| Item type |
デフォルトアイテムタイプ_（フル）(1) |
| 公開日 |
2023-03-18 |
| タイトル |
|
|
タイトル |
The Volume Limit in Fluid Resuscitation to Prevent Respiratory Failure in Massively Burned Children without Inhalation Injury |
|
言語 |
en |
| 作成者 |
Okabayashi, Kiyoshi
Ohtani, Minako
Yamanoue, Takao
Sera, Akihiko
Wada, Seishi
Inoue, Takeshi
Iwasaki, Yasumasa
|
| アクセス権 |
|
|
アクセス権 |
open access |
|
アクセス権URI |
http://purl.org/coar/access_right/c_abf2 |
| 主題 |
|
|
主題Scheme |
Other |
|
主題 |
Pediatric thermal injury |
| 主題 |
|
|
主題Scheme |
Other |
|
主題 |
Respiratory failure |
| 主題 |
|
|
主題Scheme |
Other |
|
主題 |
Fluid resuscitation |
| 主題 |
|
|
主題Scheme |
NDC |
|
主題 |
490 |
| 内容記述 |
|
|
内容記述 |
We evaluated the accurate fluid requirement to prevent respiratory failure during the postresuscitation period in the resuscitation of massively burned children without inhalation injury. Forty-nine children were treated by similar fluid resuscitation and physiologic support protocols. Using a retrospective chart review, the children were divided into three groups as follows: Group N (no lung injury, n = 33, 41.4 ± 18. 7%TBSA burned), Group M (mild-to-moderate lung injury, n = 11, 73.7 ± 17.1%TBSA burned) and Group S (severe lung injury, n = 5, 67.2 ± 16.6%TBSA burned). Information about fluid resuscitation during the first 24 hr post-injury was collected and compared among the three groups. There was no significant difference in the hourly urine output and the resuscitation volume estimated by body weight and burn size among the groups. The volumes estimated by ml/kg/%TBSA burned were 7.0 ml/kg/%TBSA burned, 8.0 ml/kg/%TBSA burned, and 9.4 ml/kg/%TBSA burned in Groups N, M, and S, respectively. According to the fluid volume estimated by the burn index CBI; 1/2 of% second-degree burns plus % third-degree burns), the volumes were 13.8 ± 4.0ml/kg/BI, 14.4 ± 4.4ml/kg/BI, 18.8 ± 3.7ml/kg/BI in Groups N, M, and S, respectively (Group N < Group S, p < 0.05). There was a significant positive correlation between the maximum respiratory index (AaDOiPaO2) during the first week and the initial total volume administered (ml/kg/BI). These findings indicated that the fluid requirements to prevent postresuscitation respiratory failure in massively burned children might be estimated according to the depth of burned area in addition to body weight and burn size. |
|
言語 |
en |
| 出版者 |
|
|
出版者 |
Hiroshima University Medical Press |
| 言語 |
|
|
言語 |
eng |
| 資源タイプ |
|
|
資源タイプ識別子 |
http://purl.org/coar/resource_type/c_6501 |
|
資源タイプ |
departmental bulletin paper |
| 出版タイプ |
|
|
出版タイプ |
VoR |
|
出版タイプResource |
http://purl.org/coar/version/c_970fb48d4fbd8a85 |
| 収録物識別子 |
|
|
収録物識別子タイプ |
ISSN |
|
収録物識別子 |
0018-2052 |
| 収録物識別子 |
|
|
収録物識別子タイプ |
NCID |
|
収録物識別子 |
AA00664312 |
| 開始ページ |
|
|
開始ページ |
41 |
| 書誌情報 |
Hiroshima Journal of Medical Sciences
Hiroshima Journal of Medical Sciences
巻 50,
号 2,
p. 41-45,
発行日 2001-06
|
| 旧ID |
37684 |
HiroshimaJMedSci_50_41.pdf (557.0 KB)
