Sodium Balance Analysis In The Burn Resuscitation Period.

The different formulae for resuscitation therapy after thermal damage recommend 0.5-0.6 mmol sodium for each % TBSA burned, suggesting fluid requirements from 2-4 ml/kg/% burn because of sodium loss in burned and unburned tissues.

Measurements Of Injury-Related Outcomes: Statistical And Analytical Data From Albania.

Numerous burn mortality indicators and prognostic scores are necessary to classify with priorities severely burned patients in order to predict outcome. The purpose of this paper is to evaluate mortality predictors on admission, in order to determine Lethal Area 50 and to validate burn prognostic scores. The study is retrospective, clinical and analytical.

Epidemiology of Hand Burn in Albania 2011-2016.

Introduction: Hand burns occur commonly both as part of larger burn injuries as well as isolated injuries.

Aim: To give an overview of epidemiologic features and outcome of burn hand patients who admitted to our Service. This study was performed at University Hospital Center "Mother Teresa" Tirana which is the only tertiary hospital in Albania.

Electrical Burns and Their Treatment in a Tertiary Hospital in Albania.

Introduction: The electrical current burns represent a very aggressive pathology that leaves many functional and aesthetic consequences.

Aim: To evaluate the epidemiology of electrical burn injury and its associated complications and treatment.

Material And Methods: Demographic data, aetiology, burn percentage and other measures related to electrical burn injury of 33 electrical burn patients in a tertiary hospital during the years 2015-2017.

Statistical and clinical analysis of alterations in glucose values after burns.

The purpose of this study was to evaluate independent factors (mainly critical hyperglycaemic values on admission) with an impact on outcome in burn patients (sepsis and mortality) and analyse prevalence of critical hyperglycaemia on admission and during burn disease in adult and elderly patients with severe burns. This was an observational retrospective cohort study involving burn patients (≥ 20 years old) hospitalized in the ICU of the Burn Facility in Albania during 2010-2014. Patients were categorized as having euglycaemia, moderate or critical hyperglycaemia.

Comparison of hypertonic vs isotonic fluids during resuscitation of severely burned patients.

Background: The hypertonic lactate saline (HLS) solutions with mild concentration of sodium have been used in some burn centers to maintain plasma volume without infusing larger fluids volumes. To evaluate the fluid requirements during resuscitation with lactated Ringer's solution and to realize resuscitation with HLS, we suggest the following clinical trial. Specific objectives include fluid loads, sodium loads, and fluid accumulation.

Posterior interosseous forearm flap in reconstruction of first web space.

Use of a fascial flap is often required for reconstruction of a skin defect on the dorsum of the hand. For this purpose, a distally based dorsal forearm fasciosubcutaneous flap based on the perforators of the posterior interosseous artery was developed. The distally based dorsal forearm fasciosubcutaneous flap and especially the posterior interosseous artery flap are a convenient and reliable alternative for reconstructing skin defects of the hand after the release of post-burn adduction contracture of web space I involving vital structure exposure.

Net fluid accumulation and outcome. A randomized clinical trial.

Outcome measures are the first step in determining the consequences of health care. These include mortality, morbidity, and quality of life. As major burns are life-threatening conditions, the main priority in discussing outcome measures is mortality as a problem-specific measure.

Head and neck burns: acute and late reconstruction.data of burn injury management in 2007.

Modern burn care is based on operative wound management. The evidence is clear that prompt excision and closure can be lifesaving for patients even with large burns. Facial burns that are full-thickness need grafting.

Spread of Burn and Non-burn Pathologies, Anaesthetic Support and some Management Data.

In this article we present the surgical activity of the Burns Service in the University Hospital Centre in Tirana. Not only burn patients but also patients with trauma and soft tissue losses are hospitalized in a burns centre, as well as patients needing plastic surgery coming from similar specialities. In 2006, 1127 patients were subjected to surgery in our service.

Electrical burns.

A brief description is given of a case involving a man suffering from deep injuries due to the passage of electric current in both arms. Through this description we wish to demonstrate our strategy for the selection of the most appropriate surgical techniques, illustrating this with relevant photos. The formation of thrombi in the brachial arteries obliged us to proceed to bilateral amputation at the level of the forearms.

Planning and technical details when treating a post-burn hand contracture.

Hand contractures are still a problem in everyday plastic surgery practice. We decided to review the hand contractures we had treated over a 5-yr period (2000-2004) and to present some guidelines for their prevention. In the 5-yr period we operated on 206 patients with hand contractures.

Review of statistical data about severe burn patients treated during 2001 and evidence of septic cases in Albania.

The objective of this study is to review the incidence of severe burns and the complications of burns sepsis in Albanians. The data are from clinical records of the patients hospitalised in the intensive care unit (ICU) of the Service of Burns, "Mother Teresa" University Hospital Center (UHC), Tirana, Albania during 2001. For the identification of sepsis in burned patients the classification of the American College of Chest Physicians/Society Critical Care Medicine (ACCP/SCCM) was used.