Computer Support in Fluid Resuscitation for Burn Patients

Abstract The Third Military Medical University (TMMU) formula is widely used in fluid resuscitation in China. However, the actual volume needs usually exceed the prediction provided by the TMMU formula in major burn patients with a high proportion of full-thickness burn wounds. This retrospective study included 149 adult major burn patients (≥40% TBSA) who were admitted to the Burn Department, Southwest Hospital from 2014 to 2020 and received appropriate fluid resuscitation by the TMMU protocol. The actual volume infused in the first 48 hours postburn was compared to the estimation by the TMMU formula. A new fluid volume prediction formula was developed by multivariate linear regression analysis. The mean fluid requirements were 2.35 ml/kg/% TBSA and 1.75 ml/kg/% TBSA in the first and second 24 hours postburn, respectively. The TMMU formula underestimated the fluid requirement, and its prediction accuracy was 54.1% and 25.8% for the first and second 24 hours, respectively. The proportion of full-thickness burn wound was found to be associated with the fluid requirements postburn. A revised multifactorial formula consisting of the burn index, body weight, and inhalation injury was developed. Using the revised formula, the prediction reliability of resuscitation fluid volume improved to 65.3% and 61.1% in the first and second 24 hours, respectively. The TMMU formula showed low accuracy in predicting fluid requirements among major burn patients. A revised formula based on burn index was developed to provide better guidance for initiative fluid resuscitation for major burns by the TMMU protocol.

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The Influence of Obesity on Treatment and Outcome of Severely Burned Patients

Journal of Burn Care & Research ◽

10.1093/jbcr/irz115 ◽

2019 ◽

Vol 40 (6) ◽

pp. 996-1008 ◽

Cited By ~ 1

Author(s):

Christian Tapking ◽

Khosrow S Houschyar ◽

Victoria G Rontoyanni ◽

Gabriel Hundeshagen ◽

Karl-Friedrich Kowalewski ◽

...

Keyword(s):

Fluid Resuscitation ◽

Chronic Conditions ◽

Perioperative Management ◽

Normal Weight ◽

Burn Patients ◽

Obese Patients ◽

Nonalcoholic Fatty Liver ◽

Wound Coverage ◽

Severe Burns ◽

Early Wound

Abstract Obesity and the related medical, social, and economic impacts are relevant multifactorial and chronic conditions that also have a meaningful impact on outcomes following a severe injury, including burns. In addition to burn-specific difficulties, such as adequate hypermetabolic response, fluid resuscitation, and early wound coverage, obese patients also present with common comorbidities, such as arterial hypertension, diabetes mellitus, or nonalcoholic fatty liver disease. In addition, the pathophysiologic response to severe burns can be enhanced. Besides the increased morbidity and mortality compared to burn patients with normal weight, obese patients present a challenge in fluid resuscitation, perioperative management, and difficulties in wound healing. The present work is an in-depth review of the current understanding of the influence of obesity on the management and outcome of severe burns.

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203 Vasopressor Use During Acute Fluid Resuscitation in Burn Patients

Journal of Burn Care & Research ◽

10.1093/jbcr/iry006.126 ◽

2018 ◽

Vol 39 (suppl_1) ◽

pp. S68-S68

Author(s):

A Adibfar ◽

A D Rogers ◽

F Camacho ◽

R Cartotto

Keyword(s):

Fluid Resuscitation ◽

Burn Patients ◽

Vasopressor Use

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It is the time to consider an important IV solutions incompatibility in the fluid resuscitation of burn patients

Burns ◽

10.1016/j.burns.2019.07.033 ◽

2019 ◽

Vol 45 (7) ◽

pp. 1733-1734

Author(s):

Naemeh Nikvarz

Keyword(s):

Fluid Resuscitation ◽

Burn Patients

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Effects of Differences in Percent Total Body Surface Area Estimation on Fluid Resuscitation of Transferred Burn Patients

Journal of Burn Care & Research ◽

10.1097/bcr.0b013e31802c88b2 ◽

2007 ◽

Vol 28 (1) ◽

pp. 42-48 ◽

Cited By ~ 50

Author(s):

Carter Freiburg ◽

Peter Igneri ◽

Kennith Sartorelli ◽

Frederick Rogers

Keyword(s):

Surface Area ◽

Body Surface Area ◽

Body Surface ◽

Fluid Resuscitation ◽

Total Body Surface Area ◽

Burn Patients ◽

Area Estimation ◽

Total Body

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Early Fluid Resuscitation of Burn Patients Based on High-precision Weighing System

IEEE Sensors Journal ◽

10.1109/jsen.2021.3115503 ◽

2021 ◽

pp. 1-1

Author(s):

Jianping Ye ◽

Qian Zhai ◽

Haiping Hua ◽

Zhikang Wang ◽

Yonghua Chu ◽

...

Keyword(s):

High Precision ◽

Fluid Resuscitation ◽

Burn Patients ◽

Early Fluid

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The burnt child

10.1093/med/9780199682874.003.0243 ◽

2021 ◽

pp. 179-192

Author(s):

Suzanne Rea ◽

Sian Falder

Keyword(s):

Fluid Resuscitation ◽

Enteral Feeding ◽

Wound Care ◽

Specific Treatment ◽

Psychological Trauma ◽

Burn Patients ◽

Treatment Needs ◽

Wound Assessment ◽

Size Threshold ◽

Burns Unit

Burns are a common form of trauma in children. Common mechanisms of injury include scalds from hot beverages and contact burns from household items. The physical and psychological trauma may have long-lasting effects for both child and family. Children are not just small adults; there are important anatomical and physiological differences. Paediatric burn patients have specific treatment needs that must be accounted for. Estimation of burn size, threshold for commencement of intravenous fluid resuscitation and enteral feeding, in addition to wound assessment, wound care, and treatment are all different to a similar size injury in an adult. These paediatric-specific issues are discussed in more detail. The investigation and interpretation of suspected non-accidental burn presenting to a burns unit is also outlined.

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