Fluid therapy in burns
نویسنده
چکیده
Correspondence to: Folke Sjöberg, Burn Center, Linköping University Hospital, Linköping, Sweden. E-mail: [email protected] Outcome after burn injury, as also paralleled by other trauma, has been improving steadily over the years. In this aspect a significant improvement was seen especially in the 1970-ties when the 50% survival chance from a burn injury increased from 45% total body surface area burned (TBSA%) in a 21 year old patient up to almost 80% (TBSA%). Although this improvement may be claimed to have many reasons, a significant one that needs to be stressed is the introduction of more thorough use of protocolized fluid treatment strategies
منابع مشابه
Modern trends in fluid therapy for burns.
The majority of burn centres use the crystalloid-based Parkland formula to guide fluid therapy, but patients actually receive far more fluid than the formula predicts. Resuscitation with large volumes of crystalloid has numerous adverse consequences, including worsening of burn oedema, conversion of superficial into deep burns, and compartment syndromes. Resuscitation fluids influence the infla...
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