[Discussion on the fluid resuscitation and monitoring during burn shock period].
The index of monitoring burn shock resuscitation includes clinical signs and symptoms, laboratory examinations, hemodynamic variables. In recent years, there exists a tendency that the amount of transfused fluid for burn shock resuscitation is notably increased and complications of some cases, such as abdominal compartment syndrome have been reported. One of the major reasons for excessive fluid resuscitation is to try to normalize hemodynamic parameters with the help of invasive hemodynamic monitoring. Instead of hemodynamic variables, urinary output combined with other traditional variables still should be considered primary criteria of adequate fluid therapy. Specification of the variables of monitoring burn shock resuscitation is also the basis to revise and optimize the fluid resuscitation formula.
Xia
Zhao-fan
ZF
Burns Center of PLA, Changhai Hospital, the Second Military Medical University, Shanghai 200433, PR China.
Wang
Guang-yi
GY
D002056:Burns / Q000503:physiopathology / Q000628:therapy*; D005440:Fluid Therapy; D006801:Humans; D008991:Monitoring, Physiologic; D012769:Shock / Q000503:physiopathology / Q000628:therapy*