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Zhonghua Zheng Xing Shao Shang Wai Ke Za Zhi · Mar 1999
[Hemodynamic monitoring in 52 serious burn patients in ten years].
- L He, Z Guo, and J Chai.
- Burn Institute, 304th Hospital of People's Liberation Army, Beijing 100037.
- Zhonghua Zheng Xing Shao Shang Wai Ke Za Zhi. 1999 Mar 1; 15 (2): 117-9.
ObjectiveTo determine the benefit of hemodynamic monitoring for resuscitation of burn shock.MethodsA group of 52 burned patients with mean burn area of (69.9 +/- 20.1)% TBSA burn injury (range 31%-100%), and mean III burn area of (60.4 +/- 13.6)% TBSA were included in this study. Swan-Ganz catheters were inserted to monitor hemodynamics including RAP, PAP, PAWP, HR, CO, CI, and SI, etc. after admission at 8, 16, 24, 36, 48, 72, and 96 hours postburn.ResultsIt was reasonably safe to perform invasive monitoring during early resuscitation. With the guide of hemodynamic monitoring, evidence of global hypovolemia disappeared at 24 hours after burn injury with appropriate resuscitation therapy.ConclusionInvasive hemodynamic monitoring may be necessary to optimize resuscitation of serious burn patients with reasonable safety.
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