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Biomedical subjects

A Brcić

Publications and source records attributed to A Brcić.

4 recordsLinked to original sources
PubMed1997

Intraoperative blood loss after tangential excision of burn wounds treated by subeschar infiltration of epinephrine.

To assess the operative blood loss after tangential excision of burn wounds treated by subeschar infiltration of epinephrine solution, the medical records of 85 consecutive patients were analysed retrospectively. All patients were given epinephrine. The median (range) blood loss was 0.9 (0.3 - 4%) of the blood volume of each patient of the body surface excised and grafted (blood loss from donor sites included). Multiple regression analysis showed strong correlation between the blood loss and the extend of the excision (p < 0.001). The correlation between age and blood loss was significant (p < 0.05). Neither the weight of the patients nor the amount of epinephrine injected significantly influenced the amount of blood lost. Operative blood loss was accurately predicted by multiple regression analysis in 62% of cases.

Adult↗
PubMed1990

Primary tangential excision for hand burns.

The article describes the correct technique of primary tangential excision in deep dermal and third-degree hand burns. The operation performed under tourniquet facilitates the preservation of viable tissue, which is of utmost importance in hand burns. The therapeutic results depend on the extent of destroyed tissue. Primary tangential excision prevents fibrosis due to prolonged infection and impaired circulation, thus creating much more favorable conditions for reconstruction and rehabilitation.

Burns↗
PubMed1979

Lessons learnt from 2,409 burn patients operated by early excision.

During the last 12 years early excision of burns followed by immediate grafting has been the standard procedure at the Burns Unit in Ljubljana. The results, although greatly superior to the classical approach, show that the early removal of burned tissue before the 5th postburn day does not solve the problem in all cases. No problems were observed in deep dermal and subdermal burns not exceeding 40% of the body surface in the average healthy young individual. These cases can be helped and fully rehabilitated in 6 weeks with less disfigurement and functional disability. In burns exceeding 40% of the body surface or in smaller burns affecting patients in unfavorable age and health groups, the above method is not so easy to apply because of problems involving a number of factors: the timing and the selection of the area to be excised, the availability of grafts, blood loss, and coagulation problems, the indications for the use of tourniquet, the problem of excision of infected areas, etc. It is important to work out a strategy for each individual case. The authors show that the improvement of diagnosis and understanding of the deep dermal burn will lead to better results.

Age Factors↗