Burn resuscitation

Alvarado, Ricardo; Chung, Kevin K.; Cancio, Leopoldo C.; Wolf, Steven E.

doi:10.1016/j.burns.2008.03.008

Cited by 145 publications

(54 citation statements)

References 49 publications

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“…The original Parkland formula as was introduced by Baxter in 1974 recommended the use of colloids in the second 24 hours post burn [3] [27]. On his review paper of different formulas, Greenhalgh mentioned that this recommendation is not usually followed [28].…”

Section: Discussionmentioning

confidence: 99%

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Does Ringer Lactate Used in Parkland Formula for Burn Resuscitation Adequately Restore Body Electrolytes and Proteins?

Habib¹,

Saadah²,

Al-Samerrae³

et al. 2017

MPS

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Objective: Evaluation of the effect of Ringer Lactate, as the resuscitative burn fluid according to Parkland Formula, on restoring the levels of body electrolytes and proteins. Design: A retrospective cohort study. Setting: The National Burns Unit, Mafraq Hospital, Abu Dhabi, United Arab Emirates (UAE). Patients: One hundred and fifteen patients admitted with fresh burns between 1st of January 2011 and 31st of December 2013, who met inclusion and exclusion criteria. Methods: Team collected demographic and clinical data for each patient using a standard form. Patients received Ringer Lactate solely as the resuscitative burn fluid according to Parkland Formula. Baseline (pre-) and third-day (post-) variables included levels of sodium, potassium, chloride, proteins, and albumin. Researchers then performed paired comparisons of serum electrolytes and protein levels. Results: Mean values showed maintenance of the potassium and chloride levels within the normal range after administering the Ringer Lactate, significant decline in sodium, and a marked hypoproteinaemia and hypoalbuminaemia post-resuscitation. Conclusions: Ringer Lactate used as the mere resuscitative post burn fluid is suboptimal. Sodium supplementation may be required to correct hyponatremia. Colloids, preferably intravenous albumin should be added, as advised by the original Parkland Formula.

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Section: Discussionmentioning

confidence: 99%

“…Therefore, centers managing these cases use different models for resuscitation [3] [4] [5]. Of these, the majority of centers apply the Parkland formula in selecting and calculating requirements from available and recommended intravenous fluid formulations [6] (Equation (1) …”

Section: Introductionmentioning

confidence: 99%

Does Ringer Lactate Used in Parkland Formula for Burn Resuscitation Adequately Restore Body Electrolytes and Proteins?

Habib¹,

Saadah²,

Al-Samerrae³

et al. 2017

MPS

View full text Add to dashboard Cite

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“…13 Prevention of abdominal compartment syndrome is a primary goal for burn providers, as abdominal compartment syndrome can lead to decreased pulmonary compliance, cardiac dysfunction, multiorgan dysfunction, and/or organ failure. 8 Ivy and colleagues 25 describe a direct relationship between resuscitation volumes delivered per kilogram and the development of abdominal compartment syndrome, validating the importance of wellorchestrated burn resuscitation. Although multiple factors, including mechanism of injury and systemic inflammatory response, affect the patient's risk for secondary complications, overresuscitation exponentially increases the patient's risk.…”

Section: Discussionmentioning

confidence: 93%

“…2,7 Many formulas exist to guide fluid resuscitation in burn patients; however, a definitive consensus on best practice has not been achieved. 2,[6][7][8][9][10] Best practice in burn resuscitation is imperative because effective fluid resuscitation will decrease burn shock, tissue loss, and organ damage and will reduce morbidity and mortality.…”

Section: Introductionmentioning

confidence: 99%

“…11 Delayed or inadequate fluid volume restoration results in suboptimal tissue perfusion with end-organ failure and death. 8 Charles Baxter was instrumental in developing the Parkland formula, which is, today, the most frequently used burn resuscitation formula. 11 The Parkland formula itself has been modified in various ways, including the "consensus formula," which uses only lactated Ringer solution as a resuscitation fluid.…”

Section: Introductionmentioning

confidence: 99%

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Implementation of a Nurse-Driven Burn Resuscitation Protocol: A Quality Improvement Project

Fahlstrom

Boyle

Makic

2013

Critical Care Nurse

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Background Burn resuscitation, including titration of fluids and administration of colloids, is often driven by physicians’ orders. Inconsistencies in burn resuscitation cause overresuscitation, which has adverse consequences. Methods Retrospective chart reviews were completed to evaluate fluid resuscitation and complications for 12 months before and after development and implementation of a nurse-driven burn resuscitation protocol. Results Before implementation of the protocol, results at 24 hours after injury indicated that 58% of patients were overresuscitated, had a serum level of lactate of at least 2 mmol/L (100%), and had complications (pulmonary edema 20%, abdominal compartment syndrome 7%, acute lung injury/acute respiratory distress syndrome 30%) within the first 5 days. Two outcomes differed from before to after implementation of the protocol: serum level of lactate at 24 hours (t37.8 =2.38, P =.007) and central venous pressure at 48 hours (t31 =2.27, P =.03). After implementation of the protocol, no patients had abdominal compartment syndrome develop. Conclusions Implementation of the nurse-driven burn resuscitation protocol improved nurses’ awareness and assessment of fluid status during resuscitation and improved patients’ outcomes.

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Burns

2014

Key Notes on Plastic Surgery

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I am particularly critical of the large numbers of plastic surgery textbooks being produced by well-known and little-known companies, and authored by wellknown and little-known authors. The latter range from dermatologists through oral surgeons to ear, nose and throat surgeons and plastic surgeons. One wonders why these books are ever written, why they are ever published, and especially why anyone would ever want to buy them. When Key Notes on Plastic Surgery was sent to me, my feeling was, 'Oh, no, not another useless, general plastic surgery textbook'. How wrong I was. This is a plastic surgery textbook with a difference. The difference is that it is not a large book, it is not filled with unnecessary padding and photographs, be they good or awful. This contains only the meat without all the unnecessary trimmings. It is not filled with references which are designed to make the reader think that the author has researched all of them (most of these references are never used except in the production of yet another chapter or yet another book).This book has a definite purpose and, as such, it truly fills a void in plastic surgery. It is a distillation of plastic surgery and contains only the significant facts laid out in a clear fashion with economy of wordsaa rare feature of the modern textbook! This being so, it will be used clinically by a multitude of trainees and also by fully fledged plastic surgeons. I can also see it being consulted prior to surgery and certainly prior to examinations. It might, on occasion, even find its way into the operating room! I especially appreciate the economy of words, it makes for easier registration of facts.Adrian Richards is to be congratulated on seeing the need for such a book and to have set it out in such a clear and informative fashion. I heartily recommend it to those in training, and to those who are somewhat older and want to quickly review techniques and brush up on those which have stood the test of time. I have a feeling that this will be the first of many editions, and it will become a significant textbook in the training of plastic surgeons in the UK and Europe, and, hopefully, given the proper exposure, in the United States. I consider it an honour, and certainly it has been a pleasure, to be invited to write this foreword.

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Burn resuscitation

Cited by 145 publications

References 49 publications

Does Ringer Lactate Used in Parkland Formula for Burn Resuscitation Adequately Restore Body Electrolytes and Proteins?

Does Ringer Lactate Used in Parkland Formula for Burn Resuscitation Adequately Restore Body Electrolytes and Proteins?

Implementation of a Nurse-Driven Burn Resuscitation Protocol: A Quality Improvement Project

Burns

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