{"title":"Burn Care: A Review-Part 2: Beyond 48 Hours.","authors":"David G Greenhalgh, Vinita Puri","doi":"10.1002/wjs.70115","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>After 48 h, care of the burn patient becomes more prolonged and difficult. The second part of the review discusses the long-term care of the burn patient.</p><p><strong>Methods: </strong>Current literature and authors' experience were used to provide guidelines for the management of burns. No artificial intelligence was used to create this manuscript.</p><p><strong>Results: </strong>The profound hypermetabolic response leads to significant demands on the patient that must be addressed by the caregiver. Patients require more nutritional and metabolic support than other diagnoses. Since the skin, which is the barrier to microorganism invasion, is destroyed, sepsis becomes a major concern. The primary goal of the clinician is to heal the wound as quickly as possible. As burn size increases, this task becomes much more difficult.</p><p><strong>Conclusion: </strong>The complete management of extensive burns requires an experienced team that can handle the long-term demands of the patient.</p>","PeriodicalId":23926,"journal":{"name":"World Journal of Surgery","volume":" ","pages":""},"PeriodicalIF":2.5000,"publicationDate":"2025-09-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"World Journal of Surgery","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1002/wjs.70115","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"SURGERY","Score":null,"Total":0}
引用次数: 0
Abstract
Background: After 48 h, care of the burn patient becomes more prolonged and difficult. The second part of the review discusses the long-term care of the burn patient.
Methods: Current literature and authors' experience were used to provide guidelines for the management of burns. No artificial intelligence was used to create this manuscript.
Results: The profound hypermetabolic response leads to significant demands on the patient that must be addressed by the caregiver. Patients require more nutritional and metabolic support than other diagnoses. Since the skin, which is the barrier to microorganism invasion, is destroyed, sepsis becomes a major concern. The primary goal of the clinician is to heal the wound as quickly as possible. As burn size increases, this task becomes much more difficult.
Conclusion: The complete management of extensive burns requires an experienced team that can handle the long-term demands of the patient.
期刊介绍：
World Journal of Surgery is the official publication of the International Society of Surgery/Societe Internationale de Chirurgie (iss-sic.com). Under the editorship of Dr. Julie Ann Sosa, World Journal of Surgery provides an in-depth, international forum for the most authoritative information on major clinical problems in the fields of clinical and experimental surgery, surgical education, and socioeconomic aspects of surgical care. Contributions are reviewed and selected by a group of distinguished surgeons from across the world who make up the Editorial Board.
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