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Verfasst von:Ziegler, Benjamin [VerfasserIn]   i
 Hirche, Christoph [VerfasserIn]   i
 Horter, Johannes [VerfasserIn]   i
 Kiefer, Jurij [VerfasserIn]   i
 Grützner, Paul Alfred [VerfasserIn]   i
 Kremer, Thomas [VerfasserIn]   i
 Kneser, Ulrich [VerfasserIn]   i
 Münzberg, Matthias [VerfasserIn]   i
Titel:In view of standardization
Titelzusatz:Part 2: management of challenges in the initial treatment of burn patients in Burn Centers in Germany, Austria and Switzerland
Verf.angabe:Benjamin Ziegler, Christoph Hirche, Johannes Horter, Jurij Kiefer, Paul Alfred Grützner, Thomas Kremer, Ulrich Kneser, Matthias Münzberg
Jahr:2017
Jahr des Originals:2016
Umfang:8 S.
Fussnoten:Gesehen am 14.08.2018 ; Available online 21 September 2016
Titel Quelle:Enthalten in: Burns
Ort Quelle:Amsterdam [u.a.] : Elsevier Science, 1974
Jahr Quelle:2017
Band/Heft Quelle:43(2017), 2, Seite 318-325
ISSN Quelle:1879-1409
Abstract:Introduction: Initial therapy of severe burns in specialized burn trauma centers is a challenging task faced by the treating multi-professional and interdisciplinary team. A lack of consistent operating procedures and varying structural conditions was recently demonstrated in preliminary data of our group. These results raised the question on how specific treatment measures in acute burn care are met in the absence of standardized guidelines. Material and methods: A specific questionnaire containing 57 multiple-choice questions was sent to all 22 major burn centers in Germany, Austria and Switzerland. The survey included standards of airway management and ventilation, fluid management and circulation, body temperature monitoring and management, topical burn wound treatment and a microbiological surveillance. Additionally, the distribution of standardized course systems was covered. Results: 17 out of 22 questionnaires (77%) were returned completed. Regarding volume resuscitation, results showed a similar approach in estimating initial fluid while discrepancies persisted in the use of colloidal fluid and human albumin. Elective tracheostomy and the need for bronchoscopy with suspected inhalation injury were the most controversial issues revealed by the survey. Topical treatment of burned body surface also followed different principles regarding the use of synthetic epidermal skin substitutes or enzymatic wound debridement. Less discrepancy was found in basic diagnostic measures, body temperature management, estimation of the extent of burns and microbiological surveillance. Conclusion: While many burn-related issues are clearly not questionable and managed in a similar way in most participating facilities, we were able to show that the most contentious issues in burn trauma management involve initial volume resuscitation, management of inhalation trauma and topical burn wound treatment. Further research is required to address these topics and evaluate a potential superiority of a regime in order to increase the level of evidence.
DOI:doi:10.1016/j.burns.2016.08.004
URL:Bitte beachten Sie: Dies ist ein Bibliographieeintrag. Ein Volltextzugriff für Mitglieder der Universität besteht hier nur, falls für die entsprechende Zeitschrift/den entsprechenden Sammelband ein Abonnement besteht oder es sich um einen OpenAccess-Titel handelt.

Volltext ; Verlag: http://dx.doi.org/10.1016/j.burns.2016.08.004
 Volltext: http://www.sciencedirect.com/science/article/pii/S0305417916302777
 DOI: https://doi.org/10.1016/j.burns.2016.08.004
Datenträger:Online-Ressource
Sprache:eng
Sach-SW:Burn trauma management
 Initial burn care
 Standardization in patient care
K10plus-PPN:1580044433
Verknüpfungen:→ Zeitschrift

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