Early burn wound excision significantly reduces blood loss

Manu H. Desai, David Herndon, Lyle Broemeling, Robert E. Barrow, Ray J. Nichols, Randi L. Rutan

Research output: Contribution to journalArticle

157 Citations (Scopus)

Abstract

The hypothesis that near-total early excision of large burns in children can be performed safely with a reduction in blood loss was tested. Of 1662 acutely burned patients admitted to this institution between 1982 and 1989, 594 underwent near-total excision of cutaneous flame or scald burn injuries in a single procedure. Operations took less than 3 hours and there were no operative deaths. Blood losses in burns of more than 30% total body surface area (TBSA) were significantly less at 0.40 ± 0.06 mL/cm2 and 0.49 ± 0.49 mL/cm2 excised when surgery was performed within the first 24 hours or after the 16th day after burn, respectively, when compared to 0.75 ± 0.02 mL/cm2 for those excised between 2 and 16 days after burn (p < 0.05). Blood loss for burns of less than 30% TBSA was of 1.19 ± 0.13 mL/ cm2. Early excision did not increase mortality rate when compared to later excision times. We suggest that near-total excision of large burns within the first 24 hours reduces blood requirements and morbidity without adversely altering hemodynamic stability or increasing mortality risks.

Original languageEnglish (US)
Pages (from-to)753-759
Number of pages7
JournalAnnals of Surgery
Volume211
Issue number6
StatePublished - 1990

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Burns
Body Surface Area
Wounds and Injuries
Mortality
Hemodynamics
Morbidity
Skin

ASJC Scopus subject areas

  • Surgery

Cite this

Desai, M. H., Herndon, D., Broemeling, L., Barrow, R. E., Nichols, R. J., & Rutan, R. L. (1990). Early burn wound excision significantly reduces blood loss. Annals of Surgery, 211(6), 753-759.

Early burn wound excision significantly reduces blood loss. / Desai, Manu H.; Herndon, David; Broemeling, Lyle; Barrow, Robert E.; Nichols, Ray J.; Rutan, Randi L.

In: Annals of Surgery, Vol. 211, No. 6, 1990, p. 753-759.

Research output: Contribution to journalArticle

Desai, MH, Herndon, D, Broemeling, L, Barrow, RE, Nichols, RJ & Rutan, RL 1990, 'Early burn wound excision significantly reduces blood loss', Annals of Surgery, vol. 211, no. 6, pp. 753-759.
Desai MH, Herndon D, Broemeling L, Barrow RE, Nichols RJ, Rutan RL. Early burn wound excision significantly reduces blood loss. Annals of Surgery. 1990;211(6):753-759.
Desai, Manu H. ; Herndon, David ; Broemeling, Lyle ; Barrow, Robert E. ; Nichols, Ray J. ; Rutan, Randi L. / Early burn wound excision significantly reduces blood loss. In: Annals of Surgery. 1990 ; Vol. 211, No. 6. pp. 753-759.
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