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Abstract The adequate and rapid institution of fluid resuscitation maintains tissue perfusion and prevents organ-system failure. Sepsis is successfully controlled by the early excision of burn wounds and topical antimicrobial agents (especially silver sulfadiazines). Patients suffering from sustained inhalation injury require additional fluid resuscitation, humidified oxygen and, occasionally, ventilatory support. Enteral tube feeding is commenced early in order to control stress ulceration, maintain intestinal mucosal integrity and provide fuel for the resulting hypermetabolic state. β-adrenergic blockade is recommended by many burn units as the most effective anticatabolic treatment. Tight glucose control has been shown to prevent several critical illness-associated complications, including blood stream infections, anemia and acute renal failure. Through the use of aggressive resuscitation, nutritional support, infection control, surgical therapy and early rehabilitation as well as multidisciplinary collaboration, better psychological and physical results can be achieved for burn children. Some pediatric patients with special circumstances eg.: neonates,diabetics and immunocompromised patients ,they need special and extra care because their response to management is different from normal patients and they need to manage their health problems in addition to management of burn. Tissue enginnering and biological debridement are the most recent techniques used in management of burns . |