Hemodynamic Protective Assessment of BurnNavi-Guided Fluid Management in Burned Patients: Pilot Study
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MELNYCHENKO, Mykola, DMYTRIIEV, Dmytro, NAZARCHUK, Oleksandr, SIDORENKO, Ludmila, CHORNOPYSHCHUK, Roman, NAGAICHUK, Vasyl, SIDORENKO, Svetlana. Hemodynamic Protective Assessment of BurnNavi-Guided Fluid Management in Burned Patients: Pilot Study. In: IFMBE Proceedings: . 6th International Conference on Nanotechnologies and Biomedical Engineering , Ed. 6, 20-23 septembrie 2023, Chişinău. Chişinău: Springer Science and Business Media Deutschland GmbH, 2023, Ediția 6, Vol.92, pp. 421-430. ISBN 978-303142781-7. ISSN 16800737. DOI: https://doi.org/10.1007/978-3-031-42782-4_45
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IFMBE Proceedings
Ediția 6, Vol.92, 2023
Conferința "6th International Conference on Nanotechnologies and Biomedical Engineering"
6, Chişinău, Moldova, 20-23 septembrie 2023

Hemodynamic Protective Assessment of BurnNavi-Guided Fluid Management in Burned Patients: Pilot Study

DOI:https://doi.org/10.1007/978-3-031-42782-4_45

Pag. 421-430

Melnychenko Mykola1, Dmytriiev Dmytro1, Nazarchuk Oleksandr1, Sidorenko Ludmila2, Chornopyshchuk Roman1, Nagaichuk Vasyl1, Sidorenko Svetlana3
 
1 National Pirogov Memorial Medical University, Vinnytsya,
2 ”Nicolae Testemițanu” State University of Medicine and Pharmacy,
3 Rehazentrum Valens
 
 
Disponibil în IBN: 30 octombrie 2023


Rezumat

Burn injuries remain a leading cause of mortality and morbidity worldwide. Many formulas have been described for burn resuscitation using various combinations, but there is still no consensus on the most effective method. The aim of our study was to evaluate the effectiveness of Burn Navigator (BN) as an effective clinical tool for fluid management under non-invasive assessment of cardiac output (CO). The study included 34 patients who were hospitalized at Vinnytsia Burn Care Center. The patients were divided into 2 groups: a group with 16 cases (14 males and 2 females, aged (44.6 ± 12.4) years) who had followed the BN (FBN) and a routine monitoring group with 18 cases (15 males and 3 females, aged (41.8 ± 14.8) years) who had not followed the BN (NFBN). The hemodynamic effects of different fluid management strategies were assessed by continuous measurement of non-invasive cardiac output (esCCO). The results of our study showed a significant difference in fluid volumes infused between the two groups in favor of the FBN group (155.87 ± 82.7 vs 135.46 ± 54.9). After admission, the indicators of CO decreased in both groups and were 3.7 ± 0.8 L/min in the FBN group and 3,9 ± 0.6 L/min in the NFBN group. The overall dynamics of CO increasing were better in the FBN group. According to the results of our study, the volume of fluid administered in the first 24 h should be slightly higher than the Parkland formula. BN is a system designed to assist physicians in the use of fluid resuscitation for burns. 

Cuvinte-cheie
Burn Navigator, burns, EsCCO, Fluid therapy, hemodynamics