American Burn Association Practice Guidelines Burn Shock Resuscitation

@article{Pham2008AmericanBA,
  title={American Burn Association Practice Guidelines Burn Shock Resuscitation},
  author={Tam N. Pham and Leopoldo C. Cancio and Nicole S. Gibran},
  journal={Journal of Burn Care \& Research},
  year={2008},
  volume={29},
  pages={257-266}
}
Abstract : There are insufficient data to support a treatment standard treatment at this time. Guidelines - Adults and children with burns greater than 20% TBSA should undergo formal fluid resuscitation using estimates based on body size and surface area burned. - Common formulas used to initiate of resuscitation estimate a crystalloid need for 2 to 4 ml/kg body weight/%TBSA during the first 24 hours. - Fluid resuscitation,regardless of solution type or estimated need, should be titrated to… 
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References

SHOWING 1-10 OF 97 REFERENCES
Burn shock resuscitation
  • G. Warden
  • Medicine
    World Journal of Surgery
  • 2005
TLDR
Improved statistics are derived from experience in burn centers, where there is substantial knowledge of the pathophysiology of burn injury and inadequate volume replacement in major burns is, unfortunately, common when clinicians lack sufficient knowledge in this area.
Fluid resuscitation of infants and children with massive thermal injury.
TLDR
Age-related limitations of physiologic reserve in burned children make adequacy of intravenous fluid resuscitation critical, and supplying maintenance volume and initiating burn resuscitation at 3 cc/kg/% TBSB is recommended.
Burn patient characteristics and outcomes following resuscitation with albumin.
Influences of different resuscitation regimens on acute early weight gain in extensively burned patients.
A clinical randomized study on the effects of invasive monitoring on burn shock resuscitation.
Predicting increased fluid requirements during the resuscitation of thermally injured patients.
TLDR
Burn size and weight (negatively) were associated with greater VOL, however, a close linear relationship between burn size and VOL was not observed, and mechanical ventilation supplanted TBSA by 24 hours as a predictor of high VOL.
Hypertonic lactated saline resuscitation reduces the risk of abdominal compartment syndrome in severely burned patients.
TLDR
The data suggest that HLS resuscitation could reduce the risk of secondary abdominal compartment syndrome with lower fluid load in burn shock patients, and a large intravenous fluid volume decreases abdominal perfusion during the resuscitative period because of increased IAP.
A prospective, randomized evaluation of intra-abdominal pressures with crystalloid and colloid resuscitation in burn patients.
TLDR
Plasma-resuscitated patients maintained an IAP below the threshold of complications of intra-abdominal hypertension in burn patients, appears to be a direct result of the decrease in volume required.
Burn Resuscitation
  • D. Greenhalgh
  • Medicine
    Journal of burn care & research : official publication of the American Burn Association
  • 2007
TLDR
The purpose of this review will be to summarize the presentation, discussions, and conclusions of burn resuscitation at the recent “State of the Science Meeting,” which took place in Washington, DC, October 26, 2006.
Fluid resuscitation in thermally injured children.
...
1
2
3
4
5
...