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Nutrition in Pediatric Burns 小儿烧伤的营养
IF 2 3区 医学
Seminars in Plastic Surgery Pub Date : 2024-04-04 DOI: 10.1055/s-0044-1782648
Amy A. Mrazek, Preston Simpson, Jong O. Lee
{"title":"Nutrition in Pediatric Burns","authors":"Amy A. Mrazek, Preston Simpson, Jong O. Lee","doi":"10.1055/s-0044-1782648","DOIUrl":"https://doi.org/10.1055/s-0044-1782648","url":null,"abstract":"<p>Nutrition and modulation of the hypermetabolic response to acute burns are reviewed in this article. Methods to determine caloric requirements are evaluated, including indirect calorimetry and predictive equations. Individual nutritional components of carbohydrates, fat, protein, vitamins, and trace elements are discussed specifically in relation to acute burn care. Selection of formula and route of administration are outlined, with an enteral high-carbohydrate, low-fat diet being preferable. Awareness and recognition of the signs and symptoms of malnutrition is critical in the management of variable caloric needs throughout hospitalization. Lastly, the catabolic state of acute burns is addressed through early excision and grafting and implementation of various pharmacologic agents, including growth hormone, insulin-like growth factor-1, insulin-like growth factor-binding protein-3, insulin, propranolol, and oxandrolone. Through a multipronged approach to nutrition, pediatric burn patients are provided the substrates for successful recovery and rehabilitation.</p> ","PeriodicalId":48687,"journal":{"name":"Seminars in Plastic Surgery","volume":"438 1","pages":""},"PeriodicalIF":2.0,"publicationDate":"2024-04-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140602632","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Global Surgery: Burn Outreach by Shriners Children's Texas 全球手术：德克萨斯州儿童医护人员烧伤外展项目
IF 2 3区 医学
Seminars in Plastic Surgery Pub Date : 2024-04-04 DOI: 10.1055/s-0044-1785217
Ramon L. Zapata-Sirvent, Ludwik K. Branski, Jong O. LEE
{"title":"Global Surgery: Burn Outreach by Shriners Children's Texas","authors":"Ramon L. Zapata-Sirvent, Ludwik K. Branski, Jong O. LEE","doi":"10.1055/s-0044-1785217","DOIUrl":"https://doi.org/10.1055/s-0044-1785217","url":null,"abstract":"<p>Global surgery describes a rapidly developing field that seeks to improve surgical treatment internationally, specifically in those specialized treatments that are not readily accessible, considered complex and expensive. Burns cause 300,000 deaths annually, 90% of which occur in low- and middle-income countries (LMICs).</p> <p>Burns are a public health problem since they can cause disability and death. Shriners Children's Texas is a unique model of global surgery for an important number of countries in Central and South Americas and Mexico, providing specialized acute burn care with low mortality for burned children.</p> <p>Survivors of severe burns may face devastating sequelae due to burn scar contractures and hypertrophic burn scars that may limit the social reintegration. Burn reconstruction is not easily accessible to patients in LMICs. After discharge from acute burn treatment at our hospital, patients may return every 6 months for in-person follow-up to assess any surgical, psychological, or rehabilitative needs. Telemedicine allows for monitoring of postoperative results and evaluation for new surgical procedures. Follow-up clinic visits called outreach clinics held in international hospitals or international Shriners Temples allow for evaluation of follow-up patients and new patients with reconstructive needs that may benefit from a treatment in Shriners Children's Texas in Galveston, Texas.</p> ","PeriodicalId":48687,"journal":{"name":"Seminars in Plastic Surgery","volume":"89 1","pages":""},"PeriodicalIF":2.0,"publicationDate":"2024-04-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140576251","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The Historical Evolvement of Movement and Exercise Training in Patients with Severe Burns and Their Potential Effects on Grafts, Scars, and Function 严重烧伤患者运动和锻炼训练的历史演变及其对移植物、疤痕和功能的潜在影响
IF 2 3区 医学
Seminars in Plastic Surgery Pub Date : 2024-04-04 DOI: 10.1055/s-0044-1785216
Julia Kleinhapl, Kristine Knappskog, Celeste C. Finnerty, Ludwik Branski, Oscar E. Suman
{"title":"The Historical Evolvement of Movement and Exercise Training in Patients with Severe Burns and Their Potential Effects on Grafts, Scars, and Function","authors":"Julia Kleinhapl, Kristine Knappskog, Celeste C. Finnerty, Ludwik Branski, Oscar E. Suman","doi":"10.1055/s-0044-1785216","DOIUrl":"https://doi.org/10.1055/s-0044-1785216","url":null,"abstract":"<p>Exercise training for burn patients has become a major part of rehabilitation programs within the last decades. One of the main reasons for prolonged and long-term increased morbidity and mortality in this population is a persistent catabolic state with subsequent loss of lean body mass (LBM). A combination of resistance and aerobic exercises as well as stretching has shown to improve physical function by enhancing cardiopulmonary fitness, LBM, and strength and thus leading to ameliorated long-term outcomes of patients recovering from burns. In this literature review, we show an outline of the implementation of exercise training over the last decades into standardized care for patients with burns.</p> ","PeriodicalId":48687,"journal":{"name":"Seminars in Plastic Surgery","volume":"54 1","pages":""},"PeriodicalIF":2.0,"publicationDate":"2024-04-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140576110","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Update on Hypermetabolism in Pediatric Burn Patients 小儿烧伤患者代谢过高的最新情况
