英語でのEscharotomy verfahren
Incise eschar with scalpel or electrocautery, extending at least 1 cm into normal, unburned skin. Depth of incision controversial. Most recommend incision into subcutaneous fat. Apply burn dressing. Silver sulfadiazine or antibiotic ointment with petroleum gauze. Note that local anaesthetic is usually unnecessary as full thickness burns are
The benefit of escharotomy is clear - as it is an emergent procedure meant to salvage life and/or limb in face of a full-thickness burn injury that compromises circulation or ventilation in the severely burn-injured patient. The consequence of not performing an escharotomy when indicated is severe: 1. 2.
Escharotomy is defined as the surgical incision through the eschar into the subcutaneous tissues to allow the extremity to continue to swell without compressing the underlying blood vessels. Circumferential deep second- and third-degree burns of the extremities can act as a tourniquet and impede blood flow to the distal extremity. Deep burns to
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