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Burn Care Update, An Issue of Perioperative Nursing Clinics - E-Book

Burn Care Update, An Issue of Perioperative Nursing Clinics - E-Book

Patricia Fortner

(2012)

Additional Information

Book Details

Abstract

This issue of Perioperative Nursing Clinics will include the following topics: History of Burn Care; Pathophysiology of Burns; Perioperative Considerations for the Burn Injured Patient; Surgical Procedures for the Burn Patient; Epicells; Reconstructive/Plastic Surgery; OR/PACU/ICU Hand Off; Pain; Infection Control; Surgical Care of Thermally Injured Patients on the Battlefield; Burn Pressure Ulcer Management in the Perioperative Burn Patient; Conducting Research in the Operating Room; High-Tech, High-Stress Environment for the Burn Nurse; Costs; and Personal Experiences of a Perioperative Burn Nurse in the Military.

Table of Contents

Section Title Page Action Price
Front Cover Cover
Burn Care Update: Perioperative Nursing Clinics i
Copyright Page ii
Table of Contents v
Contributors iii
Preface: Burn Care Update xi
Chapter 1. Review of Burn Treatment: Early Care to Current Practices 1
FIRE 1
BURN TREATMENT 2
GRAFTS 2
TREATMENT OF BURN WOUNDS 3
TOOLS (OF THE TRADE) 4
TOPICAL ANTIMICROBIAL AGENTS 4
SKIN SUBSTITUTES 5
DRESSINGS 6
SUMMARY 7
REFERENCES 7
Chapter 2. Burn Pathophysiology 9
BURN CENTER ADMISSION CRITERIA 9
THE INTEGUMENTARY SYSTEM 10
ZONES OF BURN INJURY 11
CLASSIFICATION OF BURN WOUNDS 12
THE BODY’S STRESS RESPONSE 14
TYING IT ALL TOGETHER 15
REFERENCES 17
Chapter 3. Caring for the Burn Patient: The Perioperative Nurse 19
REFERENCE 21
Chapter 4. Perioperative Anesthetic Considerations for Burn\rPatients 23
ACUTE INJURY 24
GENERAL BURN CARE 25
EXCISION AND GRAFTING 25
OR SETUP 26
PREOPERATIVE EVALUATION 27
IN THE OR 29
POSTOPERATIVE CARE 31
OUT-OF-OR PROCEDURES 31
ELECTRIC INJURIES 31
NONTHERMAL SKIN DISEASES 32
SUMMARY 32
ACKNOWLEDGMENTS 32
REFERENCES 32
Chapter 5. Perioperative Nursing\rConsiderations in Burn Care 35
HYPOTHERMIA 40
OPERATING ROOM PREPARATION 40
PREOPERATIVE ASSESSMENT 43
ADMISSION TO THE OR 43
SURGICAL INTERVENTION 44
TEMPORARY SKIN SUBSTITUTES 48
PERMANENT SKIN SUBSTITUTES 48
REFERENCES 52
Chapter 6. Surgical Care of Thermally Injured Patients on the\rBattlefield 53
RESUSCITATION PHASE 54
WOUND CLOSURE PHASE 61
RECONSTRUCTION PHASE 67
SUMMARY 68
REFERENCES 68
Chapter 7. A Burn Intensive Care Unit\rNurse’s Perspective 71
REFERENCES 75
Chapter 8. Hope for Recovering Burn Patients—The Multidisciplinary Approach (Ultrarapid Opioid Detoxification Under Anesthesia) 77
REFERENCES 81
Chapter 9. Battlefield Pain Control: Forging Ahead by Building on the Past 83
REFERENCES 88
Chapter 10. Pressure Ulcers in the Burned Patient: Perioperative\rConsiderations 89
PRESSURE ULCER FORMATION AND RISK FACTORS 90
RISK IN THE BURN-INJURED PATIENT 91
INTRAOPERATIVE CONSIDERATIONS 94
SKIN ASSESSMENT AND RISK DETERMINATION 94
CONSIDERATIONS FOR PREVENTION AND RECOMMENDATIONS 95
SUMMARY 96
REFERENCES 96
Chapter 11. A Burn Progressive Care Unit: Customized Care from Admission Through\rDischarge 99
ADMISSIONS 99
TRANSFERS 100
BPCU ROUTINE 101
NUTRITION 102
SAME-DAY SURGERY 102
POSTOPERATIVE CARE 103
DISCHARGE 103
SUMMARY 104
REFERENCES 105
Chapter 12. Reconstructive Surgery in the Thermally Injured Patient 107
AN INCREASED NEED FOR RECONSTRUCTIVE SURGERY 107
BASIC PHILOSOPHIES 107
COMMON RECONSTRUCTIVE PROBLEMS AND TECHNIQUES 109
UNIQUE PERIOPERATIVE CONSIDERATIONS 112
SUMMARY 112
ACKNOWLEDGMENTS 113
REFERENCES 113
Chapter 13. Trauma-Induced Coagulopathy: An Update to Current Management 115
HISTORICAL PERSPECTIVE 116
OBJECTIVES 118
TREATMENTS 122
SUMMARY 124
REFERENCES 124
Chapter 14. High-Tech, High-Stress Environment: Coping Strategies for the\rPerioperative Nurse 129
GET ADEQUATE REST 131
COGNITIVE–BEHAVIORAL TECHNIQUES 131
EXERCISE AND NUTRITION 131
PEER SUPPORT 131
SELF-MEDICATING 132
MEDITATION AND RELAXATION 132
USE ASSERTIVE COMMUNICATION 132
WORK AS A TEAM IN THE OR 132
MAINTAIN COMPETENCE 132
REFERENCES 133
Chapter 15. Behind the Redline: Personal Experiences of a Perioperative Burn Nurse in the Military 135
Index 139