UZH-Logo

Maintenance Infos

Verbrennungen bei älteren Patienten. Ein Verlaufsbericht


Finke, J C; Guggenheim, M; Wedler, V (2009). Verbrennungen bei älteren Patienten. Ein Verlaufsbericht. Swiss Medical Forum, 9(17):322-324.

Abstract

Background – In elderly patients burns are not only frequent but comorbidities are commonly present in patients over 65 and negatively influence both morbidity and mortality. Moreover, they strongly influence the decision-making process on therapeutic strategies. Case report – We present the case of a 78-year-old woman who contracted full thickness burns to the elbow joint at the level of the ulnar sulcus and Guyon’s canal, after experiencing cardiac syncope while cooking. The burns covered 3% of total body surface area (ABSI score 8). Due to numerous comorbidities and an unstable cardiovascular status we were compelled to adopt a two-stage surgical procedure, i.e., instead of covering the defects with free microvascular tissue transfers we opted to use local flaps. The defect over the wrist was covered with a distally based adipofascio- cutaneous radial artery perforator flap under regional anaesthesia, while the elbow defect was covered with a distally based lateral arm flap. Postoperatively the patient developed a residual defect over the radial epicondyle of the humerus, which required an additional surgical procedure. The patient was hospitalised for four weeks and aftercare was continued for an additional twelve weeks in our outpatient clinic. At the end of this period all wounds had completely healed, movement and sensation were restored to normal and the patient successfully resumed everyday life. Conclusion – In this patient population extended hospitalisation times must be accepted. Despite the limitations on therapy mentioned above, this case report points to the possibility of restitutio ad integrum and thus complete reintegration into everyday life.

Background – In elderly patients burns are not only frequent but comorbidities are commonly present in patients over 65 and negatively influence both morbidity and mortality. Moreover, they strongly influence the decision-making process on therapeutic strategies. Case report – We present the case of a 78-year-old woman who contracted full thickness burns to the elbow joint at the level of the ulnar sulcus and Guyon’s canal, after experiencing cardiac syncope while cooking. The burns covered 3% of total body surface area (ABSI score 8). Due to numerous comorbidities and an unstable cardiovascular status we were compelled to adopt a two-stage surgical procedure, i.e., instead of covering the defects with free microvascular tissue transfers we opted to use local flaps. The defect over the wrist was covered with a distally based adipofascio- cutaneous radial artery perforator flap under regional anaesthesia, while the elbow defect was covered with a distally based lateral arm flap. Postoperatively the patient developed a residual defect over the radial epicondyle of the humerus, which required an additional surgical procedure. The patient was hospitalised for four weeks and aftercare was continued for an additional twelve weeks in our outpatient clinic. At the end of this period all wounds had completely healed, movement and sensation were restored to normal and the patient successfully resumed everyday life. Conclusion – In this patient population extended hospitalisation times must be accepted. Despite the limitations on therapy mentioned above, this case report points to the possibility of restitutio ad integrum and thus complete reintegration into everyday life.

Downloads

63 downloads since deposited on 20 Feb 2010
11 downloads since 12 months
Detailed statistics

Additional indexing

Other titles:Burns in elderly patients
Item Type:Journal Article, not refereed, original work
Communities & Collections:04 Faculty of Medicine > University Hospital Zurich > Clinic for Reconstructive Surgery
Dewey Decimal Classification:610 Medicine & health
Language:German
Date:2009
Deposited On:20 Feb 2010 17:45
Last Modified:06 Jun 2016 12:59
Publisher:EMH Swiss Medical Publishers
ISSN:1424-3784
Free access at:Publisher DOI. An embargo period may apply.
Official URL:http://www.medicalforum.ch/d/index.html
Permanent URL: https://doi.org/10.5167/uzh-31651

Download

[img]
Preview
Filetype: PDF
Size: 1MB

TrendTerms

TrendTerms displays relevant terms of the abstract of this publication and related documents on a map. The terms and their relations were extracted from ZORA using word statistics. Their timelines are taken from ZORA as well. The bubble size of a term is proportional to the number of documents where the term occurs. Red, orange, yellow and green colors are used for terms that occur in the current document; red indicates high interlinkedness of a term with other terms, orange, yellow and green decreasing interlinkedness. Blue is used for terms that have a relation with the terms in this document, but occur in other documents.
You can navigate and zoom the map. Mouse-hovering a term displays its timeline, clicking it yields the associated documents.

Author Collaborations