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عمومی::
escharotomy
When the pressure increases toward and above 30 mm Hg, assurance of complete abdominal escharotomy is made, and paralytics are considered.
Escharotomies
Extremi- ties at risk are identified either on clinical examination or on measurement of tissue pressures higher than 40 mm Hg. ftese extremities require escharotomies, which are releases of the burn eschar performed at the bedside by incision of the lateral and medial aspects of the extremity with a scalpel or electrocautery unit. fte entire constricting eschar must be incised longitudinally to completely relieve the impediment to blood flow (Fig. 19-9). fte incisions are carried down onto the thenar and hypothenar eminences and along the dorsolateral sides of the digits to com- pletely open the hand, if it is involved.
FIGURE 19-9 Recommended escharotomies.
In limbs requiring escharotomies, the incisions are made on the medial and lateral sides of the extremity through the eschar.
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