决于通过适当的监测和治疗进行严格控制。
