Evaluation of Outcomes following Reduction in Targeted Fluid Administration in Major Burns

Adequate fluid resuscitation in adults with major burns is crucial to prevent or minimize burn shock, but needs be balanced against the complications of over-resuscitation. A single-center, retrospective review 95 ICU patients severe from Jan 2014 Aug 2021 was performed. Some 52 were managed a liberal targeted goal 4 mL/kg/%TBSA, and 43 after we incorporated restricted 2 mL/kg/%TBSA into our standard strategy. Of included this analysis, 76 (80%) survived admission. The median age 41 years, TBSA 36%. All received Ringer’s lactate as primary for resuscitation, 40 (42%) colloids rescue infusion within 24 h injury. 44 (46.3%) had concurrent inhalational length hospital stay 37 days, 18 days. total 17 developed ARDS (17.9%), 51 (53.7%) pneumonia, 34 (35.8%) AKI first 7 days administered during day hospitalization 2019 onwards remained close despite transitioning formula (unless there an electrical burn, which case cc/kg utilized). Further exploratory analyses also suggested that under-resuscitation administration albumin may associated increased mortality, though did not reach statistical significance. development well intake h. change (4 mL/kg/%TBSA) (2 actual fluids over when guided by clinical criteria. Our suggest contributed excessive likely risks large patients. data strategies optimize are important improve patient outcomes, should focus on parameters rather than calculated goals.