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[Hemodynamic monitoring in 52 serious burn patients in ten years]
Objective:
To determine the benefit of hemodynamic monitoring for resuscitation of burn shock.
Methods:
A group of 52 burned patients with mean burn area of (69.9 +/- 20.1)% TBSA burn injury (range 31%-100%), and mean III burn area of (60.4 +/- 13.6)% TBSA were included in this study. Swan-Ganz catheters were inserted to monitor hemodynamics including RAP, PAP, PAWP, HR, CO, CI, and SI, etc. after admission at 8, 16, 24, 36, 48, 72, and 96 hours postburn.
Results:
It was reasonably safe to perform invasive monitoring during early resuscitation. With the guide of hemodynamic monitoring, evidence of global hypovolemia disappeared at 24 hours after burn injury with appropriate resuscitation therapy.
Conclusion:
Invasive hemodynamic monitoring may be necessary to optimize resuscitation of serious burn patients with reasonable safety.