Controlling excessive fluid resuscitation in massive burn patients to prevent complications

Huan Jingning; Huang Xiaoqin

doi:10.3760/cma.j.cn501120-20210813-00281

Volume 38 Issue 1

Jan. 2022

Turn off MathJax

Article Contents

Article Navigation > CHINESE JOURNAL OF BURNS AND WOUNDS > 2022 > 38(1): 13-20

Ma JZ, Han SJ, Liu XL, et al. Sodium bicarbonated Ringer's solution effectively improves coagulation function and lactic acid metabolism in patients with severe multiple injuries and traumatic shock[J]. Am J Transl Res, 2021, 13(5):5043-5050. doi: 10.3760/cma.j.cn501120-20210813-00281

Citation:

PDF( 1085 KB)

Controlling excessive fluid resuscitation in massive burn patients to prevent complications

doi: 10.3760/cma.j.cn501120-20210813-00281

Huan Jingning^,,
Huang Xiaoqin

Department of Burn and Plastic Surgery, Ruijin Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai 200025, China

Funds:

General Program of National Natural Science Foundation of China 81772077

Youth Science Foundation Project of National Natural Science Foundation of China 81801910

More Information

Corresponding author: Huan Jingning, Email: jnhuan@sina.com
Received Date: 2021-08-13

Abstract

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.
- Burns,
- Fluid therapy,
- Over- resuscitation,
- Tissue edema,
- Complication

FullText(HTML)

References(40)

