Fluid resuscitation data in adults and children

Abstract

Bajram ABDULLAHU, Monika BELBA

Introduction: The Advanced Burn Life Support (ABLS) guidelines established from the American Burn Association accepted the Parkland formula(PF) as well the Modified Brooke formula and recommend a 2 to 4 ml/kg/% of Total Body Surface Area in the first 24 hours after burn injury.

Objectives: The purpose of this study is to evaluate the relationship between age and resuscitation parameters (fluids/urine output) making the comparison of patients resuscitated with less than or equal to the PF with patients resuscitated more than PF. The study takes into account the first 24 hour resuscitation period for adults and children in terms of the Parkland formula. Patients And Methods: A prospective observational study was performed on 50 patients admitted in the Intensive Care (ICU) of the Service of Burns in the University Hospital Center (UHC) “Mother Teresa” in Tirana, Albania in the period January to December 2016.

Results: Patients who have received more than formula were with burn size 11-30% BSA Partial-Thickness burns, from scalds as causative agent mainly children (p<0.0001). On the contrary, patients who have received less and equal than formula were with burn size more than 30% BSA, Full-thickness burns, from flame, electrical and chemical as causative agent mainly adults(p<0.0001).

Conclusion: The groupage most affected from burn injury was young children. Scalds account for 89% of burns in children while flame accounts for 59% of burns in the adults’ group. We commenced resuscitation at burn size 12% for children and 20% for adults. The ROC curve tested that the cut-off is 8 years old and greater ages from 8 years old are associated with equal or less than formula resuscitation and 40% of the variance of fluid administration is explained by age.

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