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
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- EP ID EP300951
- DOI 10.21767/2471-8505.100094
- Views 41
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