PHYSIOLOGIC APPROACH TO FLUID THERAPY IN SEVERELY BURNED CHILDREN

  • 1 January 1980
    • journal article
    • research article
    • Vol. 150  (3) , 379-384
Abstract
Fluid balance data in 30 severely burned children hydrated according to a fluid resuscitation program were reviewed. The formula to estimate fluid requirements is based upon body surface area and surface area burned rather than weight. It uses 2 independent figures to estimate maintenance fluid needs and fluid requirements due to the burn. A standard isotonic solution containing 12.5 g of hyman serum albumin is used for hydration. The state of hydration is monitored, using several clinical and laboratory guides. The use of hourly urine volume for this purpose was de-emphasized. No complications directly related to fluid therapy were encountered, but 5 of the 30 children died due to septicemia 5, 10, 12, 23 and 37 days postburn, respectively. A maximal weight increase after resuscitation averaged 4 kg/m2 of body surface burned. The volumes of urine that can be expected from patients similarly resuscitated were defined. This program is safe, accurate and effective for a wide range of burn sizes and age groups.