Complications in Burn Patients Following Fluid Over-Resuscitation
نویسندگان
چکیده
Background/Objective: Over-resuscitation of burn patients leads to dangerous edema-related sequelae. The Parkland formula is commonly used predict fluid requirements in the 24 hours following injury, yet studies report widely varying resuscitation rates. This study aims assess practices at Lutheran Hospital and evaluate correlations between rates fluid-overload complications.Methods: A retrospective chart review assessed 36 adult withburns affecting least 15% total surface body area (TBSA) May 2020-May 2022 atLutheran Hospital. Intravenous urine output (UO) were recorded for first each patient’s hospital stay. Complications mortality entirety a Patients who received volumes exceeding those recommended by placed high-volume group whereas lesser volume low-volume group. Statistical analyses performed using Microsoft Excel (α = 0.05).Results: included with an average 4.13 ±2.14mL/kg/%TBSA admission. Average UO (n=14) was 1.33 ±0.76 mL/kg/hr compared 0.75 ±0.47 (n=22). Fluid complications more common (41.7%)compared (19.0%), but this difference not statistically significant (p=0.230). No observed (p=1.000).Conclusion: had range(0.5-1.0 mL/kg/hr) experienced greater (pulmonaryedema, compartment syndromes, etc.). Due small sample size limited power study, fluid-related significant.Clinical Impact Implications: Physicians should limit theParkland when resuscitating avoid overload
منابع مشابه
Initial assessment and fluid resuscitation of burn patients.
For the physician or surgeon practicing outside the confines of a burn center, initial assessment and fluid resuscitation will encompass most of his or her exposure to patients with severe burns. The importance of this phase of care should not be underestimated. This article provides a review of how to perform initial resuscitation of patients with significant burns and/or inhalation injury, wh...
متن کاملBurn 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...
متن کاملThe phenomenon of "fluid creep" in acute burn resuscitation.
Several reports have documented that modern burn patients receive far more resuscitation fluid than predicted by the Parkland formula-a phenomenon termed "fluid creep." This article reviews the incidence, consequences, and possible etiologies of fluid creep in modern practice and uses this information to propose some therapeutic strategies to reduce or eliminate excessive fluid resuscitation in...
متن کاملMicrodialysis shows metabolic effects in skin during fluid resuscitation in burn-injured patients
INTRODUCTION Established fluid treatment formulas for burn injuries have been challenged as studies have shown the presence of tissue hypoxia during standard resuscitation. Such findings suggest monitoring at the tissue level. This study was performed in patients with major burn injuries to evaluate the microdialysis technique for the continuous assessment of skin metabolic changes during fluid...
متن کاملذخیره در منابع من
با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید
ژورنال
عنوان ژورنال: Proceedings of IMPRS
سال: 2023
ISSN: ['2641-2470']
DOI: https://doi.org/10.18060/26733