title: Resuscitation fluid volume and abdominal compartment syndrome in patients with major burns.
abstract: Abdominal compartment syndrome (ACS) is rarely reported as a complication of severe burn. This study clarified the risk of burned patients with and without ACS, especially regarding the resuscitation fluid volume. Extensively burned patients admitted to our burn unit from January 2003, through to June 2004, were examined. Vital signs, blood gas analysis, bladder pressure to estimate intra-abdominal pressure (IAP), peak inspiratory pressure (PIP), resuscitation fluid volume, and urine output (UO) were analyzed. Intra-abdominal hypertension (IAH) was defined as an IAP of more than 30 cm of H2O. Eight of 48 patients suffering from a more than 30% total burn surface area developed ACS in 18.3+/-4.9 h. In these patients, IAP (49+/-12 cmH2O), PIP (50+/-16 cmH2O), heart rate (115+/-8/min), and PaCO2 (54.6+/-10.1 mmHg) were higher than normal, and their resuscitation volume was 0.40+/-0.11 L/kg. Also, a significant correlation between the IBP, PIP and resuscitation volume was observed. Most patients with severe burns required more than 300 mL/kg of resuscitation fluid for the first 24 h after injury that led to ACS and had higher HR, IBP, PIP and PaCO2 despite arterial pressure showing no significant difference.
authors.affiliation: Department of Trauma and Critical Care Medicine, Social Insurance Chukyo Hospital, 1-1-10 Sanjo, Minami-ku, Nagoya, Aichi 457-8510, Japan. junoda@v001.vaio.ne.jp
authors.forename: Jun
authors.initials: J
authors.lastname: Oda
authors.forename: Katsuyuki
authors.initials: K
authors.lastname: Yamashita
authors.forename: Takuya
authors.initials: T
authors.lastname: Inoue
authors.forename: Nobuyuki
authors.initials: N
authors.lastname: Harunari
authors.forename: Yasumasa
authors.initials: Y
authors.lastname: Ode
authors.forename: Kazuharu
authors.initials: K
authors.lastname: Mega
authors.forename: Yoshiki
authors.initials: Y
authors.lastname: Aoki
authors.forename: Mitsuhiro
authors.initials: M
authors.lastname: Noborio
authors.forename: Masashi
authors.initials: M
authors.lastname: Ueyama
mesh_terms: D000005:Abdomen; D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001830:Body Surface Area; D002056:Burns / Q000150:complications*; D003161:Compartment Syndromes / Q000188:drug therapy / Q000209:etiology*; D005260:Female; D005440:Fluid Therapy / Q000379:methods*; D006801:Humans; D008297:Male; D008875:Middle Aged; D012151:Resuscitation / Q000379:methods*