References

[1]	SaffleJR. Fluid creep and over-resuscitation[J]. Crit Care Clin, 2016,32(4):587-598. DOI: 10.1016/j.ccc.2016.06.007.
[2]	PruittBAJr. Protection from excessive resuscitation: "pushing the pendulum back"[J]. J Trauma, 2000, 49(3): 567-568. DOI: 10.1097/00005373-200009000-00030.
[3]	WibbenmeyerL, SevierA, LiaoJL, et al. The impact of opioid administration on resuscitation volumes in thermally injured patients[J]. J Burn Care Res, 2010, 31(1):48-56. DOI: 10.1097/BCR.0b013e3181c7ed30.
[4]	AtiyehBS, DiboSA, IbrahimAE, et al. Acute burn resuscitation and fluid creep: it is time for colloid rehabilitation[J]. Ann Burns Fire Disaters, 2012, 25(2): 59-65.
[5]	杨萌, 戴小华, 郭光华, 等.不同年龄段不同烧伤面积严重烧伤患儿休克期液体复苏策略及疗效评价[J].中华烧伤杂志,2021,37(10):929-936. DOI: 10.3760/cma.j.cn501120-20210408-00119.
[6]	BoehmD, MenkeH.A history of fluid management-from "one size fits all" to an individualized fluid therapy in burn resuscitation[J]. Medicina (Kaunas), 2021,57(2): 187. DOI: 10.3390/medicina57020187.
[7]	GuilabertG, UsúaN, MartínN, et al.Fluid resuscitation management in patients with burns: update[J]. Br J Anaesth,2016, 117(3): 284-296. DOI: 10.1093/bja/aew266.
[8]	HolmC, MayrM, TegelerJ, et al. A clinical randomized study on the effects of invasive monitoring on burn shock resuscitation[J]. Burns, 2004, 30(8): 798-807. DOI: 10.1016/j.burns.2004.06.016.
[9]	CsontosC, FoldiV, FischerT, et al. Arterial thermodilution in burn patients suggests a more rapid fluid administration during early resuscitation[J]. Acta Anaesthesiol Scand, 2008,52(6):742-749. DOI: 10.1111/j.1399-6576.2008.01658.x.
[10]	AboelattaY, AbdelsalamA. Volume overload of fluid resuscitation in acutely burned patients using transpulmonary thermodilution technique[J]. J Burn Care Res, 2013, 34(3):349-354. DOI: 10.1097/BCR.0b013e3182642b32.
[11]	BakZ, SjöbergF, ErikssonO, et al. Hemodynamic changes during resuscitation after burns using the Parkland formula[J]. J Trauma, 2009, 66(2):329-336. DOI: 10.1097/TA.0b013e318165c822.
[12]	ReidRD, JayamahaJ. The use of a cardiac output monitor to guide the initial fluid resuscitation in a patient with burns[J]. Emerg Med J, 2007,24(5): e32. DOI: 10.1136/emj.2006.043349.
[13]	IvyME, AtwehNA, PalmerJ, et al. Intra-abdominal hypertension and abdominal compartment syndrome in burn patients[J]. J Trauma,2000,49(3):387-391. DOI: 10.1097/00005373-200009000-00001.
[14]	KleinMB, HaydenD, ElsonC, et al. The association between fluid administration and outcome following major burn: a multicenter study[J]. Ann Surg, 2007, 245(4):622-628. DOI: 10.1097/01.sla.0000252572.50684.49.
[15]	OdaJ, YamashitaK, InoueT, et al. Resuscitation fluid volume and abdominal compartment syndrome in patients with major burns[J]. Burns, 2006, 32(2): 151-154. DOI: 10.1016/j.burns.2005.08.011.
[16]	StrangSG, Van LieshoutEMM, BreederveldRS, et al. A systematic review on intra-abdominal pressure in severely burned patients[J]. Burns, 2014,40(1): 9-16. DOI: 10.1016/j.burns.2013.07.001.
[17]	MarkellKW, RenzEM, WhiteCE, et al. Abdominal complications after severe burns[J]. J Am Coll Surg,2009,208(5): 940-949. DOI: 10.1016/j.jamcollsurg.2008.12.023.
[18]	BoehmD, ArrasD, SchroederC, et al. Mechanical ventilation as a surrogate for diagnosing the onset of abdominal compartment syndrome (ACS) in severely burned patients (TIRIFIC-study Part Ⅱ)[J]. Burns, 2020, 46(6): 1320-1327. DOI: 10.1016/j.burns.2020.02.005.
[19]	BoehmD, SchröderC, ArrasD, et al. Fluid management as a risk factor for intra-abdominal com partment syndrome in burn patients: a total body surface area-independent multicenter trial part Ⅰ[J]. J Burn Care Res, 2019, 40(4): 500-506. DOI: 10.1093/jbcr/irz053.
[20]	LiY, RenJN, WuXW, et al. Intra-abdominal infection combined with intra-abdominal hypertension aggravates the intestinal mucosal barrier dysfunction[J]. Biosci Rep,2018,38(1):BSR20170931. DOI: 10.1042/BSR20170931.
[21]	ChengJT, WeiZY, LiuX, et al. The role of intestinal mucosa injury induced by intra-abdominal hypertension in the development of abdominal compartment syndrome and multiple organ dysfunction syndrome[J]. Crit Care,2013,17(6):R283.DOI: 10.1186/cc13146.
[22]	LiuNT, RizzoJA, ShieldsBA, et al. Predicting the ability of wounds to heal given any burn size and fluid volume: an analytical approach[J]. J Burn Care Res, 2018,39(5):661-669. DOI: 10.1093/jbcr/iry021.
