The interdisciplinary management of Severe burns in pregnancy

Background: Severe burns in pregnant women present an exceedingly challenging situation due to the limitation in therapeutic options including pain management and operative care.Case: We present a 30 years old patient, 38th week of pregnancy, who suffered a full thickness skin burns in 20% total bod...

Full description

Saved in:
Bibliographic Details
Main Authors: Christoph Wallner (Author), Peter Kern (Author), Norbert Teig (Author), Marcus Lehnhardt (Author), Björn Behr (Author)
Format: Book
Published: Elsevier, 2017-10-01T00:00:00Z.
Subjects:
Online Access:Connect to this object online.
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:Background: Severe burns in pregnant women present an exceedingly challenging situation due to the limitation in therapeutic options including pain management and operative care.Case: We present a 30 years old patient, 38th week of pregnancy, who suffered a full thickness skin burns in 20% total body surface area and an inhalation trauma. In a Level-1 trauma center an interdisciplinary team of plastic surgeons, neonatologists and gynecologists was organized to deliver best patient care. Conclusion: This case presents a challenging situation with an intubated analgosedated pregnant woman, limiting treatment options. On admission a prompt cesarean delivery was performed to guard the unborn child. To shorten the hospital stay, a novel Bromelain based enzymatic debridement was performed on the full thickness burn wounds with immediate skin grafting. Keywords: Burn, Pregnancy, Management, Caesarean delivery
Item Description:2468-9122
10.1016/j.burnso.2017.04.003