The interdisciplinary management of Severe burns in pregnancy

Abstract Background Severe burns in pregnant women present an exceedingly challenging situation due to the limitation in therapeutic options including pain management and operative care. Case: We present a 30years old patient, 38th week of pregnancy, who suffered a full thickness skin burns in 20% total body surface area and an inhalation trauma. In a Level-1 trauma center an interdisciplinary team of plastic surgeons, neonatologists and gynecologists was organized to deliver best patient care. Conclusion This case presents a challenging situation with an intubated analgosedated pregnant woman, limiting treatment options. On admission a prompt cesarean delivery was performed to guard the unborn child. To shorten the hospital stay, a novel Bromelain based enzymatic debridement was performed on the full thickness burn wounds with immediate skin grafting.