Complicated Burn Resuscitation.
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.
Rhode Island Burn Center, Rhode Island Hospital, Warren Alpert Medical School of Brown University, 593 Eddy Street, APC 444, Providence, RI 02903, USA. Electronic address: DHarrington@Lifespan.org.
David T
DT
Harrington
D058186:Acute Kidney Injury / Q000209:etiology* / Q000503:physiopathology / Q000628:therapy; D002056:Burns / Q000150:complications* / Q000503:physiopathology / Q000628:therapy*; D004556:Electric Injuries / Q000150:complications / Q000628:therapy; D006333:Heart Failure / Q000150:complications* / Q000188:drug therapy / Q000503:physiopathology; D006801:Humans; D008103:Liver Cirrhosis / Q000150:complications* / Q000503:physiopathology; D008991:Monitoring, Physiologic; D012151:Resuscitation / Q000379:methods*; D015208:Smoke Inhalation Injury / Q000150:complications / Q000628:therapy
Acute renal failure; Cirrhosis; Heart failure; Inhalation injury