Cobertura de grandes quemados con cultivo de queratinocitos: Casuística de nuestra Unidad y protocolo de tratamiento

Abstract

The severe burn patient continues being nowadays a difficult challenge which multiple sanitary professionals face. The high mortality of these patients justifies itself by the severe alteration of the general condition, the multiple complications that they suffer and the absence of skin for their coverage, as is the case of extensive burns. This last disadvantage is settled in different ways, being one of the most important the treatment with keratinocy-tes culture. In the Cruces Universitary Hospital Burn Unit in Ba-racaldo (Vizcaya), Spain, we began the clinical application of this technique in 2001, with a 14 patients accumulated experience in this period of time. The aim of this article is to show our treatment protocol for the coverage of massive burns, the inclusion criteria and the therapeutics pre and postapplication of keratinocytes. Likewise, we expose the characteristics of the treated patients and our own experience in the application of this technique that, although achieving increasingly satisfactory results, even being sometimes the unique alternative for severe burn patients, still has nowadays many detractors.