• Critical care clinics · Oct 2016

    Review

    How to Recognize a Failed Burn Resuscitation.

    • Elisha G Brownson, Tam N Pham, and Kevin K Chung.
    • Department of Surgery, Harborview Medical Center, 325 Ninth Avenue, Box 359796, Seattle, WA 98104, USA.
    • Crit Care Clin. 2016 Oct 1; 32 (4): 567-75.

    AbstractFailed burn resuscitation can occur at various points. Early failed resuscitation will be largely caused by prehospital factors. During resuscitation, failure will present as a patient's nonresponse to adjunctive therapy. Late failure will occur in the setting of multiple organ dysfunction syndrome. Burn care providers must be vigilant during the resuscitation to identify a threatened resuscitation so that adjunctive therapies or rescue maneuvers can be used to convert to a successful resuscitation. However, when a patient's resuscitative course becomes unsalvageable, transition to comfort care should be taken to avoid prolongation of suffering.Copyright © 2016 Elsevier Inc. All rights reserved.

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