Research advances on fluid resuscitation in pediatric burns

Zheng Yangyang; Huang Ting; Liu Zhihui; Liu Jun

doi:10.3760/cma.j.cn501225-20231030-00157

Volume 40 Issue 8

Aug. 2024

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Article Navigation > CHINESE JOURNAL OF BURNS AND WOUNDS > 2024 > 40(8): 791-795

Zheng YY,Huang T,Liu ZH,et al.Research advances on fluid resusin pediatric burns[J].Chin J Burns Wounds,2024,40(8):791-795.DOI: 10.3760/cma.j.cn501225-20231030-00157.

Citation:

Zheng YY,Huang T,Liu ZH,et al.Research advances on fluid resusin pediatric burns[J].Chin J Burns Wounds,2024,40(8):791-795.DOI: 10.3760/cma.j.cn501225-20231030-00157.

Citation:

Zheng YY,Huang T,Liu ZH,et al.Research advances on fluid resusin pediatric burns[J].Chin J Burns Wounds,2024,40(8):791-795.DOI: 10.3760/cma.j.cn501225-20231030-00157.

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Research advances on fluid resuscitation in pediatric burns

doi: 10.3760/cma.j.cn501225-20231030-00157

1.
Department of Burn, Gansu Provincial People's Hospital, Lanzhou 730099, China
2.
The First School of Clinical Medicine, Gansu University of Chinese Medicine, Lanzhou 730000, China
3.
Department of Neurology, the Second Affiliated Hospital of Chongqing Medical University, Chongqing 400010, China

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Corresponding author: Liu Jun, Email: 13659329321@163.com
Received Date: 2023-10-30
Available Online: 2024-08-19

Abstract

Abstract

Fluid resuscitation after burns is very crucial to the survival and prognosis of children. Although the principles of fluid resuscitation in children are similar to those in adults, the unique physiological needs of children must be fully considered to prevent insufficient or excessive fluid resuscitation. In clinical practice, due to the popularization of various monitoring techniques, insufficient fluid resuscitation can be observed in time, but excessive fluid resuscitation is often overlooked. Excessive fluid resuscitation can lead to fluid extravasation, increasing the probability of pediatric burn complications and poor prognosis. This review focuses on the unique pathophysiological characteristics of children with burns and how to avoid excessive fluid resuscitation in order to provide reference for rational fluid rehydration.
- Burns,
- Child,
- Biological dressings,
- Fluid therapy,
- Permissible hypotension

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References(33)

