Acta chirurgiae plasticae
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Acta chirurgiae plasticae · Jan 2003
Testing intestinal permeability in rats with burns and administration of early enteral nutrition.
Damaged intestinal mucosa in patients with extensive burns is one of the causes of the development of SIRS and MOFS. No unequivocal method has been established so far for assessment of the extent of damage of the intestinal mucosa. In the presented work the authors focus their attention on assessment of intestinal permeability in rats with burns. ⋯ From the conclusions it is evident that a burn extending over 20% TBSA causes in the laboratory rat to experience impaired intestinal permeability. The work did not prove a significant difference between groups with and without enteral nutrition. Due to its simplicity speed, repeatability and high yield the LAMA test is a method which can be used in patients with burns in departments for the treatment of burns.
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Acta chirurgiae plasticae · Jan 2002
Case ReportsThe most frequent problems in the initial stage of burn management.
On the basis of three case reports discussed in the article, the authors demonstrate the most frequent serious drawbacks occurring in the initial stage of care of severely burned patients. The first case report highlights the importance of correct determination of the extent of the burn trauma, which should be correctly assessed by every first contact physician. The second case report demonstrates the need for adequate management of patients with severe burn trauma (especially airway management and i.v. establishment). In the third case (a little baby) again the need for correct patient assessment, timely airway management and beginning of resuscitation and especially of appropriate and immediate transfer of the burned patient to the specialized burn facility are highlighted.
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Acta chirurgiae plasticae · Jan 2002
Ensuring prehospital care in thermal injuries: experience from an explosion in a textile factory.
The objective of this work was to inform about the performance of the rescue service, in collaboration with other members of an integrated rescue system, in responding to an event in which several subjects suffered burn injuries. Proper organization of the work by a doctor of the rescue group at the site of the explosion, the work of the rescue service dispatchers, and the coordination of the activities of the different rescue teams are the prerequisite for the successful avoidance of the sequelae of mass disasters.
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Acta chirurgiae plasticae · Jan 2001
Randomized Controlled Trial Comparative Study Clinical TrialDiclofenac and metamizol in postoperative analgesia in plastic surgery.
Postoperative pain relief after major surgery cannot be achieved with opioids alone in all patients without respiratory depression or other significant drawbacks. Modern medical practice, therefore, dictates the use of alternative analgesic agents as an adjunct or substitute to minimize the deleterious effects and to facilitate an earlier return to work and daily activities. Diclofenac and metamizol inhibit prostaglandin synthesis, thus attenuate the peripheral nociceptive sensitization caused by the surgical trauma. This investigation was conducted to determine the potency of diclofenac compared with metamizol in the control of postoperative pain after various plastic surgical operations under general anesthesia. ⋯ Metamizol is significantly superior to diclofenac for the reduction of postoperative pain after plastic surgery in the first 18 hours after plastic surgery procedures and reduces the need for additional analgesia.