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EBJ
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Critical Care in Burns
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Critical Care in Burns

A special issue of European Burn Journal (ISSN 2673-1991).

Deadline for manuscript submissions: closed (31 October 2021) | Viewed by 33806

Special Issue Editors

Prof. Dr. Kevin K Chung

E-Mail Website
Guest Editor
Department of Medicine, Uniformed Services University of the Health Sciences, Bethesda, MD 20814, USA
Interests: burn critical care; organ support
Prof. Dr. Marc Jeschke

E-Mail Website
Guest Editor
Sunnybrook Hlth Sci Ctr, Ross Tilley Burn Ctr, 2075 Bayview Ave, University of Toronto, Toronto, ON M4N 3M5, Canada
Interests: burn; trauma; stress response; inflammation; hypermetabolism, including insulin resistance; cell regeneration; gene transfer; stem cells
Special Issues, Collections and Topics in MDPI journals

Special Issue Information

Dear Colleagues,

Despite significant advances in the management of severe burns over the past decade, mortality remains high, and among the survivors, both physical and emotional disability are prevalent. There is no doubt that we can do better. Our hypothesis is that the initial phase of burn care determines long-term outcomes and, therefore, burn critical care remains integral for patient outcomes.

In this Special Issue, we would like to present clinically relevant updates for every facet of burn care for the most severely burned: from initial resuscitation, through surgical and intensive care management, burn metabolism, acute rehabilitation, all the way to recovery and long-term outcomes.

We will focus on evidence-based therapeutic guidelines and will include new treatment aspects with the focus of improving the acute and long-term outcomes of burn patients.

Prof. Dr. Kevin K Chung
Prof. Dr. Marc Jeschke
Guest Editors

Manuscript Submission Information

Manuscripts should be submitted online at www.mdpi.com by registering and logging in to this website. Once you are registered, click here to go to the submission form. Manuscripts can be submitted until the deadline. All submissions that pass pre-check are peer-reviewed. Accepted papers will be published continuously in the journal (as soon as accepted) and will be listed together on the special issue website. Research articles, review articles as well as short communications are invited. For planned papers, a title and short abstract (about 100 words) can be sent to the Editorial Office for announcement on this website.

Submitted manuscripts should not have been published previously, nor be under consideration for publication elsewhere (except conference proceedings papers). All manuscripts are thoroughly refereed through a single-blind peer-review process. A guide for authors and other relevant information for submission of manuscripts is available on the Instructions for Authors page. European Burn Journal is an international peer-reviewed open access quarterly journal published by MDPI.

Please visit the Instructions for Authors page before submitting a manuscript. The Article Processing Charge (APC) for publication in this open access journal is 971 CHF (Swiss Francs). Submitted papers should be well formatted and use good English. Authors may use MDPI's English editing service prior to publication or during author revisions.

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Further information on MDPI's Special Issue polices can be found here.

Published Papers (5 papers)

