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Open Access Highly Accessed Review

Burn Resuscitation

Frederick W Endorf1* and David J Dries2

Author Affiliations

1 The Burn Center, Regions Hospital, 640 Jackson Street, St. Paul, MN 55101, USA

2 Department of Surgery, Regions Hospital, 640 Jackson Street, St. Paul, MN 55101, USA

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Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine 2011, 19:69  doi:10.1186/1757-7241-19-69

Published: 11 November 2011

Abstract

Fluid resuscitation following burn injury must support organ perfusion with the least amount of fluid necessary and the least physiological cost. Under resuscitation may lead to organ failure and death. With adoption of weight and injury size-based formulas for resuscitation, multiple organ dysfunction and inadequate resuscitation have become uncommon. Instead, administration of fluid volumes well in excess of historic guidelines has been reported. A number of strategies including greater use of colloids and vasoactive drugs are now under investigation to optimize preservation of end organ function while avoiding complications which can include respiratory failure and compartment syndromes. Adjuncts to resuscitation, such as antioxidants, are also being investigated along with parameters beyond urine output and vital signs to identify endpoints of therapy. Here we briefly review the state-of-the-art and provide a sample of protocols now under investigation in North American burn centers.

Keywords:
Burn resuscitation; Crystalloid; Colloid