Severe burns, especially with acute kidney injury (AKI) and rhabdomyolysis, are strongly associated with morbidity and mortality. We highlight a successful case salvaged with a combination of early renal replacement therapy (RRT) and negative pressure wound therapy (NPWT) total body wrap (TBW) in a case involving 38% total body surface area (TBSA) burns with rhabdomyolysis.
StewartIJCotantCLTilleyMAHuzarTFAdenJKSnowBD. Association of rhabdomyolysis with renal outcomes and mortality in burn patients. J Burn Care Res2013;34(3):318–25 doi: 10.1097/BCR.0b013e31825addbd.
2.
BrusselaersNMonstreySColpaertKDecruyenaereJBlotSIHosteEA. Outcome of acute kidney injury in severe burns: A systematic review and meta-analysis. Intensive Care Med2010;36(6):915–25 doi: 10.1007/s00134-010-1861-1.
3.
LowO-WChongSJTanB-K. The enhanced total body wrap—the new frontier in dressing care for burns. Burns2013;39(7):1420–2 doi: 10.1016/j.burns.2013.03.010.
4.
Birke-SorensenHMalmsjoMRomePHudsonDKrugEBergL. Evidence-based recommendations for negative pressure wound therapy: Treatment variables (pressure levels, wound filler and contact layer)—steps towards an international consensus. J Plast Reconstr Aesthet Surg2011;64(Suppl):S1–16 doi: 10.1016/j.bjps.2011.06.001.
5.
MolinerJ MaynarHonorePMRieraJA Sanchez-IzquierdoGutierrezM HerreraSpapenHD. Handling continuous renal replacement therapy-related adverse effects in intensive care unit patients: The dialytrauma concept. Blood Purif2012;34(2):177–85 doi: 10.1159/000342064.
6.
IbrahimAESarhaneKAFaganSPGovermanJ. Renal dysfunction in burns: A review. Ann Burns Fire Disasters2013;26(1):16–25.
7.
ChungKKLundyJBMatsonJRRenzEMWhiteCEKingBT. Continuous venovenous hemofiltration in severely burned patients with acute kidney injury: A cohort study. Crit Care2009;13(3):R62 doi: 10.1186/cc7801.
