scholarly journals Assessment of Major Burn Patients with Biochemical Markers

2019 ◽  
Vol 08 (01) ◽  
Author(s):  
Cınar MA ◽  
Erkılıc A ◽  
Bayramlar K ◽  
Gunes A ◽  
Yakut Y
Author(s):  
Jianglin Tan ◽  
Junyi Zhou ◽  
Ning Li ◽  
Lili Yuan ◽  
Gaoxing Luo

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.


2021 ◽  
Vol 57 (2) ◽  
pp. 166
Author(s):  
Lynda Hariani ◽  
Agus Santoso Budi ◽  
Ephora Christina Wulandari

The rate of failed skin graft in Dr. Soetomo General Academic Hospital Surabaya was around 26% of the cases, and it became a concern because skin graft was the main procedure to close large burn wounds. Many problems might affect this event; one of them was electrolyte imbalance. Hypernatremia was found in major burn patients. This condition disrupted the wound healing process of skin graft. This cross-sectional study evaluated patients with burns admitted to the Burn Centre of Dr. Soetomo Hospital between January 2014 and December 2018. 143 subjects participated in this study. Hypernatremia was found in 16% of all subjects (23 subjects), 19% with hypernatremia (28 subjects), and the majority of it, 65% with normonatremia (92 subjects). This study found that the risk of failed skin graft was higher on hypernatremia than normonatremia subjects. This risk was higher if the skin graft procedure took more than 10%.


2018 ◽  
Vol 39 (suppl_1) ◽  
pp. S14-S15
Author(s):  
C C Sheckter ◽  
D Rochlin ◽  
K Hung ◽  
Y Karanas ◽  
C Curtin

2020 ◽  
Vol 83 (6) ◽  
pp. 585-585
Author(s):  
Yi-Fan Chen ◽  
Hsu Ma ◽  
Cherng-Kang Perng ◽  
Wen-Chieh Liao ◽  
Yu-Chung Shih ◽  
...  
Keyword(s):  

Burns ◽  
2019 ◽  
Vol 45 (5) ◽  
pp. 1164-1171 ◽  
Author(s):  
Junyi Zhou ◽  
Jianglin Tan ◽  
Yali Gong ◽  
Ning Li ◽  
Gaoxing Luo

2020 ◽  
Vol 60 ◽  
pp. 67-71 ◽  
Author(s):  
Mustafa Yenerçağ ◽  
Uğur Arslan ◽  
Alper Ceylan ◽  
Güney Erdoğan ◽  
Onur Osman Seker
Keyword(s):  

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