Resuscitation in major burns: The problem of fluid creep
| dc.contributor.author | Rogers, A D | |
| dc.contributor.author | Karpelowsky, J S | |
| dc.contributor.author | Argent, A | |
| dc.contributor.author | Millar, A J | |
| dc.contributor.author | Rode, H | |
| dc.date.accessioned | 2017-03-22T08:42:40Z | |
| dc.date.available | 2017-03-22T08:42:40Z | |
| dc.date.issued | 2009 | |
| dc.date.updated | 2016-01-07T10:25:03Z | |
| dc.description.abstract | We have noticed an alarming tendency for burn patients to be over-resuscitated, and we believe that protocols should be reviewed in light of our own and international experience. We recently managed an 8-year-old boy with 52% fullthickness burns, who developed abdominal and limb compartment syndromes during the period of resuscitation. The fluid volumes infused above those calculated were 1.6 and 4.7 litres on days 1 and 2 respectively to maintain haemodynamic stability and urine output above 2 ml/kg/h. Within 48 hours of the injury, he developed poor peripheral perfusion and a distended abdomen; the intravesical pressure was 32 mmHg and the abdominal perfusion pressure 23 mmHg. Abdominal decompression and three limb fasciotomies were performed, but small-bowel and lower limb muscle necrosis had developed. The patient deteriorated rapidly despite inotropic support and died. | |
| dc.identifier | http://dx.doi.org/10.7196/SAMJ.3011 | |
| dc.identifier.apacitation | Rogers, A. D., Karpelowsky, J. S., Argent, A., Millar, A. J., & Rode, H. (2009). Resuscitation in major burns: The problem of fluid creep. <i>South African Medical Journal</i>, http://hdl.handle.net/11427/24068 | en_ZA |
| dc.identifier.chicagocitation | Rogers, A D, J S Karpelowsky, A Argent, A J Millar, and H Rode "Resuscitation in major burns: The problem of fluid creep." <i>South African Medical Journal</i> (2009) http://hdl.handle.net/11427/24068 | en_ZA |
| dc.identifier.citation | Rogers, A., Karpelowsky, J., Argent, A., Millar, A., & Rode, H. (2009). Resuscitation in major burns: The problem of fluid creep. South African Medical Journal, 99(7), 512. | |
| dc.identifier.ris | TY - Journal Article AU - Rogers, A D AU - Karpelowsky, J S AU - Argent, A AU - Millar, A J AU - Rode, H AB - We have noticed an alarming tendency for burn patients to be over-resuscitated, and we believe that protocols should be reviewed in light of our own and international experience. We recently managed an 8-year-old boy with 52% fullthickness burns, who developed abdominal and limb compartment syndromes during the period of resuscitation. The fluid volumes infused above those calculated were 1.6 and 4.7 litres on days 1 and 2 respectively to maintain haemodynamic stability and urine output above 2 ml/kg/h. Within 48 hours of the injury, he developed poor peripheral perfusion and a distended abdomen; the intravesical pressure was 32 mmHg and the abdominal perfusion pressure 23 mmHg. Abdominal decompression and three limb fasciotomies were performed, but small-bowel and lower limb muscle necrosis had developed. The patient deteriorated rapidly despite inotropic support and died. DA - 2009 DB - OpenUCT DP - University of Cape Town J1 - South African Medical Journal LK - https://open.uct.ac.za PB - University of Cape Town PY - 2009 T1 - Resuscitation in major burns: The problem of fluid creep TI - Resuscitation in major burns: The problem of fluid creep UR - http://hdl.handle.net/11427/24068 ER - | en_ZA |
| dc.identifier.uri | http://hdl.handle.net/11427/24068 | |
| dc.identifier.vancouvercitation | Rogers AD, Karpelowsky JS, Argent A, Millar AJ, Rode H. Resuscitation in major burns: The problem of fluid creep. South African Medical Journal. 2009; http://hdl.handle.net/11427/24068. | en_ZA |
| dc.language.iso | eng | |
| dc.publisher.department | Department of Paediatrics and Child Health | en_ZA |
| dc.publisher.faculty | Faculty of Health Sciences | en_ZA |
| dc.publisher.institution | University of Cape Town | |
| dc.source | South African Medical Journal | |
| dc.source.uri | http://www.samj.org.za/index.php/samj | |
| dc.title | Resuscitation in major burns: The problem of fluid creep | |
| dc.type | Journal Article | en_ZA |
| uct.type.filetype | Text | |
| uct.type.filetype | Image | |
| uct.type.publication | Research | en_ZA |
| uct.type.resource | Article | en_ZA |