A common complication associated with burns greater than 15% BSA is?

A common complication associated with burns greater than 15% BSA is?

• A. Adynamic Ileus
• B. Hyperglycemia
• C. Renal Failure
• D. Respiratory Failure

Answer: (A)

Large burns trigger a systemic inflammatory response and fluid shifts that blunt gut blood flow. Blood is redirected to preserve perfusion of vital organs, causing splanchnic hypoperfusion. This reduced blood flow to the intestines slows or stops peristalsis, producing an adynamic ileus. The result is abdominal distension and feeding intolerance early after the burn, making adynamic ileus a common complication when burn size exceeds about 15% of the body surface area. Other complications can occur with burns—respiratory failure is often tied to inhalation injury, hyperglycemia reflects the stress response, and renal failure can arise from hypovolemia and systemic effects—but adynamic ileus is particularly common and directly linked to the magnitude of burn injury in that early period.

Large burns trigger a systemic inflammatory response and fluid shifts that blunt gut blood flow. Blood is redirected to preserve perfusion of vital organs, causing splanchnic hypoperfusion. This reduced blood flow to the intestines slows or stops peristalsis, producing an adynamic ileus. The result is abdominal distension and feeding intolerance early after the burn, making adynamic ileus a common complication when burn size exceeds about 15% of the body surface area.

Other complications can occur with burns—respiratory failure is often tied to inhalation injury, hyperglycemia reflects the stress response, and renal failure can arise from hypovolemia and systemic effects—but adynamic ileus is particularly common and directly linked to the magnitude of burn injury in that early period.