+ Translate

How well does the Parkland Formula estimate actual fluid resuscitation volumes?

, : How well does the Parkland Formula estimate actual fluid resuscitation volumes?. Journal of Burn Care & Rehabilitation 23(4): 258-265, July-August

We had anecdotally observed that fluid resuscitation volumes often exceed those estimated by the Parkland Formula in adults with isolated cutaneous burns. The purpose of this study was to compare estimated and actual fluid resuscitation volumes using the Parkland Formula. We performed a retrospective study of fluid resuscitation in patients with burns gtoreq 15% TBSA. Patients with inhalation injury, high voltage electrical injury, delayed resuscitation, or associated trauma were excluded. We studied 31 patients (mean age 51 +- 20 years, mean TBSA burn 27 +- 10%). The 24 hour resuscitation volume of 13 354 +- 7386 ml (6.7 +- 2.8 ml/kg/%TBSA) was significantly greater than predicted (P = 0.001) and exceeded estimated volume in 84% of the patients. The mean urine output in the first 24 hrs was 1.2 +- 0.6 ml/kg/hr. After the first 8 hours of resuscitation, the infusion rate decreased by 34% in 16 patients (DCR group), while in 15 patients the rate increased by 47% (INCR group). Both the DCR and INCR groups received significantly more fluid than predicted, (5.6 +- 2.1 ml/kg/%TBSA and 7.7 +- 3.1 ml/kg/%TBSA respectively). The INCR patients had significantly larger full thickness burns (14 +- 11% vs 3 +- 6%, P < 0.001). Our findings reveal that despite its effectiveness, the Parkland Formula underestimated the volume requirements in most adults with isolated cutaneous burns, and especially in those with large full thickness burns.

(PDF 0-2 workdays service)

Order PDF Full Text


Not the article you are looking for?
Click here to order the paper you need

Accession: 010763559

PDF Full Text: Submit

Submit PDF Full Text

No spam - Every submission is manually reviewed

Submitted PDF Full Texts will always be free for everyone
(We only charge for PDFs that we need to acquire)

Select a PDF file:

Other references

Holmes, Arthur D.; Tripp, Francis; Woelffer, Elmer A.; Satterfield, G. Howard, 1940: Influence of age of cow on ascorbic acid content of certified milk. A study was made of the ascorbic acid content of milk produced by mature Guernsey and Holstein cows of different ages. The exptl. cows were maintained, as a part of a large certified milk herd, for a 12-mo.- period. The cows were stall-fed, a unif...

Bonino, N., 1999: European hare and its interaction with Patagonia livestock. Ecological features of the European hare in Patagonia, such as population density and botanical composition of the diet in comparison with livestock, are described. According to different literature sources, density varies from 8 to 17 hares/ha in...

Benton E. R., 1979: Magnetic probing of planetary interiors. The following general question is addressed: what can be learned about a planetary interior from measurements of the global planetary magnetic field at (or near) its surface? The discussion is placed in the context of Earth, for clarity, but the c...

Podlogar, Brent L.; Paterlini, M. Germana; Ferguson, David M.; Leo, Gregory C.; Demeter, David A.; Brown, Frank K.; Reitz, Allen B., 1998: Conformational analysis of the endogenous mu-opioid agonist endomorphin-1 using NMR spectroscopy and molecular modeling. Endomorphin-1 (Tyr-Pro-Trp-Phe-NH2) is a highly selective and potent agonist of the mu-opioid receptor. To identify structural attributes unique to this opioid peptide and potential sites of recognition, a conformational analysis has been performe...

Bache D.H., 1981: Analyzing particulate deposition to plant canopies. Experimental measurements of the deposition of Lycopodium spores to a plant canopy were analyzed to generate specific estimates of the relative significance of sedimentation, impaction and the effective foliage density [f.rho.]. For the particular...

Hedger, Gh; Eikenbary, Rd; Morrison, Rd, 1978: Computer prediction and control of the pecan weevil. Pecan South: 5 (5) 198

Thomas, W. R.; Asherson, G. L.; Perera, M. A. C. C., 1978: Induction of contact sensitivity selective induction of delayed hyper sensitivity by the injection of cells from draining lymph nodes into the foot pads of normal recipients. Cells taken from the draining lymph nodes of mice 1 day after painting with picryl chloride induced contact hypersensitivity when injected into the footpads of normal recipients. This was an immunizing process rather than a transfer of sensitized...

Kanwar B.B.; Tripathi B.R., 1984: Zinc content in soil and wheat plants in agriculturally important valleys of himachal pradesh india. Studies on the soils from agriculturally important valleys/areas in Himachal Pradesh showed that 28% samples were deficient, 42% marginal and 30% adequate in available (DTPA [diethylenetriaminepentaacetic acid]-extractable) Zn. Only about 12% of t...

Holcomb, E. J.; White, J. W., 1970: A technique for soil application of a growth retardant. The effectiveness of applying Cycocel at 110 or 55 p.p.m. to Euphorbia pulcherrima gradually in the irrigation water over an extended period (30 or 15 days) of the crop cycle was investigated. Control of plant height was comparable to that produce...

Turner, R. C.; Nichol, W. E., 1962: A study of the lime potential: 2. Relation between lime potential and per cent base saturation of negatively charged clays in aqueous salt suspensions. In clays saturated with Al and titrated with Ca(OH)2 the lime potential of the solution was directly related to the percentage base saturation regardless of the clay used. Clays saturated with Fe behaved similarly except that the lime potential at...