Other considerations

• Any suspected inhalation injury should be diagnosed and treated.

• Ensure adequate analgesia (opiates). Ketamine is a useful anaesthetic as it has analgesic properties in addition.

• Tetanus toxoid should be given soon after hospital admission.

• Reduce heat and fluid losses by placing the patient on a heated air fluidised bed and by early coverage of burnt skin through application of occlusive dressings and placement of affected limbs in transparent plastic bags.

• Stress ulceration can usually be avoided through prompt resuscitation and early enteral nutrition.

• Pressure sores and contractures should be prevented by careful nursing and physiotherapy.

• Suxamethonium should be avoided from 5-150 days' post-burn because of the risk of rapid and severe hyperkalaemia.

• Increasing resistance to non-depolarising muscle relaxants may be seen.

• p-blockade has been associated with outcome improvement in children sustaining burn injury.

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