den Hollander Daan, Albertyn Rene, Ambler Julia
Burns Unit, Inkosi Albert Luthuli Central Hospital, Durban, South Africa.
Department of Surgery, University of KwaZulu Natal, South Africa.
Afr J Emerg Med. 2020 Dec;10(4):256-260. doi: 10.1016/j.afjem.2020.07.011. Epub 2020 Sep 8.
Palliative care is the turn from cure as the priority of care to symptom relief and comfort care. Although very little is published in the burn literature on palliative care, guidelines can be gleaned from the general literature on palliative care, particularly for acute surgical and critical care patients. This second article discusses practical issues around palliative care for burn patients, such as pain and fluid management, withdrawal of ventilator support and wound care, as well as spiritual and family issues. This paper forms part two, of two narrative reviews on the topic of palliation, end-of-life care and burns. The first part considered concepts, decision-making and communication. It was published in volume 10, issue 2, June 2020, pages 95-98.
姑息治疗是将治疗重点从治愈转向症状缓解和舒适护理。尽管烧伤文献中关于姑息治疗的内容很少，但可以从一般的姑息治疗文献中收集指南，特别是针对急性外科和重症监护患者的指南。第二篇文章讨论了烧伤患者姑息治疗的实际问题，如疼痛和液体管理、呼吸机支持的撤除和伤口护理，以及精神和家庭问题。本文是关于姑息治疗、临终关怀和烧伤这一主题的两篇叙述性综述的第二部分。第一部分探讨了概念、决策和沟通。它发表于2020年6月第10卷第2期，第95 - 98页。
