Nihon Geka Gakkai zasshi
-
Nihon Geka Gakkai zasshi · Jan 1998
Review[Early treatment for body fluid shifts and circulatory derangement in patients with extensive burns].
The initial postburn period is characterized by body fluid shifts and circulatory derangement, or so-called burn shock. The fluid shifts are mainly due to a marked increase in capillary permeability. This loss of capillary integrity is so great that colloid including albumin, readily disperse into the extravascular space. ⋯ Therefore fluid resuscitation should be initiated immediately after injury. Currently a number of methods for achieving adequate volume replacement are available. In this paper we review fluid resuscitation methods for patients with extensive burns and also introduce recent topics on new regimens for resuscitation.