Progressive fluid removal can avoid electrolyte disorders in severely burned patients

Thomas Namdar, Peter Leonard Stollwerck, Felix Hagen Stang, Georgios Kolios, Thomas Lange, Peter Mailänder & Frank Siemers
Introduction: Extensive burn injury has systemic consequences due to capillary leak. After restoration of cellular integrity, infused fluid volume has to be removed partially. This can provoke electrolyte disorders. Purpose: We investigated the effect of progressive fluid removal on serum sodium level. Method: Retrospective study. Patients admitted to a burn unit were analyzed and separated in two groups without (Group A) or with (Group B) prolonged hypernatremia. Daily infusion-diuresis-ratio (IDR) was analyzed. Results: Fourty (12...