Fluid Resuscitation in Burns: 2 cc, 3 cc, or 4 cc?

Shevonne S. Satahoo, Tina L. Palmieri

Research output: Contribution to journalReview articlepeer-review

Abstract

Purpose of Review: A variety of burn resuscitation formulas, each with varying volumes and types of fluid being given, have been developed. The recommended fluid rate in these formulas ranges from 2 to 4 mL/kg/%total body surface area (TBSA), which could lead to variability among practitioners. As such, the purpose of this study is to evaluate which starting fluid rate is optimal for burn resuscitation. Recent Findings: Multiple small trials have shown that a lower starting intravenous fluid rate yields no difference with respect to ventilator days, mortality, or renal failure. However, the preponderance of smaller studies precludes definitive conclusions. Larger, prospective, randomized trials are needed in a variety of aspects of burn resuscitation. Summary: In this review, we describe the history of burn resuscitation, summarize the data on fluid rates for burn resuscitation, discuss adjuncts to burn resuscitation, and highlight future research directions for burn care.

Original languageEnglish (US)
Pages (from-to)99-105
Number of pages7
JournalCurrent Trauma Reports
Volume5
Issue number2
DOIs
StatePublished - Jun 15 2019

Keywords

  • Burn resuscitation
  • Fluid rate
  • Modified Brooke formula
  • Outcomes
  • Parkland formula
  • Resuscitation endpoints

ASJC Scopus subject areas

  • Surgery
  • Orthopedics and Sports Medicine
  • Rehabilitation

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