Propranolol in Burns

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Hon Liang

Inaugural Updates in Burns Surgery, Singapore General Hospital 27 Jun 2016

Gesundheit & Medizin

Use of Propranolol in
Burns
Tan Hon Liang
Anaesthesia-Critical Care

The Bad Stuff
Cardiac Stress
Catabolism
Wound Healing

Not All Harmless
Unopposed alpha action
Mesenteric ischemia

Sounds Good
but
Will We Truly Know Soon?

Dose
Target
End Point
How Soon
Type of Patient
TBSA Extent
Type of Burns
Treatment Duration
Soon?
I Don’t Think So!

So What Do I Do?
Type of Patient
Adult TBSA Extent
>30%
Type of Burns
All types
Target
End Point
20% of max
HR
Dose
Escalating
Treatment Duration
As long as I can
How Soon
As soon
as possible

Summary
Propranolol
children: good evidence
adults: some evidence
Use Propranolol
but be careful
Start early
Dose as tolerated
Target 20% of Max HR

@HonLiangTan
tanhonliang@gmail.com
tan.hon.liang@singhealth.com.sg

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