Document Detail


Pulmonary complications in burn patients resuscitated with a low-volume colloid solution.
MedLine Citation:
PMID:  2590399     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The occurrence of the adult respiratory distress syndrome (ARDS) and pneumonia was assessed in 482 patients with severe burns, but without evidence of inhalation injury. The patients were resuscitated during the burn shock period with a low-volume formula consisting mainly of plasma. The incidence of ARDS was 2.5 per cent for the entire burn population, and 9.4 per cent for 65 patients with burns covering more than 50 per cent of the body surface area. The general incidence of pneumonia was 4.4 per cent but was 12.5 per cent for the 65 patients with the extensive burns. These incidences were compared with other studies, and a pathophysiological explanation has been offered to explain differences in the frequency of pulmonary complications. The present review indicates that resuscitation with a low-volume formula consisting mainly of colloids can act as prophylaxis for reducing the incidence of ARDS and pneumonia.
Authors:
A Aharoni; R Moscona; S Kremerman; Y Paltieli; B Hirshowitz
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Burns : journal of the International Society for Burn Injuries     Volume:  15     ISSN:  0305-4179     ISO Abbreviation:  Burns     Publication Date:  1989 Oct 
Date Detail:
Created Date:  1990-01-12     Completed Date:  1990-01-12     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  8913178     Medline TA:  Burns     Country:  ENGLAND    
Other Details:
Languages:  eng     Pagination:  281-4     Citation Subset:  IM    
Affiliation:
Haifa Medical Center, Israel.
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Adult
Aged
Burns / mortality,  physiopathology*,  therapy
Child
Child, Preschool
Combined Modality Therapy
Female
Fluid Therapy / methods*
Humans
Male
Middle Aged
Plasma Volume / physiology*
Respiratory Distress Syndrome, Adult / mortality,  physiopathology*,  prevention & control
Resuscitation*
Risk Factors
Survival Rate

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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