Intravenous Fluorescein Photography in Burns

Autor: Grossman, A. Richard, Zuckerm, Alan
Zdroj: Journal of Burn Care & Rehabilitation; January 1984, Vol. 5 Issue: 1 p65-68, 4p
Abstrakt: Accurate assessment of initial depth and overall percentage of partialthickness versus full-thickness burn injury plays a vital role in early fluid management and resuscitation as well as determining the necessity of possible early surgical intervention. The use of intravenous fluorescein in burn and flap surgery is not a new concept. However, speedier results were needed for important areas of emergency evaluation of the burn injury. A specialized Polaroid film and filter system has been developed, which has proved to be an efficient and economical means of instantaneous Polaroid-fluorescein photography. It allows the specialist to determine instantaneously the extent and depth of burn, percentage of partial-versus full-thickness burn, and the overall extent of devitalized tissue in the surgical wound, as well as the viability of surgical flaps. Standard doses of intravenous fluorescein (15–20 mg/kg) are used, and photographs are taken at five- and 10− minute intervals following infusion. Results are clear-cut and distinct.
Databáze: Supplemental Index