Education  |   September 2018
Early Hemodynamic Management of Critically Ill Burn Patients
Author Notes
  • From the Assistance Publique-Hôpitaux de Paris, Groupe Hôspitalier, Saint Louis-Lariboisière, Department of Anesthesiology and Critical Care and Burn Unit, Paris, France (S.S., F.D., M.B., M.L.); University Paris Diderot, Paris, France (F.D., M.L.); and Unité Mixte de Recherche, Institut National de la Santé et de la Recherche Médicale 942, Paris, France (F.D., M.L.).
  • This article is featured in “This Month in Anesthesiology,” page 1A.
    This article is featured in “This Month in Anesthesiology,” page 1A.×
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    Supplemental Digital Content is available for this article. Direct URL citations appear in the printed text and are available in both the HTML and PDF versions of this article. Links to the digital files are provided in the HTML text of this article on the Journal’s Web site (www.anesthesiology.org).×
  • Submitted for publication December 1, 2017. Accepted for publication May 7, 2018.
    Submitted for publication December 1, 2017. Accepted for publication May 7, 2018.×
  • Address correspondence to Dr. Legrand: Department of Anesthesiology and Critical Care and Burn Unit, Saint Louis Hospital, Assistance Publique-Hopitaux de Paris, Paris, France. matthieu.legrand@aphp.fr. Information on purchasing reprints may be found at www.anesthesiology.org or on the masthead page at the beginning of this issue. Anesthesiology’s articles are made freely accessible to all readers, for personal use only, 6 months from the cover date of the issue.
Article Information
Education / Cardiovascular Anesthesia / Critical Care / Trauma / Burn Care / Clinical Focus Review
Education   |   September 2018
Early Hemodynamic Management of Critically Ill Burn Patients
Anesthesiology 9 2018, Vol.129, 583-589. doi:10.1097/ALN.0000000000002314
Anesthesiology 9 2018, Vol.129, 583-589. doi:10.1097/ALN.0000000000002314
Burn injury is associated with early profound hypovolemia followed by a systemic inflammatory response with a subsequent hyperdynamic state.1  Hemodynamic management has long been identified as a key factor impacting burn patients’ prognosis.2  Because both under- and over-resuscitation may potentially negatively impact outcome, anesthesiologists and intensivists caring for burn patients will have to face the challenge of fluid balance in these patients.3,4  The aim of this review is to provide an overview of the hemodynamic consequences of burn injury and to propose strategies for the initial hemodynamic management of severe burn patients using the available evidence-based medicine combined with a physiologic approach.
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