[New light on the discussion about the therapeutic attitude during the first 72 hours in subjects highly burned. Study of 100 patients burned on 30 p. cent of body surface or more (author's transl)].
The quantity of given fluids was guided by the Evans rule but with no limitations of infusion above 50 p. cent of burns. Fluid was concentrated human serum albumine made isotonic by infusion through a Y pathway with 5 p. cent glucose, natrium (6 g/l) and carbo-hydrate for caloric needs. Under these conditions, clinical and biological parameters show the keeping of a good hemodynamic and hydroelectrolytic balance, with a level of blood proteins very near of the normal one, and a raise in body weight much lower than usually described in literature. Beyond this, the time needed to lower the body weight to its initial level is short and the quantity of infused liquid is much lower than that requisited by resuscitation utilising only cristalloid fluids for the first 24 hours.
D000136:Acid-Base Equilibrium; D000328:Adult; D001798:Blood Proteins / Q000032:analysis; D001835:Body Weight; D002056:Burns / Q000097:blood / Q000628:therapy*; D005260:Female; D006400:Hematocrit; D006801:Humans; D008297:Male; D008875:Middle Aged; D011188:Potassium / Q000097:blood; D012151:Resuscitation / Q000379:methods*; D012964:Sodium / Q000097:blood; D013997:Time Factors
D001798:Blood Proteins; D012964:Sodium; D011188:Potassium
Etude critique de la réanimation des 72 premières heures chez le grand brûlé. Analyse a posteriori des résultats obtenus chez 100 malades atteints sur plus de 30 p. cent de la surface corporelle.