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Early Hemodynamic Management of Critically Ill Burn Patients
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Anesthesiology, V 129 • No 3 583 September 2018 B URN injury is associated with early profound hypovolemia followed by a systemic inflammatory response with a subsequent hyperdynamic state.1 Hemodynamic… Click to show full abstract
Anesthesiology, V 129 • No 3 583 September 2018 B URN injury is associated with early profound hypovolemia followed by a systemic inflammatory response with a subsequent hyperdynamic state.1 Hemodynamic management has long been identified as a key factor impacting burn patients’ prognosis.2 Because both underand over-resuscitation may potentially negatively impact outcome, anesthesiologists and intensivists caring for burn patients will have to face the challenge of fluid balance in these patients.3,4 The aim of this review is to provide an overview of the hemodynamic consequences of burn injury and to propose strategies for the initial hemodynamic management of severe burn patients using the available evidence-based medicine combined with a physiologic approach.
