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[Lay emphasis on circulatory state research after fluid resuscitation in early burns]
1Department of Burns and Plastic Surgery, Ruijin Hospital, School of Medicine, Shanghai Jiao Tong University, Shanghai 200025, China.
Abstract:
In this article, we discuss future development of circulatory state research after fluid resuscitation in early burns from its history and difficulties confronted. We believe that the Chinese fluid resuscitation formula to predict initial volume of fluid infusion of extensive burn patients is still useful and effective, while we should attach more importance to advances in the research of burn pathophysiology, basic theory and clinical practices of Chinese fluid resuscitation formula, so as to provide strategy of fluid resuscitation in early burns for international burn world. We should know clearly circulatory state of patients from circulatory driving force, microcirculation, and cell oxygenation. Besides, multidisciplinary cooperation should be strengthened, such as promoting communication and technological convergence between burn discipline and critical care discipline, to make preparation for future of intelligent and individualized fluid resuscitation.
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