Association between fluid creep and infection in burned children: A cohort study

Dittrich, Maria Helena Müller; Hosni, Nicole Dittrich; Carvalho, Werther Brunow de

doi:10.1016/j.burns.2020.02.003

Cited by 6 publications

(2 citation statements)

References 25 publications

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“…Verbrennungsverletzungen sind eine spezielle Art von Trauma, bei dem der Flüssigkeitsverlust mit den Schäden der Haut zusammenhängt. Standardflüssigkeitsregime sind vorbeugender Natur und gehen daher über den Rahmen dieser Leitlinie hinaus [ 292 ]. Wichtig ist, dass ein frühes Kreislaufversagen bei diesen Patienten unabhängig vom Verlust von Verbrennungsflüssigkeit und hinweisend auf eine andere Ursache des Schocks sein könnte.…”

Section: Evidenzen Für Die Leitlinienunclassified

Lebensrettende Maßnahmen bei Kindern (Paediatric Life Support, PLS)

Voorde

Turner

Djakow

et al. 2021

Notfall Rettungsmed

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Die Leitlinien des European Resuscitation Council (ERC) zu den lebensrettenden Maßnahmen bei Kindern (Paediatric Life Support, PLS) basieren auf dem 2020 verfassten „International Consensus on Cardiopulmonary Resuscitation Science with Treatment Recommendations“ der ILCOR (International Liaison Committee on Resuscitation). Dieses Kapitel beinhaltet Leitlinien zur Behandlung kritisch kranker oder verletzter Säuglinge, von Kindern und Jugendlichen vor, während und nach einem Atem-Kreislauf-Stillstand.

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Section: Evidenzen Für Die Leitlinienunclassified

Lebensrettende Maßnahmen bei Kindern (Paediatric Life Support, PLS)

Voorde

Turner

Djakow

et al. 2021

Notfall Rettungsmed

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“…54 A study in severely burned children has shown the association between fluid creep and infection. 55 In the future, studies will focus to reduce the hypermetabolic reaction secondary to severe burns that will be responsible for fluid creep. Among the therapies used, we can cite pharmacologic agents, early enteral nutrition, and the early excision of large injuries.…”

Section: What Is Knownmentioning

confidence: 99%

Continuous renal replacement therapy under special conditions like sepsis, burn, cardiac failure, neurotrauma, and liver failure

Davenport

Honoré

2021

Seminars in Dialysis

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Continuous renal replacement therapy (CRRT) in sepsis does have a role in removing excessive fluid, and also role in removal of mediators although not proven today, and to allow fluid space in order to feed. In these conditions, continuous renal replacement therapy can improve morbidity but never mortality so far. Regarding sepsis, timing has become a more important issue after decades and is currently more discussed than dosing. Rationale of blood purification has evolved a lot in the last years regarding sepsis with the discovery of many types of sorbent allowing ideas from science fiction to become reality in 2021. Undoubtedly, COVID-19 has reactivated the interest of blood purification in sepsis but also in COVID-19. Burn is even more dependent about removal of excessive fluid as compared to sepsis. Regarding cardiac failure, ultrafiltration can improve the quality of life and morbidity when diuretics are becoming inefficient but can never improve mortality. Regarding brain injury, CRRTs have several advantages as compared to intermittent hemodialysis. In liver failure, there have been no randomized controlled trials to examine whether single-pass albumin dialysis offers advantages over standard supportive care, and there is always the cost of albumin.

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