This Article  • References  • Full text PDF  • Send to a friend  • Save in My Folder  • Save to citation manager  • Permissions  Citing Articles  • Citing articles on Web of Science (2)  • Contact me when this article is cited  Related Content  • Similar articles in this journal  Social Bookmarking   What's this?

Evaluation of Initial Intravenous Fluid Resuscitation

H. Harlan Stone, MD; Donald W. Rhame, MD; Wiley S. Black, MD; J. D. Martin, Jr., MD

AMA Arch Surg. 1969;99(4):464-466.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

The various burn formulas for fluid therapy in the immediate postburn period have proven to be useful only in planning a program of intravenous resuscitation and in estimating the amount of local resources to be mobilized.^1-3 It is the individual patient's response that determines the adequacy of any intravenous therapy.^1,3 This response is usually measured in terms of hourly urine output, urinary specific gravity or osmolarity, hematocrits as an indication of relative plasma volume, central venous pressures, the patient's vital signs, or, more often, some combination of these. Accordingly, unless a balanced salt solution has been chosen as the sole fluid for intravenous resuscitation, it is almost always necessary to alter at frequent intervals the type of solution being administered.⁴

There has been a certain degree of dissatisfaction with electrolyte solutions alone, particularly for the more massively burned patient and all children.^1,3 The addition of colloid . . . [Full Text PDF of this Article]

Author Affiliations
Atlanta

From the Joseph B. Whitehead Department of Surgery, Emory University School of Medicine, Atlanta.

Footnotes
Submitted for publication Feb 24, 1969.

Reprint requests to Department of Surgery, Emory University, 69 Butler St SE, Atlanta 30303 (Dr. Stone).

CiteULike    Connotea    Del.icio.us    Digg    Reddit    Technorati    Twitter     What's this?