Nursing in Critical Care
Perioperative Nursing Care of a Patient With 70% TBSA Second‐ To Third‐Degree Flame Burns Complicated by Pseudomonas aeruginosa Infection: A Case Report
By Qinjian Liu, Puqiong Wang and Yujuan Hou.
Abstract
ABSTRACT This case report summarizes the surgical nursing experience of a patient with 70% total body surface area (TBSA) second‐ to third‐degree flame burns complicated by Pseudomonas aeruginosa infection. Key nursing interventions included intraoperative temperature management, use of a turning bed for safe positional changes during back debridement, and prevention of pressure injuries at prone‐position high‐risk sites (forehead, chest, bilateral hips, lower limbs and toes). Following intensive treatment and meticulous nursing care, most of the patient's wounds healed and her physical function recovered satisfactorily. She was discharged after 63 days of hospitalization. This report systematically details standardized turning bed procedures and comprehensive warming strategies, providing quantitative operational guidance for surgical nursing in similar cases.



