OUTCOMES OF OPTIMIZED FLUID RESUSCITATION AFTER SEVERE BURN INJURY UTILIZING HEMODYNAMIC MEASUREMENTS BY TRANSPULMONARY THERMO-DILUTION

摘要

Robert Kraft$1David N. Herndon$1Ludwik Branski$1Celeste C. Finnerty$1Marc G. Jeschke; ;One of the crucial factors in the successful treatment of severe burns is appropriate fluid resuscitation during the initial phase following injury. At present, the calculation of fluid resuscitation is based on calculations of body weight, burn size and urinary outputs as accurate assessment systems of hydration status are not available. Optimizing the guidance of fluid administration during the critical initial phase would have beneficial effects on the outcome of burned patients. The aim of this study was to assess the benefit of utilizing transpulmonary thermo-dilution by a Pulse Contour Cardiac Output (PiCCO) system for optimized resuscitation.