Burns: Classification, Pathophysiology, and Treatment: A Review

Int J Mol Sci. 2023 Feb 13;24(4):3749. doi: 10.3390/ijms24043749.

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.

Publication types

  • Review

MeSH terms

  • Antioxidants / pharmacology
  • Burns* / drug therapy
  • Endocrine System
  • Humans
  • Oxidative Stress
  • Skin / metabolism

Substances

  • Antioxidants

Grants and funding

This work was supported by statutory budget of Department of Medical Chemistry, Pomeranian Medical University in Szczecin, No. WFB-440-01/S/16/2022.