Shock and resuscitation II: Volume repletion with minimal edema using the “HALFD” method

Jelenko, Carl; Wheeler, Morgan L.; Callaway, B. Dianne; Divilio, L. Thomasf; Bucklen, Keith R.; Holdredge, Terry

doi:10.1016/s0361-1124(78)80356-6

Cited by 40 publications

(6 citation statements)

References 21 publications

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“…105 Though widely regarded as authoritative, these publications have been criticized for being based largely on very old, heterogenous, unblinded studies, 106 which appears to be true for burns. Reviews from the Cochran Collaboration have evaluated only four small trials involving burn patients, [107][108][109][110] only one of which showed increased mortality with albumin usage-the 1983 study by Goodwin et al 109 Authors found that colloid-resuscitated patients required less fluid than those who received crystalloid alone (2.98 vs 3.81 ml/kg/%TBSA) but also demonstrated progressive increases in lung water up to 7 days post-burn. Mortality was higher in the colloid group (11 of 40 patients) than in the crystalloid group (3 of 39 patients), though all patients died later of causes not obviously related to fluid resuscitation.…”

Section: Influence Of Excessive Crystalloid Infusion On Starling Forcesmentioning

confidence: 99%

The Phenomenon of “Fluid Creep” in Acute Burn Resuscitation

Saffle

2007

Journal of Burn Care & Research

286

146

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Several reports have documented that modern burn patients receive far more resuscitation fluid than predicted by the Parkland formula-a phenomenon termed "fluid creep." This article reviews the incidence, consequences, and possible etiologies of fluid creep in modern practice and uses this information to propose some therapeutic strategies to reduce or eliminate excessive fluid resuscitation in burn care. A literature review was performed of historical references that form the foundation of modern fluid resuscitation, as well as reports of fluid creep and its consequences. The original Parkland formula required a 24-hour volume of 4 ml/kg/%TBSA lactated Ringer's solution followed by an infusion of 0.3-0.5 ml/kg/ %TBSA plasma. Modern iterations of this formula have omitted the colloid bolus. Numerous exceptions to the formula have been noted, most consistently patients with inhalation injuries. In contrast, recent reports document greatly increased fluid requirements in unselected patients, which seems to consist largely of progressive edema formation in unburned areas, increasing after the first 8 hours post-burn. This has been linked to occurrence of the abdominal compartment syndrome and other serious complications. Strategies to reduce fluid creep include the avoidance of early overresuscitation, use of colloid as a routine component of resuscitation or for "rescue," and adherence to protocols for fluid resuscitation. Fluid creep is a significant problem in modern burn care. Review of original investigations of burn shock, coupled with modern reports of fluid creep, suggests several mechanisms by which this problem can be controlled. Prospective trials of these therapies are needed to confirm their effectiveness.

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Section: Influence Of Excessive Crystalloid Infusion On Starling Forcesmentioning

confidence: 99%

The Phenomenon of “Fluid Creep” in Acute Burn Resuscitation

Saffle

2007

Journal of Burn Care & Research

286

146

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“…This resulted in massive fluid overload producing significant edema and complications of "Da Nang lung" (acute respiratory distress syndrome), hepatic failure, renal failure, and sepsis. Y Jelenco et al [5][6][7] (burns) and Holcroft et al 8 -13 (acute trauma) recommend hypertonic saline and colloid. The edema was not as severe and oxygen transfer was easier, and therefore the other complications were reduced.…”

Section: Resuscitationmentioning

confidence: 99%

Potential Use of Prothrombin Complex Concentrate in Trauma Resuscitation

McSwain

Barbeau

2011

Journal of Trauma: Injury, Infection &Amp; Critical Care

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“…[6][7][8][9][10][11][12][13][14][15][16][17][18][19][20][21][22][23] The pooled relative risk (RR) was 1.53 (95% CI 1.08-2.13). The albumin treated group carried a risk of death 6% higher than the crystalloid vs.…”

Section: Albumin or Plasma Protein Fraction Crystalloidmentioning

confidence: 99%

“…One trial compared albumin and hypertonic saline with isotonic crystalloid, and its RR of death was 0.50 (95% CI 0.06-4.33). 11 Eight trials compared dextran in hypertonic crystalloid with isotonic crystalloid. [33][34][35][36][37][38][39][40] These eight trials included 1,283 randomized patients, and the pooled relative risk was 0.88 (95% CI 0.74-1.05) ( Figure 2).…”

Section: Colloids In Hypertonic Crystalloid Isotonic Crystalloidmentioning

confidence: 99%

“…For hypovolemia, the RR of death after albumin administration was 1.46 (95% CI 0.97-2.22). [6][7][8]10,12,13,[15][16][17][19][20][21][22][23][43][44][45][46] Burns carried a RR of 2.40 (95% CI 1.11-5.19), 9,11,47 and hypoalbuminemia carried a RR of 1.38 (0.94-2.03). [48][49][50][51][52][53][54][55][56][57] The pooled RR with albumin administration was 1.52 (1.17-1.99) (Figure 4).…”

Section: Cochrane Injuries Group 2003-human Albumin Analysismentioning

confidence: 99%

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