Controlling excessive fluid resuscitation in massive burn patients to prevent complications.
10.3760/cma.j.cn501120-20210813-00281
- VernacularTitle:控制大面积烧伤患者过度液体复苏预防并发症
- Author:
Jing Ning HUAN
1
;
Xiao Qin HUANG
1
Author Information
1. Department of Burn and Plastic Surgery, Ruijin Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai 200025, China.
- Publication Type:Journal Article
- MeSH:
Fluid Therapy;
Humans;
Resuscitation
- From:
Chinese Journal of Burns
2022;38(1):13-20
- CountryChina
- Language:Chinese
-
Abstract:
Excessive fluid resuscitation in massive burn patients is a common phenomenon in burn management, and the reasons are mostly related with administering resuscitation of crystalloid alone and pursuing a goal-directed resuscitation with targeting normal hemodynamic parameters in the first 24 h post burn. Tissue edema caused by excessive fluid resuscitation is a vital factor that induces complications including respiratory compromise, abdominal compartment syndrome, and so on. Therefore, in order to control excessive fluid resuscitation and prevent its subsequent complications in massive burn patients, it is necessary to determine the optimal resuscitation regime, set appropriate resuscitation endpoints, and implement precise management of fluid resuscitation.
