Evaluate the Feasibility of the Basic Non-Invasive Monitoring in one Hundred Acute Burns Surgeries

Objective: Basic non-invasive monitoring of patients during surgery is a standard of care and due to the nature of the burns; fixations of the monitoring probes on the damaged skin are often infeasible. Regarding this problem, we assessed the feasibility of the monitoring of burns patient during surgery.Methods: In 2016, 100 patients suffered by acute burns with 20% -90% of TBS that scheduled for operation at Motahari burn hospital were consecutively enrolled in this descriptive study. Non-invasive basic monitoring techniques including NIBP, cardiac monitoring and pulse oximetry were applied throughout all surgeries as much as possible.Results: Data demonstrated that in 27% of the operations, application of NIBP monitoring was not possible. In 63% of the operations cardiac monitoring and also in 7% of the operation even pulse oximetry were not feasible.Conclusion: Usually monitoring devices gather the necessary data by peripherally-inserted sensors on the skin. In burns, the secretion of the denuded skin looses the electrode-skin interface and compromises the wounds sterility and plays an important role in making electrical artifact and also infection. Repeatedly body changes during burns surgery accentuate the artifacts (Motion artifacts). Limited uses of invasive monitoring due to vulnerability of these patients to sepsis encourage non-invasive monitoring in burns. Therefore, technical improvisations help clinicians to monitor safely patients physiological data.