IF 2 3区 医学
Seminars in Plastic Surgery Pub Date : 2024-04-04 DOI: 10.1055/s-0044-1782649
Sarah A. Layon, Austin D. Williams, Matthew J. Parham, Jong O. Lee
{"title":"Update on Hypermetabolism in Pediatric Burn Patients","authors":"Sarah A. Layon, Austin D. Williams, Matthew J. Parham, Jong O. Lee","doi":"10.1055/s-0044-1782649","DOIUrl":"https://doi.org/10.1055/s-0044-1782649","url":null,"abstract":"<p>Despite advancements in pediatric burn care, the profound hypermetabolic response associated with severe burns remains a multifaceted challenge throughout the continuum of care. Understanding the various physiologic disturbances that constitute hypermetabolism is crucial for a thorough evaluation and for implementing appropriate surgical and nonsurgical interventions. In this article, we describe the pathophysiology and treatment of hypermetabolism in pediatric burn patients with a focus on reducing resting energy requirements, minimizing infection, and optimizing nutrition for patients undergoing frequent surgical intervention.</p> ","PeriodicalId":48687,"journal":{"name":"Seminars in Plastic Surgery","volume":"41 1","pages":""},"PeriodicalIF":2.0,"publicationDate":"2024-04-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140576008","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Benefits and Process of Providing Peer Support for Pediatric Burn Survivors and Caregivers during Inpatient and Outpatient Phases of Recovery 在住院和门诊康复阶段为小儿烧伤幸存者和护理人员提供同伴支持的益处和过程
IF 2 3区 医学
Seminars in Plastic Surgery Pub Date : 2024-04-04 DOI: 10.1055/s-0044-1782650
Marta Rosenberg, Robert Rodriguez, Staci Grant, Alicia San Miguel, Jong O. Lee, Laura Rosenberg
{"title":"Benefits and Process of Providing Peer Support for Pediatric Burn Survivors and Caregivers during Inpatient and Outpatient Phases of Recovery","authors":"Marta Rosenberg, Robert Rodriguez, Staci Grant, Alicia San Miguel, Jong O. Lee, Laura Rosenberg","doi":"10.1055/s-0044-1782650","DOIUrl":"https://doi.org/10.1055/s-0044-1782650","url":null,"abstract":"<p>The World Health Organization reveals that pediatric burns represent a large portion of burns globally (61). Increases in survival rates have guided clinical and research focus on physical, psychological, and social outcomes. Research on other childhood illnesses has shown the efficacy of social support throughout recovery. In the pediatric burn literature, studies have shown the efficacy of burn camps for promoting positive interactions among survivors, learning coping skills, and facilitating socialization and reintegration. However, few studies have focused on the benefits of peer support for pediatric burn survivors and their caregivers in the inpatient and outpatient phases of recovery. This descriptive paper identifies options for building resilience for pediatric burn survivors through peer support in the inpatient and outpatient phases of recovery. The authors discuss options for providing peer support during the coronavirus disease 2019 pandemic on the pediatric intensive care unit, general pediatric floor, and outpatient setting.</p> ","PeriodicalId":48687,"journal":{"name":"Seminars in Plastic Surgery","volume":"251 1","pages":""},"PeriodicalIF":2.0,"publicationDate":"2024-04-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140576114","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Wound Management of Pediatric Burns 小儿烧伤的伤口处理
IF 2 3区 医学
Seminars in Plastic Surgery Pub Date : 2024-04-04 DOI: 10.1055/s-0044-1785215
David G. Greenhalgh
{"title":"Wound Management of Pediatric Burns","authors":"David G. Greenhalgh","doi":"10.1055/s-0044-1785215","DOIUrl":"https://doi.org/10.1055/s-0044-1785215","url":null,"abstract":"<p>The goal for treating pediatric burns is to allow the patient to heal with as little scarring as possible. Compared to older children and adults, very small children have anatomic differences that alter their treatment. They have thinner skin that leads to a higher risk for full-thickness burns. Children also tend to freeze when touching a hot item, so that the prolonged contact also leads to deeper burns. Two healing strategies are needed to treat these wounds. One must optimize reepithelialization in superficial burns to reduce scarring. Deeper burns require skin grafting, but there are techniques, such as the use of “sheet” autograft skin that lead to excellent outcomes. Strategies to treat the massive pediatric burn will also be covered. Finally, there are instances where different strategies are needed to cover exposed bone or tendon. The ultimate goal is to return the skin to as normal a state as possible.</p> ","PeriodicalId":48687,"journal":{"name":"Seminars in Plastic Surgery","volume":"230 1","pages":""},"PeriodicalIF":2.0,"publicationDate":"2024-04-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140576242","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Critical Care of the Pediatric Burn Patient 小儿烧伤患者的重症护理
