Publications by authors named "Alejandra Monte-Soldado"

Introduction: Mass burn casualty disasters present with a big challenge due to the complex multidisciplinary management of severely burned patients and the limited capacity of the specialized centers. Literature is scarce, and so is the management of these disasters with enzymatic debridement (ED).

Methods: Retrospective observational analysis of nine patients admitted to the Vall d'Hebron University Hospital Burn Center (Barcelona, Spain), as a consequence of a bell tower explosion on December 30, 2019.

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Background: Current scientific evidence on the effect of Extracorporeal Shock Wave Therapy (ESWT) as adjunctive treatment for burn scars is scarce. However preliminary evidence, indicates it might prove a useful tool.

Materials And Methods: A prospective, randomized, controlled study was conducted from February 2017 to February 2019.

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Background: The worldwide coronavirus disease 2019 (COVID-19) epidemic, caused by the SARS-CoV-2 coronavirus, is the defining global health crisis of our time. Spain has had one of the highest burdens of COVID-19 worldwide. During this period, Vall d'Hebron University Hospital Burn Center (Barcelona) has faced a unique challenge: supporting the hospital response against COVID whilst continued offering an optimal care to the burn patient.

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Article Synopsis
  • - The article discusses the complex reconstructive challenges faced when salvaging lower limbs in severely burned patients with exposed bone or tendon, especially when standard therapies are inadequate.
  • - Microsurgical reconstruction using distant flaps is often the most effective approach for these cases, despite lower success rates due to the severity of the burns.
  • - An illustrative case is presented where a patient with extensive electrical injuries underwent multiple surgical interventions, ultimately achieving limb salvation and regaining mobility and quality of life after 3 years.
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Objective: The objective of this study is to review our experience in the implementation of an innovative Telemedicine Platform (the Teleburns Project) for the acute care of burned patients.

Methods: We developed and implemented a Teleburns Platform by the creation of a new medical software and hardware for High Definition medical videoconference, in order to assist distant burned patients. After the establishment of the system and revision of technical requirements, an internal validation of the project was done: we managed 40 consecutive burned patients via telemedicine videoconference within our own Center.

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