References

[1]	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.
[2]	RomanowskiKS, PalmieriTL. Pediatric burn resuscitation: past, present, and future[J/OL]. Burns Trauma, 2017,5:26[2023-10-30]. https://pubmed.ncbi.nlm.nih.gov/28879205/. DOI: 10.1186/s41038-017-0091-y.
[3]	PalmieriTL. Pediatric burn resuscitation[J]. Crit Care Clin, 2016,32(4):547-559. DOI: 10.1016/j.ccc.2016.06.004.
[4]	MathiasE, Srinivas MurthyM. Pediatric thermal burns and treatment: a review of progress and future prospects[J]. Medicines (Basel), 2017,4(4):91.DOI: 10.3390/medicines4040091.
[5]	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.
[6]	ArbuthnotMK, GarciaAV. Early resuscitation and management of severe pediatric burns[J]. Semin Pediatr Surg, 2019,28(1):73-78. DOI: 10.1053/j.sempedsurg.2019.01.013.
[7]	BaxterCR, ShiresT. Physiological response to crystalloid resuscitation of severe burns[J]. Ann N Y Acad Sci, 1968, 150(3):874-894.DOI: 10.1111/j.1749-6632.1968.tb14738.x.
[8]	吴歌, 晁生武. 高原地区小儿烧伤休克液体复苏的治疗研究进展[J].临床医学进展,2023,13(3):3212-3221.DOI: 10.12677/acm.2023.133457.
[9]	柴家科.实用烧伤外科学[M].北京:人民军医出版社,2014.
[10]	贾享成, 张建明, 马伟. 小儿严重烧伤休克液体治疗探讨[J].河北医药,2001,23(6):421-423. DOI: 10.3969/j.issn.1002-7386.2001.06.009.
[11]	苏海涛, 朱应来, 李宗瑜, 等. 150例重度和特重度烧伤患儿休克期计划液体复苏的效果分析[J].中华烧伤杂志,2017,33(7):419-421. DOI: 10.3760/cma.j.issn.1009-2587.2017.07.005.
[12]	SadideenH, D'AstaF, MoiemenN, et al. Does overestimation of burn size in children requiring fluid resuscitation cause any harm?[J]. J Burn Care Res, 2017,38(2):e546-e551. DOI: 10.1097/BCR.0000000000000382.
[13]	ShahA, PedrazaI, MitchellC, et al. Fluid volumes infused during burn resuscitation 1980-2015: a quantitative review[J]. Burns, 2020,46(1):52-57. DOI: 10.1016/j.burns.2019.11.013.
[14]	MehrotraS, MisirA. Special traumatized populations: burns injuries[J]. Curr Pediatr Rev, 2018,14(1):64-69. DOI: 10.2174/1573396314666180608095033.
[15]	MbadiweN, GeorgetteN, SlidellMB, et al. Higher crystalloid volume during initial pediatric trauma resuscitation is associated with mortality[J]. J Surg Res, 2021,262:93-100. DOI: 10.1016/j.jss.2020.12.063.
[16]	ShazBH, WinklerAM, JamesAB, et al. Pathophysiology of early trauma-induced coagulopathy: emerging evidence for hemodilution and coagulation factor depletion[J]. J Trauma, 2011,70(6):1401-1407. DOI: 10.1097/TA.0b013e31821266e0.
[17]	HughesNT, BurdRS, TeachSJ. Damage control resuscitation: permissive hypotension and massive transfusion protocols[J]. Pediatr Emerg Care, 2014,30(9):651-656; quiz 657-658. DOI: 10.1097/PEC.0000000000000217.
[18]	CottonBA, GuyJS, MorrisJA, et al. The cellular, metabolic, and systemic consequences of aggressive fluid resuscitation strategies[J]. Shock, 2006,26(2):115-121. DOI: 10.1097/01.shk.0000209564.84822.f2.
[19]	TranA, YatesJ, LauA, et al. Permissive hypotension versus conventional resuscitation strategies in adult trauma patients with hemorrhagic shock: a systematic review and meta-analysis of randomized controlled trials[J]. J Trauma Acute Care Surg, 2018,84(5):802-808. DOI: 10.1097/TA.0000000000001816.
[20]	WoodwardL,AlsabriM.Permissive hypotension vs. conventional resuscitation in patients with trauma or hemorrhagic shock: a review[J].Cureus,2021,13(7):e16487.DOI: 10.7759/cureus.16487.
[21]	TranA, CampbellBT. The art and science of pediatric damage control[J]. Semin Pediatr Surg, 2017,26(1):21-26. DOI: 10.1053/j.sempedsurg.2017.01.005.
[22]	Müller DittrichMH, Brunow de CarvalhoW, Lopes LavadoE. Evaluation of the "early" use of albumin in children with extensive burns: a randomized controlled trial[J]. Pediatr Crit Care Med, 2016,17(6):e280-e286. DOI: 10.1097/PCC.0000000000000728.
[23]	FaraklasI, LamU, CochranA, et al. Colloid normalizes resuscitation ratio in pediatric burns[J]. J Burn Care Res, 2011,32(1):91-97. DOI: 10.1097/BCR.0b013e318204b379.
[24]	O'CurrainE, O'SheaJE, McGroryL, et al. Smaller facemasks for positive pressure ventilation in preterm infants: a randomised trial[J]. Resuscitation, 2019,134:91-98. DOI: 10.1016/j.resuscitation.2018.12.005.
[25]	中华医学会烧伤外科学分会. 儿童深Ⅱ度烧伤创面处理专家共识(2023版)[J]. 中华烧伤与创面修复杂志, 2023, 39(10): 901-910. DOI: 10.3760/cma.j.cn501225-20230730-00026.
[26]	HollénL, CoyK, DayA, et al. Resuscitation using less fluid has no negative impact on hydration status in children with moderate sized scalds: a prospective single-centre UK study[J]. Burns, 2017,43(7):1499-1505. DOI: 10.1016/j.burns.2017.04.011.
[27]	WalkerTL, RodriguezDU, CoyK, et al. Impact of reduced resuscitation fluid on outcomes of children with 10-20% body surface area scalds[J]. Burns, 2014,40(8):1581-1586. DOI: 10.1016/j.burns.2014.02.013.
[28]	KunstG, OstermannM. Intraoperative permissive oliguria - how much is too much?[J]. Br J Anaesth, 2017,119(6):1075-1077. DOI: 10.1093/bja/aex387.
[29]	中华医学会儿科学分会急救学组, 中华医学会急诊医学分会儿科学组, 中国医师协会儿童重症医师分会. 儿童脓毒性休克(感染性休克)诊治专家共识(2015版)[J].中华儿科杂志,2015,53(8):576-580. DOI: 10.3760/cma.j.issn.0578-1310.2015.08.007.
[30]	王小亭, 刘大为, 于凯江, 等. 中国重症超声专家共识[J].中华内科杂志,2016,55(11):900-912. DOI: 10.3760/cma.j.issn.0578-1426.2016.11.020.
[31]	HoskinsSL, ElgjoGI, LuJ, et al. Closed-loop resuscitation of burn shock[J]. J Burn Care Res, 2006,27(3):377-385. DOI: 10.1097/01.BCR.0000216512.30415.78.
[32]	OfeiSY, FuchsGJ. Principles and practice of oral rehydration[J]. Curr Gastroenterol Rep, 2019,21(12):67. DOI: 10.1007/s11894-019-0734-1.
[33]	WangD, DengL, ZhangR, et al. Efficacy of intraosseous access for trauma resuscitation: a systematic review and meta-analysis[J]. World J Emerg Surg, 2023,18(1):17. DOI: 10.1186/s13017-023-00487-7.

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Research advances on fluid resuscitation in pediatric burns

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