[Clinical guidelines for timing of escharectomy and skin grafting during burn shock stage in extensively burned patients].

Objective: To provide practical clinical guidelines to doctors who have no hemodynamic monitoring facilities in performing escharectomy during the shock period in extensively burned patients.

Methods: We analyzed our clinical experiences in 60 patients with extensive burn.

Results: Puting forward several clinical indexes for timing of escharectomy during burn shock stage: 1. Amount of fluids in the first 24 h postburn 2.6-3.0 ml.kg-1.1% TBSA-1; 2. Output of urine 80-100 ml/h; 3. Mentally fully conscious; 4. Thirst significantly alleviated and there is no nausea and vomiting; 5. Pulse 100/min; 6. Hb < or = 150 g/L; 7. Hct < or = 0.50.

Conclusion: With the clinical indexes as guidelines, we assume that escharectomy could be performed during burn shock stage with reasonable safety.