TY - CHAP M1 - Book, Section TI - Critical Care of the Burn Patient A1 - Vrouwe, Sebastian Q. A1 - Shahrokhi, Shahriar A2 - Schmidt, Gregory A. A2 - Kress, John P. A2 - Douglas, Ivor S. PY - 2023 T2 - Hall, Schmidt and Wood’s Principles of Critical Care, 5th Edition AB - KEY POINTSSuccessful management of a patient with a major burn requires a high-functioning multidisciplinary team.Burn shock is observed when approximately 30% total body surface area is injured and is characterized by increased capillary permeability, dramatic fluid shifts, and cardiovascular effects. A profound and sustained hypermetabolic response develops in these patients, affecting nearly all organ systems.The stabilization of a major burn involves a primary survey to rule out immediately life-threatening conditions, followed by a secondary survey where other injuries, including the burn wound itself, are assessed.Formal fluid resuscitation should be performed for burns ≥20% total body surface area. The updated “consensus formula” is recommended to determine a starting rate for intravenous fluids.The American Burn Association referral criteria should be utilized to guide the triage of patients with burn injuries.Inhalation injury is confirmed using bronchoscopy, and its treatment is largely supportive.Critical care of a major burn has significant differences from other patient populations in terms of analgesia/sedation, nutritional supplementation, recognition of sepsis, and perioperative care. SN - PB - McGraw Hill CY - New York, NY Y2 - 2024/10/13 UR - accesssurgery.mhmedical.com/content.aspx?aid=1201811684 ER -