Individualizing Optimal Fluid Resuscitation in Patients with Major Burns: Emerging Role for Hydrocortisone, Proteinuria and Brain Natriuretic Peptide
Journal Title: Journal of Intensive and Critical Care - Year 2017, Vol 3, Issue 3
Abstract
During the last decades tremendous progress has been made in the acute resuscitation of patients with major burns [1,2]. The recognition that large amounts of fluids should be infused during the first hours to days, due to capillary leakage which is the pathologic hallmark of a burn injury [3,4], is one of the most important reasons for the improved survival in these patients. Important formulae like the Parkland formula were of enormous help [3]. These efforts today provide the basis for new strategies to decrease capillary leakage and strategies to further improve fluid resuscitation. Thus the focus shifts from a uniform resuscitation towards a more individualized resuscitation strategy.
Authors and Affiliations
Wilbert MT Janssen
Keywords
Related Articles
- EP ID EP300951
- DOI 10.21767/2471-8505.100094
- Views 27
- Downloads 0
Bedside Evaluation of Critical Dyspnea. Proposal of a Diagnostic Score for Acute Heart Failure in Emergency Setting
Aim: Dyspnea is a common cause of hospital admittance. Preliminary investigations an in pre-hospital phase and in the Emergency Department (ED) should detect the underlying cause. Time is crucial and emergency physicians...
Will Any Amount of Original Research Truly Improve End-of-Life Decision Making for Critically Ill Elderly Patients?
Purpose: To review the manuscript: “Outcomes of critically ill medical and surgical patients: A multicenter cohort study”, in order to evaluate its clinical utility for goals of care discussions prior to ICU admission....
Subcutaneous Emphysema and Pneumomediastinum in 2 Years Old Children with Pierre Robin Syndrome: Multi-Disciplinary Management in an Emergency Department
Spontaneous pneumomediastinum (SPM) is an uncommon disease defined by the presence of free air in the mediastinal cavity. Its pathogenesis is characterized by all the processes that cause a sudden increase of intrathorac...
Reduction of Blood Pressure by Electro Acupuncture in Mild to Moderate Hypertensive Patients: Randomized Controlled Trial
There is a growing interest in integrative medical treatments such as acupuncture on hypertension although therapy to control high blood pressure (BP) is available. We have demonstrated in a series of experimental invest...
A Bird's Eye View of Lactate Biosensors
Lactic acid (2-Hydroxypropanoic acid) or lactate (ionic form of lactic acid) is generated from pyruvic acid under anaerobic condition in all tissues like skeletal muscle, brain, RBC and kidney. The normal level of lactic...