Page 26 - GALENIKA MEDICAL JOURNAL

Zaključak

Reanimacija tečnostima je najvažniji prvi korak u zbrinjavanju pacijenata sa opekotinama. Još uvek
postoje brojne kontroverze oko vrste, količine tečnosti, monitoringa protokola. Iako protokoli,
formule i preporuke značajno pomažu u lečenju ovih teških i kompleksnih bolesnika, ipak je od
najvećeg značaja individualni pristup svakom pacijentu. Takođe je od velikog značaja monitoring
uspešnosti reanimacije, ponovna procena iz sata u sat, pre svega, adekvatnost hemodinamike

i perfuzije vitalnih organa, što ostaje zlatni standard u inicijalnom pristupu pacijentima sa
opekotinama.

Abstract

A burn injury is defined as damage to the skin and subcutaneous tissues caused by heat, electricity, or chemicals. Burns
can be classified according to the mechanism and time of occurrence and according to the severity of the injury. The
severity of the burn is most often determined about the depth and percentage of the affected surface, taking into account
some specificities of the patients (age, presence of comorbidities) and the burns themselves (inhalation, circumferential,
burns caused by electricity). Fluid resuscitation is the most important measure of the initial (but, and later) treatment
of burn disease, which is carried out to prevent hypovolemia and the occurrence of burn shock. Inadequate or delayed
fluid resuscitation leads to multisystemic organ dysfunction. On the other hand, excessive fluid replacement leads to
the formation of edema and other complications, such as compartment syndromes, which also increase morbidity and
mortality. Crystalloid solutions are the core of burn resuscitation, and the biggest dilemma is whether, when, and how
many colloids should be included in therapy.

Keywords: burns, classification, treatment, infusion solutions

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24 DOI: 10.5937/Galmed2308019J