| Fluid management in burn patients: results from a European survey-more questions than answers. | |
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MedLine Citation:
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PMID: 18201828 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Many strategies were proposed for fluid management in burn patients with different composition containing saline solution, colloids, or plasma. The actual clinical use of volume replacement regimen in burn patients in Europe was analysed by an international survey. A total of 187 questionnaires consisting of 20 multiple-choice questions were sent to 187 burn units listed by the European Burn Association. The response rate was 43%. The answers came from a total of 20 European countries. Volume replacement is mostly exclusively with crystalloids (always: 58%; often: 28%). The majority still use fixed formulae: 12% always use the traditional Baxter formula, in 50% modifications of this formula are used. The most often used colloid is albumin (always: 17%, often: 38%), followed by HES (always: 4%, often: 34%). Gelatins, dextrans, and hypertonic saline are used only very rarely. Fresh frozen plasma (FFP) is given in 12% of the units as the colloid of choice. Albumin was named most often to be able to improve patients' outcome (64%), followed by HES (53%), and the exclusive use of crystalloids (45%). Central venous pressure (CVP) is most often used to monitor volume therapy (35%), followed by the PiCCO-system (23%), and mixed-venous saturation (ScVO2; 10%). It is concluded that the kind of volume therapy differs widely among European burn units. This survey supported that no generally accepted volume replacement strategy in burn patients exists. New results, e.g. importance of goal-directed therapy or data concerning use of albumin in the critically ill, have not yet influenced strategies of volume replacement in the burn patient. |
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Authors:
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Joachim Boldt; Michael Papsdorf |
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Publication Detail:
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Type: Journal Article; Multicenter Study Date: 2008-01-16 |
Journal Detail:
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Title: Burns : journal of the International Society for Burn Injuries Volume: 34 ISSN: 0305-4179 ISO Abbreviation: Burns Publication Date: 2008 May |
Date Detail:
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Created Date: 2008-03-18 Completed Date: 2008-08-25 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 8913178 Medline TA: Burns Country: England |
Other Details:
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Languages: eng Pagination: 328-38 Citation Subset: IM |
Affiliation:
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Department of Anesthesiology and Intensive Care Medicine, Klinikum der Stadt, Ludwigshafen, Bremserstr. 79, D-67063 Ludwigshafen, Germany. BoldtJ@gmx.net |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Burns
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therapy* Colloids / therapeutic use Europe Fluid Therapy / methods* Humans Isotonic Solutions / therapeutic use |
| Chemical | |
Reg. No./Substance:
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0/Colloids; 0/Isotonic Solutions; 0/crystalloid solutions |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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