Book contents
- Frontmatter
- Contents
- List of Contributors
- Foreword by Jean-Louis Vincent
- Preface
- Section 1 Hemodynamic Monitoring in the Perioperative Period
- Section 2 Basic Science & Concepts in Fluid Therapy
- Section 3 Practical Use
- 11 Outcome and Organ Dysfunction after Major Surgery
- 12 Perioperative Goal-Directed Hemodynamic Therapy
- 13 Fluid Responsiveness Assessment
- 14 Intra-Abdominal Surgery
- 15 Fluid and Hemodynamic Monitoring in Pulmonary Surgery
- 16 Fluid Management in Cardiac Surgery
- 17 Fluid and Hemodynamic Monitoring in Brain Surgery
- 18 Fluid and Hemodynamic Monitoring in Trauma
- 19 Fluid and Hemodynamic Monitoring in Pediatrics
- 20 Fluid Therapy for Liver and Renal Transplantation
- 21 Fluid and Hemodynamic Monitoring in Burns
- Section 4 Future Directions
- Index
21 - Fluid and Hemodynamic Monitoring in Burns
from Section 3 - Practical Use
Published online by Cambridge University Press: 11 April 2024
- Frontmatter
- Contents
- List of Contributors
- Foreword by Jean-Louis Vincent
- Preface
- Section 1 Hemodynamic Monitoring in the Perioperative Period
- Section 2 Basic Science & Concepts in Fluid Therapy
- Section 3 Practical Use
- 11 Outcome and Organ Dysfunction after Major Surgery
- 12 Perioperative Goal-Directed Hemodynamic Therapy
- 13 Fluid Responsiveness Assessment
- 14 Intra-Abdominal Surgery
- 15 Fluid and Hemodynamic Monitoring in Pulmonary Surgery
- 16 Fluid Management in Cardiac Surgery
- 17 Fluid and Hemodynamic Monitoring in Brain Surgery
- 18 Fluid and Hemodynamic Monitoring in Trauma
- 19 Fluid and Hemodynamic Monitoring in Pediatrics
- 20 Fluid Therapy for Liver and Renal Transplantation
- 21 Fluid and Hemodynamic Monitoring in Burns
- Section 4 Future Directions
- Index
Summary
Severe burn injury induces an early and profound hypovolemia, rapidly followed by a systemic inflammatory response syndrome (SIRS) resulting in a distributive shock.
Cardiovascular consequences of severe burn injury are multiple including burn edema, burn shock, burn-associated cardiac injury and alteration of microcirculation
Hemodynamic targets of critically ill burn patients and goal-directed resuscitation therapy are the cornerstone of initial hemodynamic management.
This resuscitation is challenging with the risk of under- and over-resuscitation justifying an invasive hemodynamic monitoring.
Balanced crystalloids are the most commonly used fluids in severely burned patients; the use of albumin is controversial.
During the distributive phase, norepinephrine is often required 12 to 36 hours post-injury.
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- Hemodynamic Monitoring and Fluid Therapy during Surgery , pp. 249 - 256Publisher: Cambridge University PressPrint publication year: 2024