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 32
- Downloads 0
Patient early mobilization: A Malaysia's study of nursing practices
Background: The practices of early mobilization on mechanical ventilated patient is associated to decrease length of stay in intensive care unit, decrease ventilator associated pneumonia, prevent deep vein thrombosis and...
Myocarditis Mimicking Acute Coronary Syndrome Secondary to Eosinophilia
Background: Eosinophilic myocarditis is a rare and under-recognized subtype of myocarditis. The signs and symptoms are non-specific, most often mimicking other diseases, leading to a late, and sometimes, incorrect diagno...
Extubations in the PICU- Where are We Now?
In the future, utilization of mechanical ventilation will continue to rise. It is anticipated that mechanical ventilation may be required in up to 50% of critically ill and/or injured infants, children, and adolescents i...
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...
The Influence of Human Soluble Recombinant Thrombomodulin on In-Hospital Mortality in Patients with Acute Respiratory Distress Syndrome and Disseminated Intravascular Coagulation: A Retrospective Multicenter Study
Background: Patients with acute respiratory distress syndrome (ARDS) often develop disseminated intravascular coagulation (DIC), which can worsen clinical outcomes. Anticoagulant therapy such as human soluble recombinant...