Excision and Skin Grafting of Thermal Burns

doi:10.1056/NEJMct0804451

Volume 360:893-901		February 26, 2009		Number 9

Excision and Skin Grafting of Thermal Burns

Dennis P. Orgill, M.D., Ph.D.

Since this article has no abstract, we have provided an extract of the first 100 words of the full text and any section headings.

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PubMed Citation

This Journal feature begins with a case vignette that includesa therapeutic recommendation. A discussion of the clinical problemand the mechanism of benefit of this form of therapy follows.Major clinical studies, the clinical use of this therapy, andpotential adverse effects are reviewed. Relevant formal guidelines,if they exist, are presented. The article ends with the author'sclinical recommendations.

A 45-year-old man was rescued from his burning house. Firefightersremoved his smoldering clothes and initiated intravenous access,pulse oximetry, and electrocardiographic monitoring. An endotrachealtube was inserted, and ventilation with 100% oxygen was initiatedfor presumed airway instability . . . [Full Text of this Article]

The Clinical Problem

Pathophysiology and the Effect of Therapy

Clinical Evidence

Clinical Use

Adverse Effects

Areas of Uncertainty

Guidelines

Recommendations

Source Information

From the Division of Plastic and Reconstructive Surgery, Brigham and Women's Hospital, Boston.

Address reprint requests to Dr. Orgill at the Division of Plastic and Reconstructive Surgery, Brigham and Women's Hospital, 75 Francis St., Boston, MA 02115, or at dorgill@partners.org.