WAYS OF REDUCTION OF FLUID VOLUME IN CHILDREN WITH SEVERE BURNS DURING FIRST 24 HOURS AFTER THE INJURY
https://doi.org/10.21292/2078-5658-2016-13-4-30-36
Abstract
The study was conducted with the purpose to optimize the management activities during first hours after burn injury. The prospective, open, randomized, comparative study included 50 children with severe burns demonstrated the safe reduction of fluid volume combined with the early enteral load. It was shown that early use of albumin in children with burns exceeding 20% of total body surface area allowed decreasing the need in crystalloid solutions when compiling infusion therapy regimen. That regimen allowed avoiding fluid overloading and development of the edema syndrome.
About the Authors
A. U. Lekmanov
Pirogov Russian National Research Medical University, Moscow;
Speransky Children Municipal Clinical Hospital no.9, Moscow Health Department, Moscow
Russian Federation
Doctor of Medical Sciences, Professor
Russian Federation
Doctor of Medical Sciences, Professor
D. K. Azovsky
Speransky Children Municipal Clinical Hospital no.9, Moscow Health Department, Moscow
Russian Federation
Candidate of Medical Sciences, Anesthesiologist and Intensive Care Physician
Russian Federation
Candidate of Medical Sciences, Anesthesiologist and Intensive Care Physician
S. F. Pilyutik
Speransky Children Municipal Clinical Hospital no.9, Moscow Health Department, Moscow
Russian Federation
Head of Intensive Care Department
Russian Federation
Head of Intensive Care Department
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Review
For citations:
Lekmanov A.U., Azovsky D.K., Pilyutik S.F. WAYS OF REDUCTION OF FLUID VOLUME IN CHILDREN WITH SEVERE BURNS DURING FIRST 24 HOURS AFTER THE INJURY. Messenger of ANESTHESIOLOGY AND RESUSCITATION. 2016;13(4):30-36. (In Russ.) https://doi.org/10.21292/2078-5658-2016-13-4-30-36
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