ISSN:
1432-1238
Keywords:
Burns
;
Inhalation injury
;
Resuscitation
;
Fluid Replacement
Source:
Springer Online Journal Archives 1860-2000
Topics:
Medicine
Notes:
Abstract We have studied 9 patients with burns (20%–75%) who had inhalation injuries and compared their actual fluid requirements with their requirements calculated from the Muir and Barclay formula. All patients were resuscitated with plasma protein fraction at a rate sufficient to keep their physiological variables within the following range: heart rate 〈120/min, central venous pressure 8–12 cm H2O, urine output 〉30–50 ml/h, systolic blood pressure 〉90 mm Hg and diastolic blood pressure 〉60 mm Hg. The amount of plasma protein fraction needed was 4.38±1.26 ml/kg/% burn in the first 24 h and 2.15±0.97 ml/kg/% burn in the second 24 h. This is an increase of 75% and 110% respectively above values predicted from the formula. We suggest that the observed difference is due to a combination of the presence of an inhalation injury which increases fluid requirements by approximately 30% in the first 24 h and the use of plasma protein fraction rather than the dried plasma used in the original Muir and Barclay formula.
Type of Medium:
Electronic Resource
URL:
http://dx.doi.org/10.1007/BF00255603
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