[23]	O'MaraMS, SlaterH, GoldfarbIW, et al. A prospective, randomized evaluation of intra-abdominal pressures with crystalloid and colloid resuscitation in burn patients[J]. J Trauma, 2005, 58(5): 1011-1018. DOI: 10.1097/01.ta.0000162732.39083.15.
[24]	VlachouE,GoslingP, MoiemenNS. Microalbuminuria: a marker of endothelial dysfunction in thermal injury[J].Burns, 2006, 32(8):1009-1016.DOI: 10.1016/j.burns.2006.02.019.
[25]	PillingerNL, KamP. Endothelial glycocalyx: basic science and clinical implications[J]. Anaesth Intensive Care,2017,45(3):295-307. DOI: 10.1177/0310057X1704500305.
[26]	KozarRA, PengZL, ZhangRZ, et al. Plasma restoration of endothelial glycocalyx in a rodent model of hemorrhagic shock[J].Anesth Analg,2011,112(6):1289-1295. DOI: 10.1213/ANE.0b013e318210385c.
[27]	RehmM, BrueggerD, ChristF, et al. Shedding of the endothelial glycocalyx in patients undergoing major vascular surgery with global and regional ischemia[J]. Circulation, 2007,116(17):1896-1906. DOI: 10.1161/CIRCULATIONAHA.106.684852.
[28]	NieuwdorpM, MeuweseMC, VinkH, et al. The endothelial glycocalyx: a potential barrier between health and vascular disease[J]. Curr Opin Lipidol, 2005,16(5): 507-511.DOI: 10.1097/01.mol.0000181325.08926.9c.
[29]	ZhangCK, GuoF, ChangML, et al. Exosome-delivered syndecan-1 rescues acute lung injury via a FAK/p190RhoGAP/RhoA/ROCK/NF-κB signaling axis and glycocalyx enhancement[J]. Exp Cell Res, 2019,384(1):111596. DOI: 10.1016/j.yexcr.2019.111596.
[30]	MilfordEM, ReadeMC. Resuscitation fluid choices to preserve the endothelial glycocalyx[J]. Crit Care,2019, 23(1): 77.DOI: 10.1186/s13054-019-2369-x.
[31]	RomanowskiKS, PalmieriTL. Pediatric burn resuscitation: past, present, and future[J/OL]. Burns Trauma, 2017, 5:26 [2021-08-13]. https://pubmed.ncbi.nlm.nih.gov/28879205/.DOI: 10.1186/s41038-017-0091-y.
[32]	KirkpatrickAW, BallCG, NickersonD, et al. Intraabdominal hypertension and the abdominal compartment syndrome in burn patients[J]. World J Surg, 2009, 33(6):1142-1149.DOI: 10.1007/s00268-009-9995-4.
[33]	KirkpatrickAW, RobertsDJ, De WaeleJ, et al. Intra-abdominal hypertension and the abdominal compartment syndrome: updated consensus definitions and clinical practice guidelines from the World Society of the Abdominal Compartment Syndrome[J]. Intensive Care Med, 2013, 39(7):1190-1206.DOI: 10.1007/s00134-013-2906-z.
[34]	ArlatiS, StortiE, PradellaV, et al. Decreased fluid volume to reduce organ damage: a new approach to burn shock resuscitation? A preliminary study[J]. Resuscitation,2007,72(3):371-378. DOI: 10.1016/j.resuscitation.2006.07.010.
[35]	SánchezM, García-de-LorenzoA, HerreroE, et al. A protocol for resuscitation of severe burn patients guided by transpulmonary thermodilution and lactate levels: a 3-year prospective cohort study[J]. Crit Care, 2013,17(4): R176.DOI: 10.1186/cc12855.
[36]	AboelattaY, AbdelsalamA. Volume overload of fluid resuscitation in acutely burned patients using transpulmonary thermodilution technique[J]. J Burn Care Res,2013,34(3):349-354. DOI: 10.1097/BCR.0b013e3182642b32.
[37]	BranskiLK, HerndonDN, ByrdJF, et al. Transpulmonary thermodilution for hemodynamic measurements in severely burned children[J]. Crit Care, 2011, 15(2): R118. DOI: 10.1186/cc10147.
[38]	张家平, 向飞, 童大力,等. 限制性液体管理策略对严重烧伤患者早期肺功能影响的对比研究[J].中华烧伤杂志,2012, 28(3):165-169. DOI: 10.3760/cma.j.issn.1009-2587.2012.03.002.
[39]	FloresE, Sánchez-SánchezM, GutierrezC, et al. High dose ascorbic acid during acute resuscitation in critically burn patients[J]. J Burn Care Res, 2022,43(1): 149-155. DOI: 10.1093/jbcr/irab088.
[40]	GholamiB, HaddadWM, BaileyJM, et al. Closed-loop control for fluid resuscitation: recent advances and future challenges[J]. Front Vet Sci, 2021,8:642440. DOI: 10.3389/fvets.2021.642440.

Relative Articles

Supplements(0)

Cited By

Proportional views

Proportional views

通讯作者: 陈斌, bchen63@163.com

1.
沈阳化工大学材料科学与工程学院沈阳 110142

Get Citation

PDF

XML

Article Metrics

Article views (577) PDF downloads(133)

Controlling excessive fluid resuscitation in massive burn patients to prevent complications

doi: 10.3760/cma.j.cn501120-20210813-00281

Abstract

References

Proportional views

Catalog

通讯作者: 陈斌, bchen63@163.com

Article Metrics

Proportional views

Related

Controlling excessive fluid resuscitation in massive burn patients to prevent complications

doi: 10.3760/cma.j.cn501120-20210813-00281

Abstract

References

Proportional views

Catalog

通讯作者: 陈斌, bchen63@163.com

Article Metrics

Proportional views

Related

Export File

Citation

Format

Content