Advertisement
Burns Fluid Resuscitation
Jul. 8, 2021•0 likes•506 views
0 likes
Be the first to like this
Show More
views
Total views
0
On Slideshare
0
From embeds
0
Number of embeds
0
Download to read offline
Report
Healthcare
Burns Fluid Resuscitation The first 24 hours for burns management is crucial. The ability to deliver just the right amount of fluid in a patient with burns is the holy grail. From #CodaZero Claire Seiffert presents on Burns Fluid Resuscitation. Claire covers fluid overloaded with compartment syndrome, to underdone with an AKI and extension of burns. This short update will provide an overview of how to achieve the “just right” fluid balance and targets for resuscitation, ultimately enhancing patient outcomes.
Coda ChangeFollow
Coda ChangeAdvertisement
Burns Fluid Resuscitation
- DON’T BURN YOUR BRIDGES (AND DROWN IN FLUID) DR CLAIRE SEIFFERT INTENSIVIST, RNSH, SYDNEY
- Burn Shock Distributive shock Hypovolaemic shock CO initially reduced
- Restore + preserve tissue perfusion Avoid initial over resuscitation Accurate Ax Early Colloid Permissive hypotension Urine 0.5- 1ml/kg av over 2 hrs Goals
- Fluid Creep Skin Oedema Compartment Syndrome Pulmonary and cerebral oedema ARDS, MODS Increased cost + mortality
- How? Modified Parkland Burn Budget Evans Monafo Demling Modified Brooke
- www.vicburns.org. au
- THE CHALLENGES Extreme age Delayed resus Major inhalation, Major electrical injury Extensive burns Underlying comorbidities
- BEYOND THE FLUID Early referral Early ETT Exclude other trauma Warming Lines Opthal Nutrition No prophylactic Abx Psychological
Editor's Notes
- Burn shock = combination of distributive seicondary to release of local and systemic inflammatory mediators and hypovolaemic shock caused by generalized microcirculatory injury and loss of fluid into the interstitial space. CO additionally reduced within the first 4 hrs of injury and recovers gradually over the next 24-48hrs.
- Resoration of preload + CO an resuscitation takes 24-48hrs. In that time allow permissive hypotension, permissive hyperlactataemia
- Begin fluid resuscitation with Hartmann’s Solution for burns >15%TBSA in adults, and for burns >10%TBSA in children <16 years old. Where appropriate, warm IV fluid administration should be considered to help minimise heat loss.
- http://www.anzbaasm.com/3234
Advertisement