Burns: Classification, Pathophysiology, and Treatment: A Review

Author:

Żwierełło Wojciech1ORCID,Piorun Krzysztof2,Skórka-Majewicz Marta1,Maruszewska Agnieszka3ORCID,Antoniewski Jacek1,Gutowska Izabela1

Affiliation:

1. Department of Medical Chemistry, Pomeranian Medical University, 70-204 Szczecin, Poland

2. West Pomeranian Center for Treating Severe Burns and Plastic Surgery, 72-300 Gryfice, Poland

3. Department of Physiology and Biochemistry, Institute of Biology, University of Szczecin, 71-412 Szczecin, Poland

Abstract

Burns and their treatment are a significant medical problem. The loss of the physical barrier function of the skin opens the door to microbial invasion and can lead to infection. The repair process of the damage caused by the burn is impaired due to the enhanced loss of fluids and minerals through the burn wound, the onset of hypermetabolism with the concomitant disruption of nutrient supply, and derangements in the endocrine system. In addition, the initiated inflammatory and free radical processes drive the progression of oxidative stress, the inhibition of which largely depends on an adequate supply of antioxidants and minerals. Clinical experience and research provide more and more data to make the treatment of patients with thermal injury increasingly effective. The publication discusses disorders occurring in patients after thermal injury and the methods used at various stages of treatment.

Funder

Department of Medical Chemistry, Pomeranian Medical University in Szczecin

Publisher

MDPI AG

Subject

Inorganic Chemistry,Organic Chemistry,Physical and Theoretical Chemistry,Computer Science Applications,Spectroscopy,Molecular Biology,General Medicine,Catalysis

Reference83 articles.

1. Skin Tissue Regeneration for Burn Injury;Shpichka;Stem Cell Res. Ther.,2019

2. Herndon, D.N. (2018). Total Burn Care, Elsevier. [4th ed.].

3. History of Burns: The Past, Present and the Future;Lee;Burn. Trauma,2014

4. Emergency Department Management of Patients with Thermal Burns;Tolles;Emerg. Med. Pract.,2018

5. Burns: Definition, Classification, Pathophysiology and Initial Approach;Ja;Int. J. Gen. Med.,2020

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