A case of successful intensive treatment of a child with a severe burn injury

V.A. Matskevich1, Yu.B. Shukhat1, J.N. Kolegova1, O.L. Maximova1, E.O. Vasilieva1,2, A.I. Gritsan1,2

1 Krasnoyarsk Regional Clinical Hospital, Regional Public Health Institution, Krasnoyarsk

2 Krasnoyarsk State Medical University named after professor V.F. Voyno-Yasenetsky, Ministry of Health of the Russian Federation, Krasnoyarsk

For correspondence: Alexey I. Gritsan, Dr. med. Sci., Professor, Chief of the Department of Anaesthesiology and Intensive Care Krasnoyarsk of the State Medical University named after Professor V.F. Voyno-Yasenetsky, Ministry of Health of the Russian Federation, Krasnoyarsk; e-mail: gritsan67@mail.ru

For citation: Matskevich VA, Shukhat YuB, Kolegova JN, Maximova OL, Vasilieva EO, Gritsan AI. A case of successful intensive treatment of a child with a severe burn injury. Alexander Saltanov Intensive Care Herald. 2019;1:100–3.

DOI: 10.21320/1818-474X-2019-1-100-103


In this article presented the positive clinical experience of treatment of a child with deep extensive burns up to 85 % of the body surface. It is proved that successful treatment of this patient is possible only in a multidisciplinary clinic with combination of active surgical tactics, balanced infusion-transfusion, adequate antibacterial and immuno-substitutive therapy, control of microbiome of wound secret and biological fluids, usage of the air fluidized bed, personified dressing tactics, suitable nutritional support, a complex of modern rehabilitation measures.

Keywords: child, burn, narcosis, necrectomy, autodermoplasty, intensive care, wounds, air fluidized bed, antibiotics, rehabilitation

Received: 23.11.2018


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Clinical Parallels of the Tactics of Volemic Resuscitation and Nutritional Support with the Outcomes of Severe Thermal Burns in Children

K.S. Botvina, N.P. Pyshmintseva, N.P. Shen, Yu.Kh. Sayfitdinov, D.V. Suchkov

Department of anesthesiology and resuscitation of the Institute of continuous professional development Tyumen state medical university Ministry of Healthcare Russian Federation; Provincial clinical hospital № 1, Tyumen

For correspondence: Natalia Petrovna Shen — M.D., professor, chairman of department of anesthesiology and resuscitation of the institute of continuous professional development Tyumen GMU of the Ministry of Pub. Health of Russia, Tyumen; e-mail: nataliashen@rambler.ru

For citation: Botvina KS, Pyshmintseva NP, Shen NP, Sayfitdinov YuKh, Suchkov DV. Clinical Parallels of the Tactics of Volemic Resuscitation and Nutritional Support with the Outcomes of Severe Thermal Burns in Children. Intensive Care Herald. 2017;2:17–20.


In the article are studied the demographic, tactical and prognostic aspects of burn disease in children for the purpose of the devel- opment of the important clinical parallels, including of the mechanisms, which start the multiple organ system dysfunction, infectious complications and death. The results of a study showed that prevalence and the depth of defeat does not be determining for the possi- bility to master nourishment and it must not become the factor, which impedes the beginning of nutritional support within maximally early periods. The authors also established that the positive fluid balance administered for the first three days of ICU in children with the severe burns is not the predictor of complications or lethal outcome, which separates this population of patients from the number of majority of the patients, in whom the so-called Fluid overload is the independent factor of the risk of complications and lethal outcome.

Keywords: burn, children, severe thermal burns

Received: 08.03.2017


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