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Published:
Mar 14, 2023Keywords:
burns, burn conversion, fluid resuscitation, bowel perforation
Article Details
Issue
Section
Case Report
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Main Article Content
A case of bowel perforation secondary to burn conversion
H Mangray
N Allorto
Abstract
Burn conversion is a process by which superficial partial-thickness burns spontaneously progress into deep partialthickness or full-thickness wounds. Factors that influence this process centre around poor perfusion which can be related to either too much or too little fluid resuscitation, infection, free radical damage, and metabolic or nutritional derangements. Therein lies the role of preventative strategies, i.e., adequate fluid resuscitation, prompt identification and management of sepsis, correction of electrolyte derangements and early institution of feeds. Prevention of burn conversion could prevent the need for surgical intervention and improve the morbidity and mortality of burns patients.
