CORRELATION BETWEEN BURN EXCISION AREA AND HEMODYNAMIC PARAMETERS MEASURED BY USCOM DURING EXCISIONAL BURN EXCISION AND SKIN GRATING SURGERY
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Abstract
Background: Burn excision and skin grafting in severely burned patients may induce hemodynamic alterations due to blood and fluid loss. USCOM is a non-invasive hemodynamic monitoring technique. However, data regarding its application in burn surgery remain limited. Objective: To evaluate the correlation between burn excision area and hemodynamic parameters measured by USCOM (CI, SVI, SVR). Methods: A prospective descriptive study with correlation analysis was conducted in 30 severely burned patients aged ≥16 years, ASA I-III, undergoing excision of 5-15% total body surface area under general anesthesia. Pearson correlation analysis was performed between burn excision area and CI, SVI, and SVR measured at seven perioperative time points. Results: No statistically significant linear correlation was observed between burn excision area and hemodynamic parameters at any study time point (p > 0.05). Conclusion: Burn excision area showed no linear correlation with USCOM-derived hemodynamic parameters. Therefore, intraoperative hemodynamic changes during burn excision cannot be predicted solely based on excision area.
Keywords
Severe burns, Burn excision, Hemodynamics, USCOM
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References
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