This power point presentation outlines the complications of burns.

1. Dr Nadeem Pasha
Asst. Prof. Plastic Surgery, WMC

2.  ACUTE / EARLY COMPLICATIONS
 DELAYED COMPLICATIONS
 LATE COMPLICATIONS

3. ACUTE / EARLY COMPLICATIONS
 SHOCK : Neurogenic or Hypovolemic
 Laryngeal Oedma
 Hypothermia
 Renal Failure
 ARDS
 Acute Upper GI Ulceration
 Compartment Syndrome
 Multiple Organ System Failure ( MOSF )

4. DELAYED COMPLICATIONS
 Wound infections
 Septicemia
 Protein-losing Enteropathy
 Deep Venous Thrombosis ( DVT )
 Pulmonary Embolism ( PE )

5. LATE COMPLICATIONS
 Scarring
 Disfigurement
 Contractures
 Hypertrophic Scar
 Keloids
 Marjolin’s Ulcer

6. LATE COMPLICATIONS
 Hypertrophied scar
 Post-burn contracture
 Dis figurement
 Keloid
 Marjolin’s ulcer

7.  Confused, irritable
 Cold
 Dressings soaked with
pus & smelly
 SpO2 87%
 RR 28
 Urine dark colored

24. THANK YOU

25. ?
QUESTIONS

28. Burn injury
↓ Mesenteric blood flow
Gastrointestinal ulceration/perforation
Bacterial invasion and translocation
Capillary leak/hypovolemia
↑ Vasoconstrictive hormones:
• epinephrine
• norepinephrine
• vasopressin
• thromboxane A2
Mucosal ischemia/breakdown
Immunological dysfunction

29. (GI) tract complications include
 Stress Gastritis & Ulceration,
 Acalculous cholecystitis,
 Pancreatitis.
 Superior mesenteric artery (SMA) syndrome,

30. Vascular Access Related Complications
frequently performed in large TBSA burn
patients.
 Peripheral Lines
 Central Venous Line ( CVP )
 Arterial Line
Various catheter-related complications are
frequently encountered in burn intensive care
units.