TY  - CHAP
M1  - Book, Section
TI  - ESCHAROTOMY
A1  - Ellison, E. Christopher
A1  - Zollinger, Robert M.
PY  - 2016
T2  - Zollinger's Atlas of Surgical Operations, 10e
AB  - When  the  skin  suffers  a  full-thickness  burn  (eschar)  it  loses  its  elasticity.  At  the  same  time,  there  is  a  shifting  of  fluid  in  the  underlying  subcutaneous  tissues  into  the  adjacent  interstitial  space.  With  this  fluid  shift  comes  an  increase  in  tissue  pressure.  The  inelasticity  of  the  overlying  burned  skin,  when  it  is  circumferential  on  an  extremity,  can  cause  these  tissue  pressures  to  exceed  the  pulse  pressure,  thereby  compromising  blood  flow  to  the  extremity.  On  the  anterior  trunk,  a  full-thickness  burn  eschar  can  compromise  respiratory  mechanics,  which  is  seen  clinically  as  the  inability  of  the  patient  to  ventilate  followed  by  the  inability  to  oxygenate.  To  relieve  these  pressures  and  restore  perfusion  and/or  correct  respiratory  mechanics,  escharotomies  are  performed.  
SN  - 
PB  - McGraw-Hill Education
CY  - New York, NY
Y2  - 2024/04/19
UR  - accesssurgery.mhmedical.com/content.aspx?aid=1127412258
ER  -