Burn Resuscitation

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Burn Resuscitation

Fluid resuscitation following burn injury must support organ perfusion with the least amount of fluid necessary and the least physiological cost. Under resuscitation may lead to organ failure and death. With adoption of weight and injury size-based formulas for resuscitation, multiple organ dysfunction and inadequate resuscitation have become uncommon. Instead, administration of fluid volumes w...

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Burn Resuscitation

One of the great advances in burn care, developing a strategy for treating burn shock resuscitation, occurred in the 1960s and 1970s. Before this period, most people with extensive burns (!30% TBSA) would simply die within hours or, if they survived, would suffer from renal failure. Currently, burn shock resuscitation has become an afterthought that is relegated to residents and nursing staff. ...

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Burn resuscitation.

Current guidelines outlining the resuscitation of severely burned patients, in the United States, were developed over 30 years ago. Unfortunately, clinical burn resuscitation has not advanced significantly since that time despite ongoing research efforts. Many formulas exist and have been developed with the intention of providing appropriate, more precise fluid resuscitation with decreased morb...

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Burn resuscitation index: a simple method for calculating fluid resuscitation in the burn patient.

The Parkland formula is the standard for calculating the initial intravenous fluid rate for resuscutation after thermal injury. However, it is cumbersome when used by those with modest burn training. We propose an easier method to calculate fluid requirements that can be initiated by first-line providers. Burn size is estimated by using the Burn Size Score (BSS), which is then crossreferenced w...

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American Burn Association practice guidelines burn shock resuscitation.

Guidelines • Adults and children with burns greater than 20% TBSA should undergo formal fluid resuscitation using estimates based on body size and surface area burned. • Common formulas used to initiate of resuscitation estimate a crystalloid need for 2 to 4 ml/kg body weight/%TBSA during the first 24 hours. • Fluid resuscitation, regardless of solution type or estimated need, should be titrate...

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ژورنال

عنوان ژورنال: Critical Care Clinics

سال: 2016

ISSN: 0749-0704

DOI: 10.1016/s0749-0704(16)30068-9