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Therapy of Renal Diseases and Related Disorders pp 277–283Cite as

Fluid and Electrolyte Disorders in the Thermally Injured

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Abstract

Thermal burns present challenging problems of fluid and electrolyte management. Initially, large volumes of isotonic solutions are required to treat and/or prevent burn shock. Postresuscitation management of intravascular and extravascular fluid volumes, increased water requirements, and the management of minor ions (calcium, magnesium, potassium, phosphates, etc.) require a workable understanding of the basic pathophysiology of the burn injury, the complex interaction with treatment regimens, and the differences interposed by age and concomitant disease. Approximately one third of all burn injuries (or one million patients per year) require knowledge of one or more facets of the fluid and electrolyte physiology.

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References

  1. Adams R, Baxter CR, Parker J: Contractile function of heart muscle from burned guinea pigs. Circ Shock 9:63–73, 1982.

    PubMed  CAS  Google Scholar 

  2. Adams HR, Baxter CR, Izenberg SD: Decreased contractility and compliance of the left ventricle as complications of thermal injury. Am Heart J 108(6):1477–1487, 1984.

    Article  PubMed  CAS  Google Scholar 

  3. Alexander F, Mathi M, Teoh KHT, Huval WV, Lelcuk S, Valeri CR, Shepro D, Hechtman HB: Arachidonic acid metabolites mediate early burn edema. J Trauma 24(8):709–712, 1984.

    Article  PubMed  CAS  Google Scholar 

  4. Baxter CR, Shires GT: Physiological response to crystalloid resuscitation of severe burns. Ann NY Acad Sci 150(3):874, 1968.

    Article  PubMed  CAS  Google Scholar 

  5. Baxter CR: Fluid volume and electrolyte changes of the early postburn period. Clin Plastic Surg 1(4):693–709, 1974.

    CAS  Google Scholar 

  6. Baxter CR: Present concepts in the management of major electrical injury. Surg Clin North Am 50:1041, 1970.

    Google Scholar 

  7. Carvajal HF, Linares HA: Effect of burn depth upon oedema formation and albumin extravasation in rats. Burns 7:79–83, 1979.

    Article  Google Scholar 

  8. Cook WA, Baxter CR, Ferrell JM Jr: Pulmonary circulation after dermal burns. Vascular Surg 2(1): 1968.

    Google Scholar 

  9. Crenshaw CA, Baxter CR, Frenkel EP, Shires GT: Blood viscosity changes in acute burns. Surg Forum: -, 1966.

    Google Scholar 

  10. Curreri PW, Hicks JE, Illner H, Shires GT, Baxter CR: Inhibition of active sodium transport in erythrocytes from burned patients: Effect of dietary intake. Surgical Forum 24:46, 1973.

    PubMed  CAS  Google Scholar 

  11. Dobke M, Roberts C, Pearson G, Germany B, Heck E, Baxter CR: A quantitative measurement of complement (C3) activation in severely burned patients. J Burn Care Rehab 5(2):152–7, 1984.

    Article  Google Scholar 

  12. Dobke MK, Hayes EC, Baxter CR: Leukotrienes LTB4 in thermally injured patients’ plasma and burn blister fluid. J Burn Care Rehab 8(3):189–191, 1985.

    Article  Google Scholar 

  13. Goodwin CW, Long JW, Mason AD Jr, Pruitt BA Jr.: Paradoxical effect of hyperoncotic albumin in acutely burned children. J Trauma 21(1):63–65, 1981.

    Article  PubMed  CAS  Google Scholar 

  14. Harris R, Frenkel R, Cottam G, Baxter CR: Lipid mobilization and metabolism after thermal trauma. J Trauma 22(3):194–198, 1982.

    Article  PubMed  CAS  Google Scholar 

  15. Harris RL, Cottam GL, Baxter CR: The pathogenesis of abnormal erythrocyte morphology in burns. J Trauma 21:13–21, 1981.

    Article  PubMed  CAS  Google Scholar 

  16. Hilton JG: Effects of alterations of polyunsaturated fatty acid metabolism upon plasma volume loss induced by thermal injury. J Trauma 20(8):663–668, 1980.

    Article  PubMed  CAS  Google Scholar 

  17. Horton JW, Baxter CR, White DJ: The effects of aging on the cardiac contractile response to unresuscitated thermal injury. J Burn Care Rehab 9(1):41–51, 1988.

    Article  CAS  Google Scholar 

  18. Kefalides NA, Arana JA, Bazan A, Velarde N, Rosenthal SM: Evaluation of antibiotic prophylaxis and gammaglobulin, plasma albumin and saline solution therapy in severe burns. Ann Surgery 159(4):496–506, 1964.

