ICU SAQs · Burns
Circumferential chest burn — the escharotomy
A CICM Second-Part SAQ on the chest escharotomy — the indication, the technique (the anterior axillary lines), the release.
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CICMFFICMEDIC
Prompt
A patient with a circumferential full-thickness burn of the chest has increasing peak airway pressures and falling tidal volumes despite sedation. Outline the management.
Question
A patient with a circumferential full-thickness burn of the chest has increasing peak airway pressures and falling tidal volumes despite sedation. Outline the management.
References2ShowHide
- [1]Burd A, Noronha FV, Ahmed K, et al. Decompression not escharotomy in acute burns. Burns, 2006.PMID 16527416
- [3]Bersten AD, Soni N (eds) Oh's Intensive Care Manual. 8th edition, Elsevier, 2018.