A computer-controlled fluid resuscitation system for extensively burned patients.

概要

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To resuscitate extensively burned patients, we have developed a computer-controlled fluid resuscitation (CCFR) system based on the output of urine. The CCFR system consists of an urinemeter, a personal computer and a pair of infusion pumps. This system administers fluid at a rate of infusion calculated by Baxter's formula, and regulates the infusion rate to maintain an adequate urine output. Data are displayed, printed and stored on floppy disk for subsequent analysis. Six extensively burned patients between 32 and 77 years old (average 49.3 years old) were managed with the CCFR system during their initial period of resuscitation. The estimated body surface area burned was 63.5±17.9 (mean±standard deviation)%. The urine output during CCFR was 0.99±0.17ml/kg/hr. The volume infused during the first 24 hours after the burn was 4.04±1.02ml/kg/% burned area. All patients were adequately resuscitated. Detailed data concerning fluid resuscitation were obtained during CCFR therapy. The results suggest that CCFR should be used in the fluid resuscitation of extensively burned patients.
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