EurekaMag.com logo
+ 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 same-day service: $19.90)

Order PDF Full Text

Close
Close

Click here to order any other PDF Full Text


Accession: 010763559

DOI: 10.1097/00004630-200207000-00006

PDF Full Text: Submit


Submit PDF Full Text

No spam - Every submission is manually reviewed

Due to poor quality, we do not accept files from Researchgate

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

Select a PDF file:
Close
Close

Other references

Ma, Yingyu; Liu, Hongtao; Tu Rapp, Hoang; Thiesen, Hans Juergen; Ibrahim, Saleh M.; Cole, Shawn M.; Pope, Richard M., 2004: Fas ligation on macrophages enhances IL-1R1-Toll-like receptor 4 signaling and promotes chronic inflammation. The nonapoptotic functions of Fas ligation are incompletely characterized. In contrast to expectations, we show here that Fas-deficient mice developed less-severe collagen-induced arthritis than did control mice. Despite having milder arthritis, F...

Cuenca, C. L. De., 1935: Selection in poultry in a rural environment. THE importance of genetics to the Spanish poultry industry is dicussed, with special reference to culling and to the selection of suitable phenotypes and genotypes. The value of the proven sire and of progeny testing is stressed.

Dilley, A. C.; Helmond, I., 1973: The estimation of net radiation and potential evapotranspiration using atmometer measurements. The differing rates of evaporation associated with a freely transpiring crop and with 2 differentially shaded atmometers sited above it were considered in terms of a combination-type formula [see HbA 43, 1235 or FCA 26, 2452]. Relationships betwee...

Gibbons Timothy D.; Marrett Randall; Gomez Leonel A., 2005: Spatial distribution of deformation bands and processes of formation within porous sandstone; southeastern Utah. Individual deformation bands within porous sandstones reduce permeability and form barriers to fluid flow. A network of deformation bands can destroy reservoir connectivity and impose compartmentalization; however the extent of compartmentalizatio...

Shagan I.B., 1967: The mechanism of death of phagocytes under the action of an electric charge on the quartz containing particles absorbed by the phagocytes rat. Trudy Leningradskogo Sanitarno-Gigienicheskogo Meditsinskogo Instituta 82: 91-97

Wear R.G., 1970: Life history studies on new zealand brachyura part 4 zoea larvae hatched from crabs of the family grapsidae. New Zealand Journal Of: 3-35

Moulton, J. M., 1963: The recapture of a marked leather-back turtle in Casco Bay, Maine. Copeia, 434-435

Czako, J., 1971: Technology of calf fattening for white meat. Horvath Sandor Magyar Mezogazdasag Zsebkonyve: 8-102

Marchiori, CH.; Silva, CG.; Caldas, ER.; Almeida, KGS.; Carvalho, SA., 2001: First occurrence of parasitoid Nasonia vitripennis Walker Hymenoptera Pteromalidae in pupae of Peckia chrysostoma Wiedemann Diptera Sarcophagidae Primeira ocorrencia do parasitoide Nasonia vitripennis Walker Hymenoptera Pteromalidae em pupas de Peckia chrysostoma Wiedemann Diptera Sarcophagidae. This current paper has the objective of verifying the parasitism of Nasonia vitripennis in pupae of Peckia chrysostoma ocurring in human dung. For this purpose it was used the trap pitfall in which water, detergent and formaldehyde were put. The t...

Sunami, Tomoko; Kondo, Jiro; Hirao, Ichiro; Watanabe, Kimitsuna; Miura, Kin Ichiro; Takenaka, Akio, 2004: Structures of d and d A switching of partners of the sheared GcntdotA pairs to form a functional GcntdotAxAcntdotG crossing. The DNA fragments d(GCGAAGC) and d(GCGAAAGC) are known to exhibit several extraordinary properties. Their crystal structures have been determined at 1.6 and 1.65 ANG resolution, respectively. Two heptamers aligned in an anti-parallel fashion assoc...