The interdisciplinary management of Severe burns in pregnancy
Christoph Wallner,
Peter Kern,
Norbert Teig,
Marcus Lehnhardt,
Björn Behr
Affiliations
Christoph Wallner
Department of Plastic Surgery, BG University Hospital Bergmannsheil, Ruhr University Bochum, Bürkle-de-la-Camp Platz 1, 44789 Bochum, Germany; Corresponding author at: Bürkle-de-la-Camp-Platz 1, 44789 Bochum, Germany.
Peter Kern
Clinic for Obstetrics and Gynecology, University Hospital Katholisches Klinikum Bochum St. Elisabeth-Hospital, Ruhr University Bochum, Bleichstraße 15, 44787 Bochum, Germany
Norbert Teig
Department of Neonatology and Pediatric Intensive Care, University Children’s Hospital, Katholisches Klinikum Bochum St. Elisabeth-Hospital, Ruhr University Bochum, Bleichstraße 15, 44787 Bochum, Germany
Marcus Lehnhardt
Department of Plastic Surgery, BG University Hospital Bergmannsheil, Ruhr University Bochum, Bürkle-de-la-Camp Platz 1, 44789 Bochum, Germany
Björn Behr
Department of Plastic Surgery, BG University Hospital Bergmannsheil, Ruhr University Bochum, Bürkle-de-la-Camp Platz 1, 44789 Bochum, Germany
Background: Severe burns in pregnant women present an exceedingly challenging situation due to the limitation in therapeutic options including pain management and operative care.Case: We present a 30 years old patient, 38th week of pregnancy, who suffered a full thickness skin burns in 20% total body surface area and an inhalation trauma. In a Level-1 trauma center an interdisciplinary team of plastic surgeons, neonatologists and gynecologists was organized to deliver best patient care. Conclusion: This case presents a challenging situation with an intubated analgosedated pregnant woman, limiting treatment options. On admission a prompt cesarean delivery was performed to guard the unborn child. To shorten the hospital stay, a novel Bromelain based enzymatic debridement was performed on the full thickness burn wounds with immediate skin grafting. Keywords: Burn, Pregnancy, Management, Caesarean delivery
