Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Review
. 2023 Feb 13;24(4):3749.
doi: 10.3390/ijms24043749.

Burns: Classification, Pathophysiology, and Treatment: A Review

Affiliations
Review

Burns: Classification, Pathophysiology, and Treatment: A Review

Wojciech Żwierełło et al. Int J Mol Sci. .

Abstract

Burns and their treatment are a significant medical problem. The loss of the physical barrier function of the skin opens the door to microbial invasion and can lead to infection. The repair process of the damage caused by the burn is impaired due to the enhanced loss of fluids and minerals through the burn wound, the onset of hypermetabolism with the concomitant disruption of nutrient supply, and derangements in the endocrine system. In addition, the initiated inflammatory and free radical processes drive the progression of oxidative stress, the inhibition of which largely depends on an adequate supply of antioxidants and minerals. Clinical experience and research provide more and more data to make the treatment of patients with thermal injury increasingly effective. The publication discusses disorders occurring in patients after thermal injury and the methods used at various stages of treatment.

Keywords: burns; pathophysiology; treatment.

PubMed Disclaimer

Conflict of interest statement

The authors declare they have no actual or potential competing financial interests.

Figures

Figure 1
Figure 1
A full-thickness 3rd degree thermal burn.
Figure 2
Figure 2
Intermediate-thickness skin grafts on a burn wound.
Figure 3
Figure 3
Alternative nutrition in patients with burn injury.

References

    1. Shpichka A., Butnaru D., Bezrukov E.A., Sukhanov R.B., Atala A., Burdukovskii V., Zhang Y., Timashev P. Skin Tissue Regeneration for Burn Injury. Stem Cell Res. Ther. 2019;10:94. doi: 10.1186/s13287-019-1203-3. - DOI - PMC - PubMed
    1. Branski L.K., Herndon D.N., Barrow R.E. 1-A Brief History of Acute Burn Care Management. In: Herndon D.N., editor. Total Burn Care. 4th ed. Elsevier; Amsterdam, The Netherlands: 2018. pp. 1–7.e2.
    1. Lee K.C., Joory K., Moiemen N.S. History of Burns: The Past, Present and the Future. Burn. Trauma. 2014;2:2321–3868.143620. doi: 10.4103/2321-3868.143620. - DOI - PMC - PubMed
    1. Tolles J. Emergency Department Management of Patients with Thermal Burns. Emerg. Med. Pract. 2018;20:1–24. - PubMed
    1. Ja G.-E., Vb A.-A., Eh O.-V., García-Manzano R., Barker Antonio A., Aron J., García-Espinoza J. Burns: Definition, Classification, Pathophysiology and Initial Approach. Int. J. Gen. Med. 2020;5:2327–5146. doi: 10.4172/2327-5146.1000298. - DOI