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 39
- Downloads 0
Improving Healthcare Provider Communication in End of Life Decision Making
End of life decision making in the critical care setting is a complex and stressful event for all involved, including family members, patients and the healthcare team. Communicating end of life needs is a skill that requ...
Light Intensity on Intensive Care Units- A Short Review
Circadian rhythms are autonomous, self-sustained, approximately 24 h oscillations in biological processes (e.g. daily fluctuation of core body temperature, serum melatonin, or cortisol) entrained to environmental cues, t...
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...
Clinico-Mycological Pattern of Hair and Skin Infection in New Delhi
Introduction: Fungus parasitizing structures rich in keratin, like hair, skin and nails, lead to a dermal inflammatory response with intense itching and cosmetic disfigurement. Hence, diagnosis, treatment and regional ep...
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....