| A biopsy of the use of the Baxter formula to resuscitate burns or do we do it like Charlie did it? | |
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MedLine Citation:
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PMID: 10752739 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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The Baxter formula is commonly used to calculate fluid requirements. Baxter reported that 12% of patients would require more than 4.3 mL/kg per percentage of total body surface area (%TBSA). We anecdotally observed that we frequently exceeded the predictions of the formula, and we wondered if this was unique to our practice. We studied our last 11 burn-related resuscitations and collected fluid resuscitation data from US burn centers. Twenty-eight centers were queried, and 6 centers shared data. We were therefore able to study the resuscitation data of 50 adult patients. For 29 patients (58%), 4.3 mL/kg/%TBSA was exceeded compared with the 12% reported by Baxter. These findings suggest that in actual practice, fluid volumes administered are larger than the Baxter formula predicts. This survey does not explain why. Possible reasons for the larger fluid volumes are as follows: (1) the sample is not representative; (2) the formula is used improperly; (3) burns have changed and require more fluids; (4) burn care has changed. |
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Authors:
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L H Engrav; P L Colescott; N Kemalyan; D M Heimbach; N S Gibran; L D Solem; A R Dimick; R L Gamelli; C W Lentz |
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Publication Detail:
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Type: Comparative Study; Journal Article |
Journal Detail:
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Title: The Journal of burn care & rehabilitation Volume: 21 ISSN: 0273-8481 ISO Abbreviation: J Burn Care Rehabil Publication Date: 2000 Mar-Apr |
Date Detail:
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Created Date: 2000-05-18 Completed Date: 2000-05-18 Revised Date: 2006-11-15 |
Medline Journal Info:
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Nlm Unique ID: 8110188 Medline TA: J Burn Care Rehabil Country: UNITED STATES |
Other Details:
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Languages: eng Pagination: 91-5 Citation Subset: IM |
Affiliation:
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Division of Plastic Surgery, University of Washington Burn Center at Harborview, Seattle 98104, USA. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adult Burn Units / statistics & numerical data* Burns / mortality, therapy* Data Collection Diagnostic Techniques and Procedures Female Fluid Therapy / methods* Humans Injury Severity Score Male Resuscitation / methods* Sensitivity and Specificity Survival Analysis United States Water-Electrolyte Imbalance / etiology, therapy* |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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