Burn resuscitation with a low-volume plasma regimen--analysis of mortality.
The results of a mortality analysis from the Burn Center in Rambam Medical Center, Haifa, Israel, over a 5-year period are presented. The management of severe burns during the 'shock' period included a low-volume resuscitation formula consisting mainly of plasma and a small volume of crystalloid solution. The efficacy of burn management was assessed by probit analysis of the mortality data. We derived the percentage of body surface area burned associated with a 50 per cent probability of death (LA50) for four different age groups. The LA50 values obtained were compared to those obtained from other series; they compared favourably, demonstrating that resuscitation with low volumes consisting mainly of colloids may reduce complications associated with fluid overloading and therefore improve the LA50.
Haifa Medical Center (Rothschild), Israel.
A
A
Aharoni
D
D
Abramovici
M
M
Weinberger
R
R
Moscona
B
B
Hirshowitz
D000293:Adolescent; D000328:Adult; D000368:Aged; D001830:Body Surface Area; D002056:Burns / Q000401:mortality / Q000473:pathology / Q000628:therapy*; D002648:Child; D003131:Combined Modality Therapy; D006801:Humans; D008875:Middle Aged; D010952:Plasma Substitutes / Q000627:therapeutic use*; D011336:Probability; D012151:Resuscitation / Q000401:mortality*; D012774:Shock, Traumatic / Q000401:mortality / Q000628:therapy*
D010952:Plasma Substitutes