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

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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

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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

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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

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References

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Controlling excessive fluid resuscitation in massive burn patients to prevent complications

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