IF 2 3区 医学
Seminars in Plastic Surgery Pub Date : 2024-04-04 DOI: 10.1055/s-0044-1782647
Catherine Naber, Robert Sheridan
{"title":"Critical Care of the Pediatric Burn Patient","authors":"Catherine Naber, Robert Sheridan","doi":"10.1055/s-0044-1782647","DOIUrl":"https://doi.org/10.1055/s-0044-1782647","url":null,"abstract":"<p>Life-saving pediatric burn care is often initiated in hospitals that are not designated as a pediatric burn center. Therefore, familiarity with critical care of pediatric burn patients is crucial for physicians working in all healthcare settings equipped to care for children. Management of airway, mechanical ventilation, preservation of ideal circulatory status, and establishment of vascular access in pediatric burn patients requires many unique considerations. This article aims to summarize important principles of critical care of children with significant burn injuries for review by physicians and surgeons working in hospitals designated as a pediatric burn center and those that stabilize these patients prior to referral.</p> ","PeriodicalId":48687,"journal":{"name":"Seminars in Plastic Surgery","volume":"63 1","pages":""},"PeriodicalIF":2.0,"publicationDate":"2024-04-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140602738","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Stephen W.P. Kemp, PhD. 斯蒂芬-坎普（Stephen W.P. Kemp）博士
IF 2.3 3区 医学
Seminars in Plastic Surgery Pub Date : 2024-03-15 eCollection Date: 2024-02-01 DOI: 10.1055/s-0044-1780514
Edward P Buchanan
{"title":"Stephen W.P. Kemp, PhD.","authors":"Edward P Buchanan","doi":"10.1055/s-0044-1780514","DOIUrl":"10.1055/s-0044-1780514","url":null,"abstract":"","PeriodicalId":48687,"journal":{"name":"Seminars in Plastic Surgery","volume":"38 1","pages":"1"},"PeriodicalIF":2.3,"publicationDate":"2024-03-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10942827/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140144400","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Michigan Special Issue: 60 Years of Michigan Plastic Surgery. 密歇根特刊：密歇根整形外科 60 年。
IF 2.3 3区 医学
Seminars in Plastic Surgery Pub Date : 2024-03-15 eCollection Date: 2024-02-01 DOI: 10.1055/s-0044-1780513
Stephen W P Kemp
{"title":"Michigan Special Issue: 60 Years of Michigan Plastic Surgery.","authors":"Stephen W P Kemp","doi":"10.1055/s-0044-1780513","DOIUrl":"10.1055/s-0044-1780513","url":null,"abstract":"","PeriodicalId":48687,"journal":{"name":"Seminars in Plastic Surgery","volume":"38 1","pages":"2"},"PeriodicalIF":2.3,"publicationDate":"2024-03-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10942832/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140144399","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Robotics in Microsurgery and Supermicrosurgery 显微外科和超显微外科机器人技术
IF 2 3区 医学
Seminars in Plastic Surgery Pub Date : 2024-03-04 DOI: 10.1055/s-0043-1771506
Heather R. Burns, Alexandra McLennan, Erica Y. Xue, Jessie Z. Yu, Jesse C. Selber
{"title":"Robotics in Microsurgery and Supermicrosurgery","authors":"Heather R. Burns, Alexandra McLennan, Erica Y. Xue, Jessie Z. Yu, Jesse C. Selber","doi":"10.1055/s-0043-1771506","DOIUrl":"https://doi.org/10.1055/s-0043-1771506","url":null,"abstract":"<p>Microsurgery has changed the ability to perform highly precise and technical surgeries through the utilization of high-powered microscopes and specialized instruments to manipulate and repair anatomical structures as small as a few millimeters. Since the first human trials of robotic-assisted microsurgery in 2006, the expansion of microsurgery to supermicrosurgery (luminal diameter less than 1 mm) has enabled successful repair of previously inaccessible structures. Surgical robotic systems can offer two distinct operative advantages: (1) minimal access surgery—by entering body cavities through ports, flap harvest can be redesigned to affect a minimally invasive approach for flaps such as the rectus abdominis muscle, the latissimus flap, and the deep inferior epigastric perforator flap; and (2) precision—by eliminating physiologic tremor, improving ergonomics, increasing accessibility to difficult spaces, and providing motion scaling, precision is significantly enhanced. Robotic-assisted microsurgery is a promising application of robotics for the plastic surgeon and has played an important role in flap harvest, head and neck reconstruction, nerve reconstruction, gender-affirming surgery, and lymphatic reconstruction—all the while minimizing surgical morbidity. This article aims to review the history, technology, and application of microsurgery and supermicrosurgery in plastic surgery.</p> ","PeriodicalId":48687,"journal":{"name":"Seminars in Plastic Surgery","volume":"10 1","pages":""},"PeriodicalIF":2.0,"publicationDate":"2024-03-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140033106","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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