A protocol guided by transpulmonary thermodilution and lactate levels for resuscitation of patients with severe burns.

Détails

Ressource 1Télécharger: BIB_02F367D38F5D.P001.pdf (203.68 [Ko])
Etat: Public
Version: de l'auteur
ID Serval
serval:BIB_02F367D38F5D
Type
Article: article d'un périodique ou d'un magazine.
Sous-type
Editorial
Collection
Publications
Institution
Titre
A protocol guided by transpulmonary thermodilution and lactate levels for resuscitation of patients with severe burns.
Périodique
Critical Care
Auteur(s)
Berger M.M., Que Y.A.
ISSN
1466-609X (Electronic)
ISSN-L
1364-8535
Statut éditorial
Publié
Date de publication
2013
Peer-reviewed
Oui
Volume
17
Numéro
5
Pages
195
Langue
anglais
Notes
Publication types: EDITORIAL . pdf type: commentary (as en editorial)
Résumé
Over-resuscitation is deleterious in many critically ill conditions, including major burns. For more than 15 years, several strategies to reduce fluid administration in burns during the initial resuscitation phase have been proposed, but no single or simple parameter has shown superiority. Fluid administration guided by invasive hemodynamic parameters usually resulted in over-resuscitation. As reported in the previous issue of Critical Care, Sánchez-Sánchez and colleagues analyzed the performance of a 'permissive hypovolemia' protocol guided by invasive hemodynamic parameters (PiCCO, Pulsion Medical Systems, Munich, Germany) and vital signs in a prospective cohort over a 3-year period. The authors' results confirm that resuscitation can be achieved with below-normal levels of preload but at the price of a fluid administration greater than predicted by the Parkland formula (2 to 4 mL/kg per% burn). The classic approach based on an adapted Parkland equation may still be the simplest until further studies identify the optimal bundle of resuscitation goals.
Pubmed
Web of science
Open Access
Oui
Création de la notice
08/01/2014 16:29
Dernière modification de la notice
20/08/2019 12:25
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