دورية أكاديمية

American Burn Association Clinical Practice Guidelines on Burn Shock Resuscitation.

التفاصيل البيبلوغرافية
العنوان: American Burn Association Clinical Practice Guidelines on Burn Shock Resuscitation.
المؤلفون: Cartotto R; Department of Surgery, Ross Tilley Burn Centre, Sunnybrook Heath Sciences Centre, University of Toronto, Canada., Johnson LS; Department of Surgery, Walter L. Ingram Burn Center, Grady Memorial Hospital, Emory University, Atlanta, GAUSA., Savetamal A; Department of Surgery, Connecticut Burn Center, Bridgeport Hospital, Bridgeport, CT, USA., Greenhalgh D; Shriners Hospital for Children, Northern California, Sacramento, CA, USA., Kubasiak JC; Department of Surgery, Loyola University Medical Center, Maywood, IL, USA., Pham TN; Department of Surgery, University of Washington Regional Burn Center, Harborview Medical Center, Seattle, WA, USA., Rizzo JA; Department of Trauma, Brooke Army Medical Center, Fort Sam Houston, San Antonio, TX, USA.; Uniformed Services University of Health Sciences, Bethesda, MD, USA., Sen S; Department of Surgery, Division of Burn Surgery, University of California, Davis, CA, USA., Main E; Sunnybrook Health Sciences Centre, Toronto, Canada.
المصدر: Journal of burn care & research : official publication of the American Burn Association [J Burn Care Res] 2024 May 06; Vol. 45 (3), pp. 565-589.
نوع المنشور: Journal Article; Practice Guideline
اللغة: English
بيانات الدورية: Publisher: Oxford University Press Country of Publication: England NLM ID: 101262774 Publication Model: Print Cited Medium: Internet ISSN: 1559-0488 (Electronic) Linking ISSN: 1559047X NLM ISO Abbreviation: J Burn Care Res Subsets: MEDLINE
أسماء مطبوعة: Publication: 2018- : Oxford : Oxford University Press
Original Publication: Hagerstown, MD : Lippincott Williams & Wilkins, c2006-
مواضيع طبية MeSH: Burns*/therapy , Burns*/complications , Fluid Therapy*/methods , Resuscitation*/methods, Humans ; United States ; Shock/therapy ; Shock/etiology ; Societies, Medical
مستخلص: This Clinical Practice Guideline (CPG) addresses the topic of acute fluid resuscitation during the first 48 hours following a burn injury for adults with burns ≥20% of the total body surface area (%TBSA). The listed authors formed an investigation panel and developed clinically relevant PICO (Population, Intervention, Comparator, Outcome) questions. A systematic literature search returned 5978 titles related to this topic and after 3 levels of screening, 24 studies met criteria to address the PICO questions and were critically reviewed. We recommend that clinicians consider the use of human albumin solution, especially in patients with larger burns, to lower resuscitation volumes and improve urine output. We recommend initiating resuscitation based on providing 2 mL/kg/% TBSA burn in order to reduce resuscitation fluid volumes. We recommend selective monitoring of intra-abdominal and intraocular pressure during burn shock resuscitation. We make a weak recommendation for clinicians to consider the use of computer decision support software to guide fluid titration and lower resuscitation fluid volumes. We do not recommend the use of transpulmonary thermodilution-derived variables to guide burn shock resuscitation. We are unable to make any recommendations on the use of high-dose vitamin C (ascorbic acid), fresh frozen plasma (FFP), early continuous renal replacement therapy, or vasopressors as adjuncts during acute burn shock resuscitation. Mortality is an important outcome in burn shock resuscitation, but it was not formally included as a PICO outcome because the available scientific literature is missing studies of sufficient population size and quality to allow us to confidently make recommendations related to the outcome of survival at this time.
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فهرسة مساهمة: Keywords: burns; fluid resuscitation; shock
تواريخ الأحداث: Date Created: 20231205 Date Completed: 20240506 Latest Revision: 20240628
رمز التحديث: 20240629
DOI: 10.1093/jbcr/irad125
PMID: 38051821
قاعدة البيانات: MEDLINE
الوصف
تدمد:1559-0488
DOI:10.1093/jbcr/irad125