Fluid resuscitation of infants and children with massive thermal injury

Theresa A. Graves, William G. Cioffi, William F. McManus, Arthur D. Mason, Basil A. Pruitt

Research output: Contribution to journalArticlepeer-review

58 Scopus citations

Abstract

Age-related limitations of physiologic reserve in burned children make adequacy of intravenous fluid resuscitation critical. To quantify fluid requirements, the medical records of all children admitted to the Army Institute of Surgical Research from 1980 to 1986 whose weight was 25 kilograms or less and burn size was 25% or greater were reviewed to quantify fluid requirements. Forty-three children ranging in age from 1.5—108 months (Formula presented 26 ± 22 m), with 25—89% total body surface burned (TBSB) (Formula presented 41.7% ± 14.6%), met inclusion criteria. The average total volume of fluid received during the first 24 hours was 6.3 ± 2.2 cc/kg/% TBSB. The net volume of resuscitation fluid, total volume less the calculated maintenance fluid requirements, was 3.91 ± 2.2 cc/kg/% TBSB. Univariate analysis and linear regression of independent variables including age, weight, per cent full thickness, and inhalation injury revealed each had no significant influence on the volume of resuscitation. We recommend supplying maintenance volume and initiating burn resuscitation at 3 cc/kg/% TBSB.

Original languageEnglish (US)
Pages (from-to)1656-1659
Number of pages4
JournalJournal of Trauma - Injury, Infection and Critical Care
Volume28
Issue number12
DOIs
StatePublished - Dec 1988

ASJC Scopus subject areas

  • Surgery
  • Critical Care and Intensive Care Medicine

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