Clinical Parallels of the Tactics of Volemic Resuscitation and Nutritional Support with the Outcomes of Severe Thermal Burns in Children

Abstract

Introduction. In the article are studied the demographic, tactical and prognostic aspects of burn disease in children for the purpose of the development of the important clinical parallels, including of the mechanisms, which start the multiple organ system dysfunction, infectious complications and death. Results. The results of a study showed that prevalence and the depth of defeat does not be determining for the possibility to master nourishment and it must not become the factor, which impedes the beginning of nutritional support within maximally early periods. Conclusion. The authors also established that the positive fluid balance administered for the first three days of ICU in children with the severe burns is not the predictor of complications or lethal outcome, which separates this population of patients from the number of majority of the patients, in whom the so-called Fluid overload is the independent factor of the risk of complications and lethal outcome.