Überinfusion von Verbrennungsopfern: häufig und schädlich [Over infusion in burn victims: frequent and injurious]

Détails

ID Serval
serval:BIB_C49044D80A2E
Type
Article: article d'un périodique ou d'un magazine.
Sous-type
Synthèse (review): revue aussi complète que possible des connaissances sur un sujet, rédigée à partir de l'analyse exhaustive des travaux publiés.
Collection
Publications
Titre
Überinfusion von Verbrennungsopfern: häufig und schädlich [Over infusion in burn victims: frequent and injurious]
Périodique
Notfall und Rettungsmedizin
Auteur(s)
Michaeli B., Carron P.N., Revelly J.P., Bernath M.A., Schrag C., Berger M.M.
ISSN
1436-0578
ISSN-L
1434-6222
Statut éditorial
Publié
Date de publication
2013
Volume
16
Numéro
1
Pages
42-47
Langue
allemand
Notes
Document Type: Article
Résumé
Major burns are characterized by an initial capillary leak, which requires fluid resuscitation for hemodynamic stabilization. While under resuscitation was the major cause of death until the 1980s, over resuscitation has become an important source of complications, including abdominal compartment syndrome, escharosis, impaired gas exchange with prolonged mechanical ventilation and hospital stay. Fluid over infusion started in the 1990s with an increasing proportion of the fluid delivered within the first 24 h being well above the 4 ml/kg/% burn surface area (BSA) according to the Parkland formula. The first alerts were published in the form of case reports of increased mortality due to abdominal compartment syndrome and respiratory failure.
This paper analyses the causes of this fluid over infusion and the ways to prevent it, which include rationing prehospital fluid delivery, avoiding early administration of colloids and prevention by permissive hypovolemia.
Web of science
Création de la notice
24/04/2013 9:26
Dernière modification de la notice
20/08/2019 16:40
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