Resuscitation fluid volume and abdominal compartment syndrome in patients with major burns

被引：90

作者：

Oda, J ^{[1
]}

Yamashita, K ^{[1
]}

Inoue, T ^{[1
]}

Harunari, N ^{[1
]}

Ode, Y ^{[1
]}

Mega, K ^{[1
]}

Aoki, Y ^{[1
]}

Noborio, M ^{[1
]}

Ueyama, M ^{[1
]}

机构：

[1] Social Insurance Chukyo Hosp, Dept Trauma & Crit Care Med, Minami Ku, Nagoya, Aichi 4578510, Japan

来源：

BURNS | 2006年 / 32卷 / 02期

关键词：

secondary abdominal compartment syndrome; burns; intra abdominal pressure; resuscitation fluid volume; peak inspiratory pressure;

D O I：

10.1016/j.burns.2005.08.011

中图分类号：

R4 [临床医学];

学科分类号：

1002 ; 100602 ;

摘要：

Abdominal compartment syndrome (ACS) is rarely reported as a complication of severe burn. This study clarified the risk of burned patients with and without ACS, especially regarding the resuscitation fluid volume. Extensively burned patients admitted to our burn unit from January 2003, through to June 2004, were examined. Vital signs, blood gas analysis, bladder pressure to estimate intra-abdominal pressure (IAP), peak inspiratory pressure (PIP), resuscitation fluid volume, and Urine Output (UO) were analyzed. Intra-abdominal hypertension (IAH) was defined as an IAP of more than 30 cm of H2O. Eight of 48 patients Suffering from a more than 30% total burn surface area developed ACS in 18.3 +/- 4.9 h. In these patients, IAP (49 +/- 12 cm H2O), PIP (50 +/- 16 cm H2O), heart rate (115 +/- 8/min), and PaCO2 (54.6 +/- 10.1 mmHg) were higher than normal, and their resuscitation volume was 0.40 +/- 0.11 L/kg. Also, a significant correlation between the IBP, PIP and resuscitation volume was observed. Most patients with severe burns required more than 300 mL/kg of resuscitation fluid for the first 24 h after injury that led to ACS and had higher HR, IBP, PIP and PaCO2 despite arterial pressure showing no significant difference. (c) 2005 Elsevier Ltd and ISBI. All rights reserved.

引用

页码：151 / 154

页数：4

共 19 条

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