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Burn State of the Science: Fluid Resuscitation by Robert Cartotto; David G. Greenhalgh; C. Cancio is a Medicine article available to read on EtoBox.

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Recognition of fluid creep has driven a large amount of the scientific investigation in the area of acute fluid resuscitation for burn patients. The role of colloids in ameliorating fluid creep is controversial, despite the fact that a fluid-sparing effect of colloids has been recognized for some time. All but one of the available prospective studies using colloids are more than a decade old, and a modern randomized controlled trial (RCT) comparing crystalloids to colloids is long overdue. While urinary output continues to be the main endpoint for fluid titration, there has been a moderate amount of interest in the use of transpulmonary thermodilution to guide fluid resuscitation. The available studies have found that transpulmonary thermodilution has had an inconsistent effect on limiting fluid resuscitation volumes and improving clinical outcomes. Computerized Decision Support Systems show great promise in optimizing fluid titration and reducing fluid resuscitation volumes, and an RCT comparing Computerized Decision Support Systems with conventional titration approaches will be the important next step. Use of high-dose vitamin C (ascorbic acid) has become a popular approach to li

Who reads Burn State of the Science: Fluid Resuscitation?

Author

Robert Cartotto; David G. Greenhalgh; C. Cancio

Publisher

Oxford University Press (OUP)

Published

2017

Language

EN

Field

Medicine (Health Sciences)