Anticoagulation in burn patients requiring neuromuscular blockade

Recently, we cared for a 26 year-old man with 60% TBSA flame burns and inhalation injury requiring mechanical ventilation. He developed intra-abdominal hypertension (IAH) on post-burn day three as a result of his fluid resuscitation. In response to the IAH, neuromuscular blockade (NMB) was initiated. His bladder pressures remained elevated but stable without evidence of end-organ dysfunction, so NMB was maintained. He was started on prophylactic dosing of subcutaneous unfractionated heparin on the day of admission and was treated with this for the duration of his hospital course.

Source: Burns : Journal of the International Society for Burn Injuries - October 13, 2018 Category: Cosmetic Surgery Authors: C.H. Pham, Z.J. Collier, T.J. Gillenwater Tags: Letter to the Editor Source Type: research