Treatment of the burn shock on a specialized stage

Keywords: the burn shock; infusion therapy; rheosorbilact

Abstract

Objective. To improve a protocol of the infusion therapy of the burn shock, using rheosorbilact.

Materials and methods. Rheosorbilact was applied as a component of the infusion program in 30 patients, suffering the burn disease and hypovolemia (the main group), what was guaranteed by usage of the colloidal substitutes of the blood. The treatment possibilities of rheosorbilact was estimated, comparing them with action of the colloid and crystalloid solutions, which were applied as a basic infusion therapy in 20 patients (the comparison group).

Results. Rheosorbilact, infused in the dose 10 ml/kg for elimination of hypovolemia, have demonstrated a hemodynamical action: the ejection fraction enhancemrent by 4% on the second day of application, comparing with the first day data and by 2% - in comparison with a certain index in patients of the comparison group; reduction of a general daily volume of infusion by 10% on the second day after trauma and by 12.7% on the third day, the diuresis enhancement, reduction of the buffer basics deficiency.

Conclusion. Rheosorbilact, which owes hemodynamic properties, counteracts towards development of metabolic acidosis, causes diuretic effect, leads to reduction of general volume of the infusion therapy, thus improving the burn disease course.

Author Biography

O. M. Kovalenko, Bogomolets National Medical University, Kyiv

Kovalenko O.M., MD, DSci (Med), Professor,
Professor of the Department of Surgery No. 1.
Bogomolets National Medical University, Kyiv, Ukraine
13, Krakivska Str., City Hospital #2, Burn clinic. 02094, Kyiv, Ukraine
+38 044 292 0317
Doctor_kovalenko@ukr.net
http://orcid.org/0000-0002-9636-5383

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Published
2019-08-29
How to Cite
Kovalenko, O. M. (2019). Treatment of the burn shock on a specialized stage. Klinicheskaia Khirurgiia, 86(8), 55-58. https://doi.org/10.26779/2522-1396.2019.08.55
Section
General Problems of Surgery