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Suppurative Thrombophlebitis and Other Life-Threatening Complications

Lt Col Basil A. Pruitt, Jr., MC, USA; Maj John M. Stein, MC, USA; Franklin D. Foley, MD; John A. Moncrief, MD; James A. O'Neill, Jr., MD

AMA Arch Surg. 1970;100(4):399-404.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

Since the institution of effective topical chemotherapy in the treatment of thermal injury, mortality has significantly decreased.¹ Control of burn wound sepsis has called attention to other life-threatening complications in burn patients.² Among the extensively burned patients who still die, sepsis of other than burn-wound origin remains the most common cause of death.³

Cannulation of a vein for the rapid administration of fluid via a secure pathway is required during the resuscitation period of the larger (greater than 20%) burn.⁴ An intravenous plastic cannula is also useful in the prolonged administration of certain medications, for optimum physiologic monitoring, and for carrying out intravenous hyperalimentation. Fatal complications of intravenous therapy have become relatively more common as an autopsy diagnosis in burn patients. Suppurative thrombophlebitis, now the most common source of infection in burn patients dying with sepsis, must be considered as a possible initiating focus of hematogenous . . . [Full Text PDF of this Article]

Author Affiliations
Fort Sam Houston, Tex

From the US Army Institute of Surgical Research, Brooke Army Medical Center, Fort Sam Houston, Tex.

Footnotes
Accepted for publication Jan 5, 1970.

Read before the 77th annual meeting of the Western Surgical Association, Dallas, Nov 21, 1969.

Reprint requests to US Army Institute of Surgical Research, Brooke Army Medical Center, Fort Sam Houston, Tex 78234 (Dr. Pruitt).

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