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Escharotomy and Decompressive Therapies in Burns

Orgill, Dennis P. MD, PhD*; Piccolo, Nelson MD†

doi: 10.1097/BCR.0b013e3181b47cd3
Practice Guidelines

Experienced clinicians treating burns recognize the need for escharotomy and decompressive therapies. The burning process causes the integument to become stiff, and the underlying tissues can swell during the fluid resuscitation process. We reviewed the literature that supports the current clinical practice of decompressive therapies following burn injury.

From the *Division of Plastic Surgery, Brigham and Women’s Hospital, Boston, Massachusetts; and †Plastic Surgery, Pronto Socorro para Queimaduras, Goiânia, Brazil.

Address correspondence to Dennis P. Orgill, MD, PhD, Brigham and Women’s Hospital, 75 Francis St., Boston, Massachusetts 02115.

© 2009 The American Burn Association