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العنوان
New Management Approach in Major / Pediatric Burn in Intensive Care Unit /
المؤلف
Tawfik, Mohamed Elsayed,
هيئة الاعداد
باحث / محمد السيد توفيق
مشرف / يوسف صالح حسن
مشرف / عزة احمد الطيب
مشرف / وائل سعد الدين
مناقش / محمد مدبولى احمد
مناقش / سامية سيد
الموضوع
Major Pediatric Burn.
تاريخ النشر
2023.
عدد الصفحات
141 p. :
اللغة
الإنجليزية
الدرجة
ماجستير
التخصص
جراحة
الناشر
تاريخ الإجازة
10/8/2023
مكان الإجازة
جامعة أسيوط - كلية الطب - جراحة التجميل
الفهرس
Only 14 pages are availabe for public view

from 141

from 141

Abstract

Burns constitute an important public health problem and represent the third leading cause of accidental death in the pediatric population. Most pediatric burns are minor but children with severe burns have higher mortality than nonelderly adults with similar burns. Although the basic principles of burn management for pediatric patients are the same as for adults, there are key differences in the physiology and psychology of the pediatric patient Children have a relatively thinner dermis, so any given thermal insult will sustain a deeper burn than the adult. Burn injury can impair skin integrity and sensation and lead to hypertrophic scarring. In addition to changes in appearance and function brought about scarring, deeper burns may result in damage to or complete loss of functionally or cosmetically important body parts. Children with severe burn injuries are best treated at a pediatric burn center that offers multidisciplinary support In the current study, A total of 50 children admitted during the study period with burn according to inclusion criteria as study group. Those patients were managed based the novel guidelines (appendix 1), Another 50 children were enrolled and they were obtained from the medical records in the period between 2012 and 2014 as control group (retrospective data). Both studied groups had insignificant differences as regard baseline data. Mean age of study group patients was 4.79 years with range between one and 16 years old. Out of the studied patients, 29 (58%) patients were males and 21 (42%) patients were females. Mean body mass index was 36.11 (kg/m2) with range between 16.39 and 40.11 (kg/m2) Both groups had insignificant differences as regard characteristics of burn. In study group, seven (14%) patients had flame burn while 40 (80%) patients had scaled burn while only three patients had electric burn. Deep burn was present in 22 (44%) patients and 28 (56%) patients had superficial burns. Mean affected total body surface area was 28.86% with a range between 20 and 45%. Twenty-seven (54%) patients had affected body surface area between 20-25% while 23 (46%) patients had affected body surface area between 25 and 45%.