An algorithmic approach to the management of cutaneous burns
An algorithm of fluid resuscitation for cutaneous burns is presented. The management of these cases entails an initial process of evaluation followed, when appropriate, by the administration of intravenous fluids. The fluid requirements are prospectively calculated and subsequently modified by using...
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| Veröffentlicht in: | Burns 1992-06, Vol.18 (3), p.200-211 |
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| container_title | Burns |
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| creator | Miller, J.G. Carruthers, H.R. Burd, D.A.R. |
| description | An algorithm of fluid resuscitation for cutaneous burns is presented. The management of these cases entails an initial process of evaluation followed, when appropriate, by the administration of intravenous fluids. The fluid requirements are prospectively calculated and subsequently modified by using closed loop feedback with monitoring of urine output, plasma deficit, osmolality and vital signs. Three 'problem boxes' have been incorporated into the algorithm to outline the management of: 1. fluid deficit and excess; 2. acute renal failure; 3. the critically ill patient. An algorithm such as this can never be complete, but in its present form it provides both a teaching tool for junior staff as well as a valuable clinical aid for those involved in the acute management of burns patients. |
| doi_str_mv | 10.1016/0305-4179(92)90070-B |
| format | Article |
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The management of these cases entails an initial process of evaluation followed, when appropriate, by the administration of intravenous fluids. The fluid requirements are prospectively calculated and subsequently modified by using closed loop feedback with monitoring of urine output, plasma deficit, osmolality and vital signs. Three 'problem boxes' have been incorporated into the algorithm to outline the management of: 1. fluid deficit and excess; 2. acute renal failure; 3. the critically ill patient. An algorithm such as this can never be complete, but in its present form it provides both a teaching tool for junior staff as well as a valuable clinical aid for those involved in the acute management of burns patients.</description><identifier>ISSN: 0305-4179</identifier><identifier>EISSN: 1879-1409</identifier><identifier>DOI: 10.1016/0305-4179(92)90070-B</identifier><identifier>PMID: 1642766</identifier><identifier>CODEN: BURND8</identifier><language>eng</language><publisher>Oxford: Elsevier Ltd</publisher><subject>Algorithms ; Anesthesia. Intensive care medicine. Transfusions. 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The management of these cases entails an initial process of evaluation followed, when appropriate, by the administration of intravenous fluids. The fluid requirements are prospectively calculated and subsequently modified by using closed loop feedback with monitoring of urine output, plasma deficit, osmolality and vital signs. Three 'problem boxes' have been incorporated into the algorithm to outline the management of: 1. fluid deficit and excess; 2. acute renal failure; 3. the critically ill patient. An algorithm such as this can never be complete, but in its present form it provides both a teaching tool for junior staff as well as a valuable clinical aid for those involved in the acute management of burns patients.</description><subject>Algorithms</subject><subject>Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy</subject><subject>Biological and medical sciences</subject><subject>Burns - physiopathology</subject><subject>Burns - therapy</subject><subject>Fluid Therapy</subject><subject>Hemodynamics</subject><subject>Humans</subject><subject>Infusions, Intravenous</subject><subject>Intensive care medicine</subject><subject>Medical sciences</subject><subject>Skin - injuries</subject><issn>0305-4179</issn><issn>1879-1409</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1992</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kMtKAzEUhoMotV7eQGEWIroYzW2SCYjQFm9QcKPrkGbOtJG51CQj-PZOnVJ3ns1ZnO8__HwInRF8QzARt5jhLOVEqitFrxXGEqfTPTQmuVQp4Vjto_EOOURHIXzgfrIcj9CICE6lEGN0N2kSUy1b7-KqdjYx67VvjV0lsU3iCpLaNGYJNTQxacvEdtE00HYhWXS-CSfooDRVgNPtPkbvjw9vs-d0_vr0MpvMU8tyEdOF4BmWmSwI47mgUOaEFYpaS6XCZZkryoQRzBQyyxRhBKxUC5OBNYblFCg7RpfD377bZwch6toFC1U1lNGSYSUpz3qQD6D1bQgeSr32rjb-WxOsN9L0xojeGNGK6l9petrHzrf_u0UNxV9osNTfL7Z3E6ypSm8a68IO40wywlWP3Q8Y9C6-HHgdrIPGQuE82KiL1v3f4we1uIbP</recordid><startdate>19920601</startdate><enddate>19920601</enddate><creator>Miller, J.G.</creator><creator>Carruthers, H.R.</creator><creator>Burd, D.A.R.</creator><general>Elsevier Ltd</general><general>Elsevier Science</general><scope>IQODW</scope><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>19920601</creationdate><title>An algorithmic approach to the management of cutaneous burns</title><author>Miller, J.G. ; Carruthers, H.R. ; Burd, D.A.R.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c386t-b6450757d134862ef813d92cc2790ff89236a63ad7559131ec79ba5ecaa382e23</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1992</creationdate><topic>Algorithms</topic><topic>Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy</topic><topic>Biological and medical sciences</topic><topic>Burns - physiopathology</topic><topic>Burns - therapy</topic><topic>Fluid Therapy</topic><topic>Hemodynamics</topic><topic>Humans</topic><topic>Infusions, Intravenous</topic><topic>Intensive care medicine</topic><topic>Medical sciences</topic><topic>Skin - injuries</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Miller, J.G.</creatorcontrib><creatorcontrib>Carruthers, H.R.</creatorcontrib><creatorcontrib>Burd, D.A.R.</creatorcontrib><collection>Pascal-Francis</collection><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>Burns</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Miller, J.G.</au><au>Carruthers, H.R.</au><au>Burd, D.A.R.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>An algorithmic approach to the management of cutaneous burns</atitle><jtitle>Burns</jtitle><addtitle>Burns</addtitle><date>1992-06-01</date><risdate>1992</risdate><volume>18</volume><issue>3</issue><spage>200</spage><epage>211</epage><pages>200-211</pages><issn>0305-4179</issn><eissn>1879-1409</eissn><coden>BURND8</coden><abstract>An algorithm of fluid resuscitation for cutaneous burns is presented. The management of these cases entails an initial process of evaluation followed, when appropriate, by the administration of intravenous fluids. The fluid requirements are prospectively calculated and subsequently modified by using closed loop feedback with monitoring of urine output, plasma deficit, osmolality and vital signs. Three 'problem boxes' have been incorporated into the algorithm to outline the management of: 1. fluid deficit and excess; 2. acute renal failure; 3. the critically ill patient. An algorithm such as this can never be complete, but in its present form it provides both a teaching tool for junior staff as well as a valuable clinical aid for those involved in the acute management of burns patients.</abstract><cop>Oxford</cop><pub>Elsevier Ltd</pub><pmid>1642766</pmid><doi>10.1016/0305-4179(92)90070-B</doi><tpages>12</tpages></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0305-4179 |
| ispartof | Burns, 1992-06, Vol.18 (3), p.200-211 |
| issn | 0305-4179 1879-1409 |
| language | eng |
| recordid | cdi_pubmed_primary_1642766 |
| source | MEDLINE; ScienceDirect Journals (5 years ago - present) |
| subjects | Algorithms Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy Biological and medical sciences Burns - physiopathology Burns - therapy Fluid Therapy Hemodynamics Humans Infusions, Intravenous Intensive care medicine Medical sciences Skin - injuries |
| title | An algorithmic approach to the management of cutaneous burns |
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