Complicated Burn Resuscitation

Crit Care Clin. 2016 Oct;32(4):577-86. doi: 10.1016/j.ccc.2016.06.005.

Abstract

More than 4 decades after the creation of the Brooke and Parkland formulas, burn practitioners still argue about which formula is the best. So it is no surprise that there is no consensus about how to resuscitate a thermally injured patient with a significant comorbidity such as heart failure or cirrhosis or how to resuscitate a patient after an electrical or inhalation injury or a patient whose resuscitation is complicated by renal failure. All of these scenarios share a common theme in that the standard rule book does not apply. All will require highly individualized resuscitations.

Keywords: Acute renal failure; Cirrhosis; Heart failure; Inhalation injury.

Publication types

  • Review

MeSH terms

  • Acute Kidney Injury / etiology*
  • Acute Kidney Injury / physiopathology
  • Acute Kidney Injury / therapy
  • Burns / complications*
  • Burns / physiopathology
  • Burns / therapy*
  • Electric Injuries / complications
  • Electric Injuries / therapy
  • Heart Failure / complications*
  • Heart Failure / drug therapy
  • Heart Failure / physiopathology
  • Humans
  • Liver Cirrhosis / complications*
  • Liver Cirrhosis / physiopathology
  • Monitoring, Physiologic
  • Resuscitation / methods*
  • Smoke Inhalation Injury / complications
  • Smoke Inhalation Injury / therapy