An objective measure for the assessment and management of fluid shifts in acute major burns

Burns and Trauma
P KenworthyDale W Edgar

Abstract

Major burns are life threatening. Fluid resuscitation is required for survival to maintain intravascular volumes and prevent hypovolemic shock. Bioimpedance spectroscopy (BIS) has been recognised as a potential method of monitoring fluid shifts after burn and in other disease states. The aims of this study were to examine the reliability of BIS across different dressing conditions and electrode positions, establish the influence of Acticoat™ on BIS variable measures and determine the validity of whole-body BIS to assess net fluid shift in the presence of moderate to major burns. An observational longitudinal cohort study was conducted from December 2014 to February 2016. Patients with over 15% total body surface area (TBSA) burns and injury less than 48 h were enrolled in the study. BIS triplicate measures were collected in an open wound and with an ActicoatTM dressing (at 5 half hour intervals). Standard and alternate electrode placements were utilised for the reliability analysis and standard placement only for determining the validity of BIS in moderate to major burns. The ImpediMde SFB7 was used to collect whole-body and segmental BIS measures. Stata statistical software, release 14 was utilised to analyse all results. Desc...Continue Reading

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Citations

Apr 23, 2020·Scandinavian Journal of Caring Sciences·Sumarno A Subrata
Jun 16, 2019·Journal of Clinical Monitoring and Computing·Adi-Ionut CiumanghelAdrian Covic
Mar 13, 2021·Burns and Trauma·David R SchieffelersUlrike Van Daele

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Software Mentioned

excel
MLME
Acticoat
BIS
Stata

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