Nursing care of vascular crisis in a child with neck skin contracture and skin flap transplantation after burn: A case report

Abstract

In this report, we aimed to summarize the nursing points of fasciocutaneous flap transplantation due to scar contracture caused by a large area of head and face scald. A 4-year-old girl suffered from wound bleeding, respiratory tract edema, and vascular crisis and was transferred to the intensive care unit after flap transplantation. The child’s scar recovered well before she was discharged, and the follow-up results were satisfactory. After recovery, she had fewer complications under careful and scientific nursing care. The nursing points were to provide a stable treatment environment through regular wound observation and strict aseptic operation; ensure the nutrition of the child; give the child personalized sedative and analgesic care; and perform anticoagulation, antispasm, and dressing change and provide warmth for vascular crisis. Dressing changes by plastic surgery specialists combined with sedation and analgesia can alleviate children’s pain, enable them to better cooperate with surgical site observation and dressing care, increase the survival rate of the skin in the surgical area, and help improve the prognosis of the child.

Keywords

• Fasciocutaneous flap transplantation
• Facial scars
• Vascular crisis
• Pediatric nursing