Multimodal fluid replacement technique in burned patients
- Authors: Matveenko A.V.1, Tarasenko M.Y.1, Samarev A.V.1
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Affiliations:
- The S.M.Kirov Military Medical Academy of the Ministry of Defense of the Russian Federation
- Issue: Vol 343, No 8 (2022)
- Pages: 28-34
- Section: Treatment and prophylactic issues
- URL: https://journals.eco-vector.com/0026-9050/article/view/629687
- DOI: https://doi.org/10.52424/00269050_2022_343_8_28
- ID: 629687
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Abstract
Volumetric fluid replacement is the cornerstone of burn resuscitation. The resuscitation strategy is to provide sufficient fluid to maintain organ function while avoiding the complications of over-resuscitation. There are dozens of formulas for calculating the predicted volume of fluid administered according to certain timing rules. The Parkland formula, which was most popular earlier, has now been abandoned. The formulas of recent years, as well as earlier ones, do not consider many factors that determine the patient’s response to trauma. The search for a solution to the problems of burn resuscitation is focused on ways to correct it and implement complex monitoring methods. A new multimodal fluid replacement technique is proposed, which is radically different from previous techniques, since it considers many risk factors.
About the authors
A. V. Matveenko
The S.M.Kirov Military Medical Academy of the Ministry of Defense of the Russian Federation
Author for correspondence.
Email: matveenko.45@list.ru
доцент, полковник медицинской службы в отставке
Russian Federation, St. PetersburgM. Yu. Tarasenko
The S.M.Kirov Military Medical Academy of the Ministry of Defense of the Russian Federation
Email: matveenko.45@list.ru
доцент, полковник медицинской службы запаса
Russian Federation, St. PetersburgA. V. Samarev
The S.M.Kirov Military Medical Academy of the Ministry of Defense of the Russian Federation
Email: al.samarev@yandex.ru
кандидат медицинских наук, подполковник медицинской службы
Russian Federation, St. PetersburgReferences
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Supplementary files
СМИ зарегистрировано Федеральной службой по надзору в сфере связи, информационных технологий и массовых коммуникаций (Роскомнадзор).