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Luka Bakar

Rudi Haryono, Ns

Luka Bakar

Suatu trauma yang disebabkan oleh panas,


arus listrik, bahan kimia dan petir yang
mengenai kulit, mukosa dan jaringan yang
lebih dalam.

Etiologi
Luka Bakar Suhu Tinggi (Thermal
Burn) ; Gas, Cairan, dan Bahan padat
(Solid)
Luka Bakar Bahan Kimia (Chemical
Burn)
Luka Bakar Sengatan Listrik
(Electrical Burn)
Luka Bakar Radiasi (Radiasi Injury)

Kedalaman
Bakar

Luka

1. Derajat 1: mengenai lapisan epidermis, spt


: kena sinar matahari. Tidak perlu terapi.
2. Derajat 2 : mengenai dermis, menyisakan
sel basal, kel keringat / sebacea; Tandanya
ada bulla.

3. Derajat 3 : seluruh lapisan, subkutis dan


fascia dan mengenai otot dan organ
dibawahnya

2
3

Derajat 1 : epidermis
Derajat 2 : dermis
Derajat 3 : dermis + organ dibawahnya

LUAS LUKA BAKAR

Rule of Nines (Wallace)


cepat, hampir akurat
anak-anak sendiri
hanya utk diluar RS

LUAS LUKA BAKAR

Lund and Browder chart


Paling akurat
Koreksi umur

Berat Luka Bakar

LUKA BAKAR
BERAT
1. Lebih dari 10% pada penderita < 10
tahun atau > 50 tahun
2. Lebih dari 20% diluar usia tsb diatas
3. Mengenai wajah, mata, telinga,
tangan, kaki, genitalia, perineum,
persendian utama
4. Luka bakar derajat 3 > 5%

NextLUKA BAKAR BERAT

5.
6.
7.
8.

Luka bakar listrik


Luka bakar bahan kimia
Trauma inhalasi
Pada penderita penyakit kronis :
diabetes, jantung, paru
9. Adanya trauma penyerta

Penanganan Luka Bakar

Surgical
Escharotomy
Excision of the Burn
Wound
Skin Grafts

Non
Surgical
Management of Infection
Management by Depth of
Burn

Management by Depth of
Burn
Superficial Thickness Burns
The care of a superficial-thickness burn is
simple, often requiring only the application of
a moisturizer on the wound. The goal is to
provide an environment that encourages
reepithelialization of the wound.

Partial-Thickness Burns
The goal of wound management of partial
thickness burns is to prepare them for
primary healing.
First, they should be cleansed.
It is generally felt that small, sturdy blisters
can be left intact, but large or fragile blisters
should be debrided. If there is a concern
about infection, then an antibacterial agent
may also be applied to the wound surface.
The most common antimicrobial agents
used on partial-thickness wounds are
ointments or creams.

Full-Thickness Burns
Debridement of full-thickness burn wounds
is accomplished in the operating room as
part of surgical excision and skin grafting.
The clinicians goal is therefore to prepare
the wound for surgical management by
controlling infection, rather than to promote
primary healing.

Burn Dressings, Ointments, and


Creams
Hydrogels
Silver-impregnated gauze dressings.
Ointment; Bacitracin, Polymyxin B sulfate,
Neomycin.
Antimicrobial agents; Silver sulfadiazine,
Mafenide acetate 0.5% cream
(Sulfamylon)

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