Algorithm for management of pulmonary complications in burn patients
An algorithm for management of pulmonary complications in burn patients on the same basis as in patients with adult respiratory distress syndrome is outlined. Pao2 of less than 60 torr (F102, 0.21–0.4), Paco2 over 40 torr, pH less than 7.35, respiratory rate over 40/min, and clinical evidence of com...
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Veröffentlicht in: | Critical care medicine 1977-03, Vol.5 (2), p.89-92 |
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creator | BOUTROS, AZMY R HOYT, JOHN L BOYD, WILLIAM C HARTFORD, CHARLES E |
description | An algorithm for management of pulmonary complications in burn patients on the same basis as in patients with adult respiratory distress syndrome is outlined. Pao2 of less than 60 torr (F102, 0.21–0.4), Paco2 over 40 torr, pH less than 7.35, respiratory rate over 40/min, and clinical evidence of compromised upper airway were the indications for initiation of aggressive intensive respiratory care. This consisted of nasotracheal intubation, arterial cannulation, pulmonary artery catheterization, and establishment of mechanical ventilation. The algorithm further defines the subsequent management of these patients as far as need for continued mechanical ventilation, fluid and electrolyte balance, hemodynamic stability, and renal function. |
doi_str_mv | 10.1097/00003246-197703000-00005 |
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Pao2 of less than 60 torr (F102, 0.21–0.4), Paco2 over 40 torr, pH less than 7.35, respiratory rate over 40/min, and clinical evidence of compromised upper airway were the indications for initiation of aggressive intensive respiratory care. This consisted of nasotracheal intubation, arterial cannulation, pulmonary artery catheterization, and establishment of mechanical ventilation. The algorithm further defines the subsequent management of these patients as far as need for continued mechanical ventilation, fluid and electrolyte balance, hemodynamic stability, and renal function.</description><identifier>ISSN: 0090-3493</identifier><identifier>EISSN: 1530-0293</identifier><identifier>DOI: 10.1097/00003246-197703000-00005</identifier><identifier>PMID: 162746</identifier><language>eng</language><publisher>United States: Williams & Wilkins</publisher><subject>Burns - complications ; Burns - therapy ; Humans ; Intensive Care Units ; Lung Diseases - etiology ; Lung Diseases - therapy ; Patient Care Planning</subject><ispartof>Critical care medicine, 1977-03, Vol.5 (2), p.89-92</ispartof><rights>Williams & Wilkins 1977. 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Pao2 of less than 60 torr (F102, 0.21–0.4), Paco2 over 40 torr, pH less than 7.35, respiratory rate over 40/min, and clinical evidence of compromised upper airway were the indications for initiation of aggressive intensive respiratory care. This consisted of nasotracheal intubation, arterial cannulation, pulmonary artery catheterization, and establishment of mechanical ventilation. The algorithm further defines the subsequent management of these patients as far as need for continued mechanical ventilation, fluid and electrolyte balance, hemodynamic stability, and renal function.</description><subject>Burns - complications</subject><subject>Burns - therapy</subject><subject>Humans</subject><subject>Intensive Care Units</subject><subject>Lung Diseases - etiology</subject><subject>Lung Diseases - therapy</subject><subject>Patient Care Planning</subject><issn>0090-3493</issn><issn>1530-0293</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1977</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp1UclOxDAMjRDbMPAHHHLiVkiarTmOhlVC4gLnKM2kM4WkKUmrEX9PZgFO-GDr2X62_AwAxOgaIyluUDZSUl5gKQQiGRWbFDsAE8xIBqUkh2CCkEQFoZKcgrOU3hHClAlyAo4xLwXlE3A7c8sQ22HlYRMi9LrTS-ttN8DQwH50PnQ6fkETfO9ao4c2dAm2HazH2ME-49yazsFRo12yF_s4BW_3d6_zx-L55eFpPnsuDGGUFVxarg3TVJdCcl2XC9RonIOVdMGNYYKWXNSSEE4oMRwJW9Ga2qbEnNaiIVNwtZvbx_A52jQo3yZjndOdDWNSFakI3rgpqHaNJoaUom1UH1ufD1EYqY1-6kc_9avfNsUy9XK_Y6y9XfwRt4LlMt2V18ENNqYPN65tVCur3bBS_32FfAO_OnqH</recordid><startdate>197703</startdate><enddate>197703</enddate><creator>BOUTROS, AZMY R</creator><creator>HOYT, JOHN L</creator><creator>BOYD, WILLIAM C</creator><creator>HARTFORD, CHARLES E</creator><general>Williams & Wilkins</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>197703</creationdate><title>Algorithm for management of pulmonary complications in burn patients</title><author>BOUTROS, AZMY R ; HOYT, JOHN L ; BOYD, WILLIAM C ; HARTFORD, CHARLES E</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3545-69e6ac5a4a2796ab2d0fa1b2de94d6cc574267b9336343c607e84b4ef2164b7f3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1977</creationdate><topic>Burns - complications</topic><topic>Burns - therapy</topic><topic>Humans</topic><topic>Intensive Care Units</topic><topic>Lung Diseases - etiology</topic><topic>Lung Diseases - therapy</topic><topic>Patient Care Planning</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>BOUTROS, AZMY R</creatorcontrib><creatorcontrib>HOYT, JOHN L</creatorcontrib><creatorcontrib>BOYD, WILLIAM C</creatorcontrib><creatorcontrib>HARTFORD, CHARLES E</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Critical care medicine</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>BOUTROS, AZMY R</au><au>HOYT, JOHN L</au><au>BOYD, WILLIAM C</au><au>HARTFORD, CHARLES E</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Algorithm for management of pulmonary complications in burn patients</atitle><jtitle>Critical care medicine</jtitle><addtitle>Crit Care Med</addtitle><date>1977-03</date><risdate>1977</risdate><volume>5</volume><issue>2</issue><spage>89</spage><epage>92</epage><pages>89-92</pages><issn>0090-3493</issn><eissn>1530-0293</eissn><abstract>An algorithm for management of pulmonary complications in burn patients on the same basis as in patients with adult respiratory distress syndrome is outlined. Pao2 of less than 60 torr (F102, 0.21–0.4), Paco2 over 40 torr, pH less than 7.35, respiratory rate over 40/min, and clinical evidence of compromised upper airway were the indications for initiation of aggressive intensive respiratory care. This consisted of nasotracheal intubation, arterial cannulation, pulmonary artery catheterization, and establishment of mechanical ventilation. The algorithm further defines the subsequent management of these patients as far as need for continued mechanical ventilation, fluid and electrolyte balance, hemodynamic stability, and renal function.</abstract><cop>United States</cop><pub>Williams & Wilkins</pub><pmid>162746</pmid><doi>10.1097/00003246-197703000-00005</doi><tpages>4</tpages></addata></record> |
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language | eng |
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source | MEDLINE; Journals@Ovid Complete |
subjects | Burns - complications Burns - therapy Humans Intensive Care Units Lung Diseases - etiology Lung Diseases - therapy Patient Care Planning |
title | Algorithm for management of pulmonary complications in burn patients |
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