Burn Injury, Rule of Nines
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Burn injuries represent a severe insult to body homeostasis. An extensive hypermetabolic and inflammatory response occurs as a consequence of thermal tissue damage to more than 40% of the total body surface area (TBSA) and can lead to considerable morbidity and mortality . This response may be so extensive that victims invariably suffer cardiovascular derangements if more than one third of the TBSA is affected. This condition is defined as burn shock .
Quantifying the extent of the burn injury is of utmost importance because it allows the physician to provide an adequate and comprehensive treatment that includes fluid resuscitation, nutritional support, pharmacologic agents, wound care, surgical interventions, and rehabilitation.
The current understanding of how the burn size is associated to the inflammatory response and fluid shifts can be dated back to the studies performed by Frank P....
- 2.Herndon DN (2007) Total burn care, 3rd edn. Elsevier, Philadelphia, PA, p 93Google Scholar
- 4.Knaysi GA, Crikelair GF, Cosman B (1967) The rule of nines: it’s history and accuracy. Presentation at the Am Soc Plast & Reconstruct, New York City, November 6, 1967Google Scholar
- 5.Blocker TG Jr (October 1, 1981) Lecture given to plastic surgery residents. Galveston, TX (unpublished)Google Scholar