New Management Strategy for Fluid Resuscitation Quantifying Volume in the First 48 Hours after Burn Injury
Mitchell, K.B., Khalil, E., Brennan, A., et al. (2013). New Management Strategy for Fluid Resuscitation: Quantifying Volume in the First 48 Hours after Burn Injury. Journal of Burn Care Research. 34(1):196-202.
The authors prospectively collected data on 40 patients with burns =15% from 2009-2011 to evaluate a 24-hour resuscitation protocol; establish a formula to quantify resuscitation volume for the second 24 hours (provided in the article); describe the relationship between the first and second 24 hours; and, identify which patients required high volumes. They found that intubation, higher age, and use of narcotics increased fluid needs and that there is a correlation between the first and second 24 hours.