Operative physiologic changes in the burn surgeon

  • Jorge Humberto Rodríguez-QuinteroEmail author
  • Jorge Enrique Pereyra-Arzate
  • Erick Agustín Márquez-Gutierrez
  • Jorge Luis Aguilar-Frasco
Short Communication

Burn patients are physiologically propense to develop hypothermia during the natural course of their condition. The profound hypermetabolic state that they experience results in a severe dysregulation of the immune-inflammatory cascade which along with other contributing factors such as a considerable loss of healthy tissue, massive fluid resuscitation, application of wound dressings, inflammation, and in some cases, infection prevents them from achieving thermoregulation in the usual manner.

The magnitude of such a hypermetabolic response is directly related to the percentage of burned body surface area. When this response is prolonged and excessive, it invariably leads to multiorgan failure with a significant increase in the patient's basal energy expenditure rate in comparison with healthy individuals [1].

It is a common practice in burn surgical suites to increase the operating room's temperature as a measure to prevent the expected loss of body heat in patients subjected to major...


Compliance with ethical standards

Conflicts of Interest

Jorge Humberto Rodríguez-Quintero, Jorge Enrique Pereyra-Arzate, Erick Agustín Márquez-Gutierrez, and Jorge Luis Aguilar-Frasco declare that they have no conflict of interest.

Ethical approval

For this type of article, formal consent from a local ethics committee is not required.

Informed consent

For this type of article, informed consent is not relevant.

Funding information

No funding has been received for this study.


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Copyright information

© Springer-Verlag GmbH Germany, part of Springer Nature 2019

Authors and Affiliations

  1. 1.Surgery DepartmentInstituto Nacional de Ciencias Médicas y Nutrición “Salvador Zubirán”Mexico CityMexico
  2. 2.Surgery DepartmentCentro Médico ABC ObservatorioMéxico CityMexico
  3. 3.Burn and Plastic Surgery DepartmentInstituto Nacional de RehabilitacionMexico CityMexico

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