Advanced fluid management strategies in burn patients undergoing general surgery: a comprehensive review

Laura Yoana Cervantes Ramírez; Ángel Alfredo Guzmán Chavira; Bryan Ivan Chavez Avelar; Fernanda Guadalupe Nuñez De Lucas; Ana Gricel Perales Tamayo; Yeremi Saúl Miranda Uribe

doi:10.18203/2349-2902.isj20242148

Authors

Laura Yoana Cervantes Ramírez Hospital General de Zona 3 del Instituto Mexicano del Seguro Social, Jesus Maria, Aguascalientes, Mexico https://orcid.org/0000-0001-9135-8435
Ángel Alfredo Guzmán Chavira Hospital General de Zona 3 del Instituto Mexicano del Seguro Social, Jesus Maria, Aguascalientes, Mexico
Bryan Ivan Chavez Avelar Hospital General de Zona 3 del Instituto Mexicano del Seguro Social, Jesus Maria, Aguascalientes, Mexico
Fernanda Guadalupe Nuñez De Lucas Benemerita Universidad Autonoma de Aguascalientes, Aguascalientes, México
Ana Gricel Perales Tamayo Universidad Cuauhtemoc. Aguascalientes, Mexico
Yeremi Saúl Miranda Uribe Universidad autonoma de Guadalajara, Jalisco, Mexico

DOI:

https://doi.org/10.18203/2349-2902.isj20242148

Keywords:

Fluid, Management, Therapy

Abstract

Fluid management in burn patients undergoing general surgery poses unique challenges due to the complex pathophysiological changes associated with burn injuries. Effective resuscitation and perioperative fluid therapy are critical in optimizing outcomes and minimizing complications in this vulnerable patient population. This review explores the latest evidence-based approaches to fluid management in burn patients, emphasizing the importance of individualized strategies that consider burn size, depth, patient age, comorbidities, and surgical factors. We examine the role of advanced hemodynamic monitoring, crystalloid versus colloid solutions, and the integration of goal-directed therapy protocols. Additionally, we discuss the implications of burn-related complications such as systemic inflammatory response syndrome (SIRS), sepsis, and multi-organ dysfunction on fluid management strategies. By synthesizing current research and clinical guidelines, this review aims to provide a comprehensive framework for clinicians to enhance perioperative care in burn patients undergoing general surgery.

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