Effectiveness of Parkland formula in the estimation of resuscitation fluid volume in adult thermal burns

Ete, Geley; Chaturvedi, Gaurav; Barreto, Elvino; M, Kingsly Paul

doi:10.1016/j.cjtee.2019.01.006

Cited by 14 publications

(12 citation statements)

References 16 publications

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“…Neither was a more accurate formula found for burn injuries ranging up to 60% TBSA [ 3 ] nor has any other formula gained the same popularity as the Parkland formula still has [ 6 , 7 ]. In a recent study with 90 burn patients by Ete et al [ 5 ], the necessary resuscitation volume was 3.14 mL/kg/% TBSA and 3.36 mL/kg/%TBSA for burn patients with concomitant inhalational injury and, therefore, close to the 3.5 mL/kg/%TBSA of the original Parkland formula.…”

Section: Introductionmentioning

confidence: 87%

“…Apart from the Parkland formula, many other formulas have been proposed to estimate the necessary resuscitation volume more closely, e.g., Evans formula [ 2 ] or the modified Brooke formula (2 mL/kg/%TBSA) [ 3 ]. Those formulas as well as the Parkland formula have been tested in various studies [ 4 , 5 ]. Neither was a more accurate formula found for burn injuries ranging up to 60% TBSA [ 3 ] nor has any other formula gained the same popularity as the Parkland formula still has [ 6 , 7 ].…”

Section: Introductionmentioning

confidence: 99%

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A History of Fluid Management—From “One Size Fits All” to an Individualized Fluid Therapy in Burn Resuscitation

Boehm

Menke

2021

Medicina

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Fluid management is a cornerstone in the treatment of burns and, thus, many different formulas were tested for their ability to match the fluid requirements for an adequate resuscitation. Thereof, the Parkland-Baxter formula, first introduced in 1968, is still widely used since then. Though using nearly the same formula to start off, the definition of normovolemia and how to determine the volume status of burn patients has changed dramatically over years. In first instance, the invention of the transpulmonary thermodilution (TTD) enabled an early goal directed fluid therapy with acceptable invasiveness. Furthermore, the introduction of point of care ultrasound (POCUS) has triggered more individualized schemes of fluid therapy. This article explores the historical developments in the field of burn resuscitation, presenting different options to determine the fluid requirements without missing the red flags for hyper- or hypovolemia. Furthermore, the increasing rate of co-morbidities in burn patients calls for a more sophisticated fluid management adjusting the fluid therapy to the actual necessities very closely. Therefore, formulas might be used as a starting point, but further fluid therapy should be adjusted to the actual need of every single patient. Taking the developments in the field of individualized therapies in intensive care in general into account, fluid management in burn resuscitation will also be individualized in the near future.

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Section: Introductionmentioning

confidence: 87%

Section: Introductionmentioning

confidence: 99%

A History of Fluid Management—From “One Size Fits All” to an Individualized Fluid Therapy in Burn Resuscitation

Boehm

Menke

2021

Medicina

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“…Although the Parkland formula is utilised, the volume of fluid has to be adjusted according to the urinary output and other parameters leading to considerable variations in the fluid administered. A study by Ete et al has shown significant differences in the fluid administered based on urine output and the fluid calculated by Parkland formula [7]. The imprecise body surface area calculations and variations in fluid shift may contribute to this discrepancy.…”

Section: Fluid Resuscitation In Severe Burnsmentioning

confidence: 99%

Critical care management in burns: A review of current evidence and guidelines -Part 1

2020

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Recent literature on the management of critically ill patients have altered the beliefs and clinical behaviours, questioning many dogmas that were practiced without much evidence. The critical care in a severely burn-injured patient requires special attention in resuscitation, haemodynamic monitoring, management of complications, organ support and determinants of outcome. The goal of resuscitation is to maintain intravascular volume and tone while correcting the reversible changes in altered physiology, aided by early debridement of burned tissue and elimination of the source of physiological derangement. Practitioners should target resuscitation based on goal-directed therapy using noninvasive markers of cardiac output. The management requires the input of a multidisciplinary team to achieve critical care and early surgical intervention and management of complications and organ support. Methods We performed a literature search on PubMed and Google Scholar, and looked for published original articles, review articles and guidelines on critical care management in burns, up to November 2019. Our search was limited to articles in English. Correspondence, dissertations and unpublished materials were not considered. The information were summarised and presented qualitatively (narratively) under subheadings. Contents: Fluid resuscitation in severe burns Goal-directed fluid therapy and Haemodynamic monitoring Evidence on choice of fluid for resuscitation Management of coagulopathy in severe burns Thromboprophylaxis in burns The role of suppressing hypermetabolism in severe burns Glycaemic control in severe burns Nutritional support in severe burns Sepsis and infection control in burns Management of inhalational injuries and acute respiratory distress syndrome (ARDS) Early surgical debridement and soft tissue cover Pain management in severe burns Palliative care in severe burns

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“…Various resuscitation formulae are accessible at the request of the burn care provider. Despite many important advances in the fluid management field, smooth resuscitation is not ensured by any method [38]. The Parkland formula is accepted worldwide and it is the consensus formula currently [32].…”

Section: Fluid Resuscitationmentioning

confidence: 99%

Microbial Robots to Treat the third Degree Burnt Patients: Review

Dhakane¹,

Bichkule²,

Jadhav³

2021

International Journal of Microbial Science

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Burn is responsible for an estimated 180,000 deaths annually. A burn is skin damage caused through either high temperature or because of radiation, radioactivity, electricity, or contact with chemicals. A burn is skin damage, which is resulted because of electricity, radiation, radioactivity, or exposure to chemicals. Skin is the primary barrier to infection and burns patients lose their skin the risk of infection persists as the barrier is absent. The leading cause of death after burn injury is sepsis. Sepsis is lethal organ dysfunction caused by a host’s dysregulated response to infection. Multiple antibiotic-resistant bacteria are responsible for the majority of deaths due to sepsis. Third-degree burns go through the skin and deeper tissues are affected. Third-degree burns may need more thorough treatments. Treatment includes intravenous antibiotics to prevent infections, surgical excision, and skin grafting. Treatments given to third-degree burnt patients are not giving satisfactory results. As robotics is a suitable way to work in delicate environments it can be an effective way to deal with sensitive burnt areas. This review focuses on the cause of infection and treatment of burnt patients.

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Effectiveness of Parkland formula in the estimation of resuscitation fluid volume in adult thermal burns

Cited by 14 publications

References 16 publications

A History of Fluid Management—From “One Size Fits All” to an Individualized Fluid Therapy in Burn Resuscitation

A History of Fluid Management—From “One Size Fits All” to an Individualized Fluid Therapy in Burn Resuscitation

Critical care management in burns: A review of current evidence and guidelines -Part 1

Microbial Robots to Treat the third Degree Burnt Patients: Review

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