Survival of an eight-year-old child with a very severe high-tension electrical burn injury: a case report

We present the management and survival of an eight-year-old boy with a severe high-tension electrical burn injury of 68% of total body surface area in a surgical intensive care unit, as a result of a well-planned and applied treatment strategy. Subsequent to escharotomy and fasciotomy operations under general anesthesia, the patient was taken into the surgical intensive care unit. In addition, patient underwent nine more operations including right femur disarticulation and split-thickness skin graftings with homografts from his brother and autografts. The patient was connected to mechanical ventilator for 59 days. By the time the patient was transferred to plastic and reconstructive surgery ward, he was fully conscious, cooperated and hemodynamically stable.

Yüksek gerilime yakalanan elektrik yanýklý sekiz yaþýndaki çocuðun saðkalýmý: Olgu sunumu

Bu yazýda, yüksek gerilime yakalanmaya baðlý toplam vücut yüzey alanýnýn %68'i çok aðýr elektrik yanýklý sekiz yaþýndaki erkek hastanýn cerrahi yoðun bakým ünitesinde iyi planlanmýþ ve uygulanmýþ bir tedavi stratejisi sonrasý hayatta kalýmý sunulmaktadýr. Ýlk olarak genel anestezi altýnda eskaratomi ve fasiyotomi ameliyatlarý geçiren hasta hemen takiben cerrahi yoðun bakým ünitesine alýndý. Bu ameliyatlara ek olarak, hasta sað femur desartikülasyonu ve kardeþinden alýnan homogreft ve kendisinden alýnan otogreftlerle kýsmi kalýnlýkta deri greftlemelerini içeren dokuz ameliyat daha geçirdi. Hasta 59 gün mekanik ventilatöre baðlý kaldý. Hasta plastik ve rekonstrüktif cerrahi servisine devredildiðinde tam koopere, hemodinamik olarak stabil ve bilinci tamamen açýk bir durumda idi.