Protocolized Resuscitation of Burn Patients

Leopoldo C. Cancio, Jose Salinas, George Kramer

Research output: Contribution to journalReview article

10 Scopus citations

Abstract

Fluid resuscitation of burn patients is commonly initiated using modified Brooke or Parkland formula. The fluid infusion rate is titrated up or down hourly to maintain adequate urine output and other endpoints. Over-resuscitation leads to morbid complications. Adherence to paper-based protocols, flow sheets, and clinical practice guidelines is associated with decreased fluid resuscitation volumes and complications. Computerized tools assist providers. Although completely autonomous closed-loop control of resuscitation has been demonstrated in animal models of burn shock, the major advantages of open-loop and decision-support systems are identifying trends, enhancing situational awareness, and encouraging burn team communication.

Original languageEnglish (US)
Pages (from-to)599-610
Number of pages12
JournalCritical Care Clinics
Volume32
Issue number4
DOIs
StatePublished - Oct 1 2016

Keywords

  • Burns
  • Decision making—Computer-Assisted
  • Decision support systems - Clinical
  • Fluid resuscitation

ASJC Scopus subject areas

  • Critical Care and Intensive Care Medicine

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