Title |
Burn Resuscitation
|
---|---|
Published in |
Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine, November 2011
|
DOI | 10.1186/1757-7241-19-69 |
Pubmed ID | |
Authors |
Frederick W Endorf, David J Dries |
Abstract |
Fluid resuscitation following burn injury must support organ perfusion with the least amount of fluid necessary and the least physiological cost. Under resuscitation may lead to organ failure and death. With adoption of weight and injury size-based formulas for resuscitation, multiple organ dysfunction and inadequate resuscitation have become uncommon. Instead, administration of fluid volumes well in excess of historic guidelines has been reported. A number of strategies including greater use of colloids and vasoactive drugs are now under investigation to optimize preservation of end organ function while avoiding complications which can include respiratory failure and compartment syndromes. Adjuncts to resuscitation, such as antioxidants, are also being investigated along with parameters beyond urine output and vital signs to identify endpoints of therapy. Here we briefly review the state-of-the-art and provide a sample of protocols now under investigation in North American burn centers. |
Mendeley readers
Geographical breakdown
Country | Count | As % |
---|---|---|
Brazil | 2 | 2% |
Netherlands | 1 | <1% |
Tanzania, United Republic of | 1 | <1% |
United Kingdom | 1 | <1% |
United States | 1 | <1% |
Unknown | 117 | 95% |
Demographic breakdown
Readers by professional status | Count | As % |
---|---|---|
Student > Postgraduate | 21 | 17% |
Other | 19 | 15% |
Student > Bachelor | 18 | 15% |
Student > Master | 13 | 11% |
Researcher | 11 | 9% |
Other | 23 | 19% |
Unknown | 18 | 15% |
Readers by discipline | Count | As % |
---|---|---|
Medicine and Dentistry | 93 | 76% |
Agricultural and Biological Sciences | 3 | 2% |
Unspecified | 2 | 2% |
Nursing and Health Professions | 2 | 2% |
Pharmacology, Toxicology and Pharmaceutical Science | 2 | 2% |
Other | 2 | 2% |
Unknown | 19 | 15% |