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Review

12 pages, 639 KiB  
Review
Techniques to Assess Long-Term Outcomes after Burn Injuries
by Rae Spiwak, Shaan Sareen and Sarvesh Logsetty
Eur. Burn J. 2022, 3(2), 328-339; https://doi.org/10.3390/ebj3020028 - 20 Apr 2022
Cited by 4 | Viewed by 2533
Abstract
Burn injuries have a tremendous impact on not only the physical health of the burn survivor, but also mental health and social outcomes of the individual and their support systems. While much effect occurs at the point of injury, post-injury pain, infection, scarring, [...] Read more.
Burn injuries have a tremendous impact on not only the physical health of the burn survivor, but also mental health and social outcomes of the individual and their support systems. While much effect occurs at the point of injury, post-injury pain, infection, scarring, inflammatory response and metabolic changes all impact the long-term health of the burn survivor. The goal of the following article is to explore how to examine long term outcomes associated with burn injury, including mental disorders, suicide, loss of work and quality of life in the context of risk factors for burn injury, including social determinants of health. We then discuss ways to examine post-burn outcomes, including the important role of administrative data, the advantages of mixed methodology research studies including qualitative research, and the importance of considering sex, gender and vulnerable populations, not only in study design, but in prevention and intervention programs. Full article
(This article belongs to the Special Issue Critical Care in Burns)
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15 pages, 701 KiB  
Review
Infection and Burn Injury
by Edward J. Kelly, Mary A. Oliver, Bonnie C. Carney and Jeffrey W. Shupp
Eur. Burn J. 2022, 3(1), 165-179; https://doi.org/10.3390/ebj3010014 - 22 Feb 2022
Cited by 17 | Viewed by 8032
Abstract
Burn injury is debilitating and among one of the most frequently occurring traumas. Critical care improvements have allowed for increasingly positive outcomes. However, infection, whether it be localized to the site of the wound or systemic in nature, remains a serious cause of [...] Read more.
Burn injury is debilitating and among one of the most frequently occurring traumas. Critical care improvements have allowed for increasingly positive outcomes. However, infection, whether it be localized to the site of the wound or systemic in nature, remains a serious cause of morbidity and mortality. Immune suppression predisposes the burn population to the development of invasive infections; and this along with the possibility of inhalation injury puts them at a significant risk for mortality. Emerging multi-drug-resistant pathogens, including Staphylococcus aureus, Enterococcus, Pseudomonas, Acinetobacter, Enterobacter, and yeast spp., continue to complicate clinical care measures, requiring innovative therapies and antimicrobial treatment. Close monitoring of antimicrobial regimens, strict decontamination procedures, early burn eschar removal, adequate wound closure, proper nutritional maintenance, and management of shock and resuscitation all play a significant role in mitigating infection. Novel antimicrobial therapies such as ultraviolet light, cold plasma and topical antiseptics must continue to evolve in order to lower the burden of infection in burn. Full article
(This article belongs to the Special Issue Critical Care in Burns)
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16 pages, 3061 KiB  
Review
Diagnosis and Management of Invasive Fungal Wound Infections in Burn Patients
by Kaitlin A. Pruskowski, Thomas A. Mitchell, John L. Kiley, Trevor Wellington, Garrett W. Britton and Leopoldo C. Cancio
Eur. Burn J. 2021, 2(4), 168-183; https://doi.org/10.3390/ebj2040013 - 1 Oct 2021
Cited by 11 | Viewed by 7093
Abstract
Invasive fungal wound infection (FWI) after burn injury, while uncommon, is associated with significant morbidity and mortality. There are numerous risk factors for FWI, including large burn size and incomplete excision of burn wounds. FWI can be challenging to diagnose. Close attention to [...] Read more.
Invasive fungal wound infection (FWI) after burn injury, while uncommon, is associated with significant morbidity and mortality. There are numerous risk factors for FWI, including large burn size and incomplete excision of burn wounds. FWI can be challenging to diagnose. Close attention to changes in the physical examination and, in particular, to the appearance of burn wounds leads the burn team to be suspicious of FWI. Once FWI is suspected, histopathological evaluation of an incisional biopsy provides definitive diagnosis, while tissue culture enables identification of the causative organism to the species level and facilitates targeted antifungal therapy. Management of FWI focuses largely on aggressive surgical intervention, in addition to adjunctive systemic and topical antifungals and nonpharmacologic therapies. Treatment of FWI involves a multifaceted approach, which requires expertise from the entire multidisciplinary burn team. Full article
(This article belongs to the Special Issue Critical Care in Burns)
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17 pages, 1204 KiB  
Review
State of the Art: An Update on Adult Burn Resuscitation
by Jacqueline M. Causbie, Lauren A. Sattler, Anthony P. Basel, Garrett W. Britton and Leopoldo C. Cancio
Eur. Burn J. 2021, 2(3), 152-167; https://doi.org/10.3390/ebj2030012 - 9 Sep 2021
Cited by 6 | Viewed by 8006
Abstract
Treatment of patients with severe burn injuries is complex, relying on attentive fluid resuscitation, successful management of concomitant injuries, prompt wound assessment and closure, early rehabilitation, and compassionate psychosocial care. The goal of fluid resuscitation is to maintain organ perfusion at the lowest [...] Read more.
Treatment of patients with severe burn injuries is complex, relying on attentive fluid resuscitation, successful management of concomitant injuries, prompt wound assessment and closure, early rehabilitation, and compassionate psychosocial care. The goal of fluid resuscitation is to maintain organ perfusion at the lowest possible physiologic cost. This requires careful, hourly titration of the infusion rate to meet individual patient needs, and no more; the risks of over-resuscitation, such as compartment syndromes, are numerous and life-threatening. Recognizing runaway resuscitations and understanding how to employ adjuncts to crystalloid resuscitation are paramount to preventing morbidity and mortality. This article provides an update on fluid resuscitation techniques in burn patients, to include choosing the initial fluid infusion rate, using alternate endpoints of resuscitation, and responding to the difficult resuscitation. Full article
(This article belongs to the Special Issue Critical Care in Burns)
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13 pages, 2563 KiB  
Review
Mechanical Ventilation Strategies in the Critically Ill Burn Patient: A Practical Review for Clinicians
by Jared S Folwell, Anthony P Basel, Garrett W Britton, Thomas A Mitchell, Michael R Rowland, Renford Cindass, David R Lowery, Alicia M Williams, David S Lidwell, Linda Hong, Jason J Nam, Jonathan B Lundy, Jeremy C Pamplin and Leopoldo C Cancio
Eur. Burn J. 2021, 2(3), 140-151; https://doi.org/10.3390/ebj2030011 - 7 Sep 2021
Cited by 3 | Viewed by 6675
Abstract
Burn patients are a unique population when considering strategies for ventilatory support. Frequent surgical operations, inhalation injury, pneumonia, and long durations of mechanical ventilation add to the challenging physiology of severe burn injury. We aim to provide a practical and evidence-based review of [...] Read more.
Burn patients are a unique population when considering strategies for ventilatory support. Frequent surgical operations, inhalation injury, pneumonia, and long durations of mechanical ventilation add to the challenging physiology of severe burn injury. We aim to provide a practical and evidence-based review of mechanical ventilation strategies for the critically ill burn patient that is tailored to the bedside clinician. Full article
(This article belongs to the Special Issue Critical Care in Burns)
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