    CAS  Google Scholar 

  19. Loebl EC, Marvin JA, Curreri PW, Baxter CR: Erythrocyte survival following thermal injury. J Surg Res 16(2):20, 1974.

    Article  Google Scholar 

  20. Loebl EC, Baxter CR, Curreri PW: The mechanism of erythrocyte destruction in the early postburn period. Ann Surgery 178(6):681, 1973.

    Article  CAS  Google Scholar 

  21. Monafo WW: The treatment of burn shock by the intravenous and oral administration of hypertonic lactated saline solution. J Trauma 10(7):575–586, 1970.

    Article  PubMed  CAS  Google Scholar 

  22. Morgan RJ, Martyn JAJ, Philbin DM, Coggins CH, Burke JF: Water metabolism and antidiuretic hormone (ADH) response following thermal injury. J Trauma 20(6):468–472, 1980.

    Article  PubMed  CAS  Google Scholar 

  23. Moylan JA Jr, Reckler JM, Mason AD: Resuscitation with hypertonic lactate saline in thermal injury. Am J Surg 125:580–584, 1973.

    Article  PubMed  CAS  Google Scholar 

  24. Parker CR Jr, Baxter CR: Divergence in adrenal steroid secretory pattern after thermal injury in adult humans. J Trauma 5(6):508–510, 1985.

    Article  Google Scholar 

  25. Pruitt BA Jr, Mason AD Jr, Moncrief JA: Hemodynamic changes in the early postburn patient: The influence of fluid administration and of a vasodilator (hydralazine). J Trauma 11(1):36–46, 1971.

    Article  PubMed  Google Scholar 

  26. Sasaki J, Cottam G, Baxter CR: Lipid peroxidation following thermal injury. J Burn Care Rehab 4(4):251–254, 1983.

    Article  Google Scholar 

  27. Scheulen JJ, Munster AM: The Parkland formula in patients with burns and inhalation injury. J Trauma 22(10):869–871, 1982.

    Article  PubMed  CAS  Google Scholar 

  28. Schildt B, Bouveng R, Sollenberg M: Plasma substitute induced impairment of the reticuloendothelial system function. Acta Chir Scand 141:7–13, 1975.

    PubMed  CAS  Google Scholar 

  29. Sharar SR, Heimbach DM, Green M, Winn RK, Hildebrandt J: Effects of body surface thermal injury on apparent renal and cutaneous blood flow in goats. J Burn Care Rehab 9(1):26–30, 1988.

    Article  CAS  Google Scholar 

  30. Turner WW Jr, Ireton CS, Hunt JL, Baxter CR: Predicting energy expenditures in burned patients. J Trauma 25:11–16, 1985.

    Article  PubMed  Google Scholar 

  31. Watson JS, Walker CC, Sanders R: A comparison between dried plasma and plasma protein fraction in the resuscitation of burn patients. Burns 3:108–111.

    Google Scholar 

  32. Whitener DR, Miller L, Robertson KJ, Baxter CR, Pierce AK: The pulmonary effects of crystalloid fluid replacement in thermal injury. J Thoracic Surg, 1980.

    Google Scholar 

  33. Whitener D, Whitener L, Robertson K, Baxter CR, Pierce AK: Pulmonary function measurements in patients with thermal injury and smoke inhalation. Am Rev Respiratory Dis 122:731–739, 1980.

    PubMed  CAS  Google Scholar 

  34. Wilterdink MD, Curreri PW, Baxter CR: Characterization of elevated fibrin split products following thermal injury. Ann Surgery 181(2): 157, 1975.

    Article  Google Scholar 

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Authors
  1. Charles Baxter
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Editor information

Editors and Affiliations

  1. Baylor College of Medicine, The Methodist Hospital, Houston, Texas, USA

    Wadi N. Suki

  2. Division of Nephrology, University of Southern California, Los Angeles, California, USA

    Shaul G. Massry

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© 1991 Kluwer Academic Publishers

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Baxter, C. (1991). Fluid and Electrolyte Disorders in the Thermally Injured. In: Suki, W.N., Massry, S.G. (eds) Therapy of Renal Diseases and Related Disorders. Springer, Boston, MA. https://doi.org/10.1007/978-1-4613-0689-4_17

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  • DOI: https://doi.org/10.1007/978-1-4613-0689-4_17

  • Publisher Name: Springer, Boston, MA

  • Print ISBN: 978-1-4612-8027-9

  • Online ISBN: 978-1-4613-0689-4

  • eBook Packages: Springer Book Archive

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