Komplizierter Verlauf bei einem Verbrennungspatienten mit schwerem Inhalationstrauma: Ein Fallbericht

Treatment of the burned patient still represents a big challenge for critical care physicians, anaesthetists and plastic surgeons. Depending on size and depth of the burned skin and the presence of an inhalation injury, the probability of survival regarding age and morbidity often is poor. The inhalation injury is the main reason for mortality in burn care centres. The hospital stay of patients surviving the acute burn disease frequently is aggravated by complications. Severe complications are sepsis, impairment of pulmonary gas-exchange to the point of an acute respiratory distress syndrome (ARDS) and multi organ failure. In this case report we discuss the complicated course of a patient that presented many life-threatening complications in spite of a primary moderate prognosis (ABSI-Score of 7) with only 11% TBSA burned.