Determining transfusion needs for major burn patients: A retrospective review and analysis from 2009 to 2019

Burns ◽  
2021 ◽  
Author(s):  
Jin Jian ◽  
Peng Yu ◽  
Chen Zhengli ◽  
Hong Xudong ◽  
Zhang Xudong ◽  
...  
Keyword(s):  
Retrospective Review ◽  
Burn Patients ◽  
Major Burn

A New Resuscitation Formula Based on Burn Index Provides More Reliable Prediction for Fluid Requirement in Adult Major Burn Patients

2021 ◽  
Author(s):  
Jianglin Tan ◽  
Junyi Zhou ◽  
Ning Li ◽  
Lili Yuan ◽  
Gaoxing Luo
Keyword(s):  
Fluid Resuscitation ◽  
Linear Regression Analysis ◽  
Fluid Volume ◽  
Multivariate Linear Regression Analysis ◽  
Burn Patients ◽  
Full Thickness ◽  
Burn Wound ◽  
Major Burn ◽  
Fluid Requirement ◽  
Actual Volume

Abstract The Third Military Medical University (TMMU) formula is widely used in fluid resuscitation in China. However, the actual volume needs usually exceed the prediction provided by the TMMU formula in major burn patients with a high proportion of full-thickness burn wounds. This retrospective study included 149 adult major burn patients (≥40% TBSA) who were admitted to the Burn Department, Southwest Hospital from 2014 to 2020 and received appropriate fluid resuscitation by the TMMU protocol. The actual volume infused in the first 48 hours postburn was compared to the estimation by the TMMU formula. A new fluid volume prediction formula was developed by multivariate linear regression analysis. The mean fluid requirements were 2.35 ml/kg/% TBSA and 1.75 ml/kg/% TBSA in the first and second 24 hours postburn, respectively. The TMMU formula underestimated the fluid requirement, and its prediction accuracy was 54.1% and 25.8% for the first and second 24 hours, respectively. The proportion of full-thickness burn wound was found to be associated with the fluid requirements postburn. A revised multifactorial formula consisting of the burn index, body weight, and inhalation injury was developed. Using the revised formula, the prediction reliability of resuscitation fluid volume improved to 65.3% and 61.1% in the first and second 24 hours, respectively. The TMMU formula showed low accuracy in predicting fluid requirements among major burn patients. A revised formula based on burn index was developed to provide better guidance for initiative fluid resuscitation for major burns by the TMMU protocol.

scholarly journals High Risk of Failed Skin Graft on Major Burn Patients with Complication of Hypernatremia

2021 ◽  
Vol 57 (2) ◽  
pp. 166
Author(s):  
Lynda Hariani ◽  
Agus Santoso Budi ◽  
Ephora Christina Wulandari
Keyword(s):  
Skin Graft ◽  
Healing Process ◽  
Cross Sectional Study ◽  
Electrolyte Imbalance ◽  
Wound Healing Process ◽  
Burn Patients ◽  
Sectional Study ◽  
Academic Hospital ◽  
Cross Sectional ◽  
Major Burn

The rate of failed skin graft in Dr. Soetomo General Academic Hospital Surabaya was around 26% of the cases, and it became a concern because skin graft was the main procedure to close large burn wounds. Many problems might affect this event; one of them was electrolyte imbalance. Hypernatremia was found in major burn patients. This condition disrupted the wound healing process of skin graft. This cross-sectional study evaluated patients with burns admitted to the Burn Centre of Dr. Soetomo Hospital between January 2014 and December 2018. 143 subjects participated in this study. Hypernatremia was found in 16% of all subjects (23 subjects), 19% with hypernatremia (28 subjects), and the majority of it, 65% with normonatremia (92 subjects). This study found that the risk of failed skin graft was higher on hypernatremia than normonatremia subjects. This risk was higher if the skin graft procedure took more than 10%.

20 Trends and Outcomes for Palliative Care in Major Burn Patients: 10-year Analysis of the NIS

2018 ◽  
Vol 39 (suppl_1) ◽  
pp. S14-S15
Author(s):  
C C Sheckter ◽  
D Rochlin ◽  
K Hung ◽  
Y Karanas ◽  
C Curtin
Keyword(s):  
Palliative Care ◽  
Burn Patients ◽  
Major Burn

scholarly journals Reply to “Predictors in major burn patients”

2020 ◽  
Vol 83 (6) ◽  
pp. 585-585
Author(s):  
Yi-Fan Chen ◽  
Hsu Ma ◽  
Cherng-Kang Perng ◽  
Wen-Chieh Liao ◽  
Yu-Chung Shih ◽  
...  
Keyword(s):  
Burn Patients ◽  
Major Burn

Candidemia in major burn patients and its possible risk factors: A 6-year period retrospective study at a burn ICU

Burns ◽  
2019 ◽  
Vol 45 (5) ◽  
pp. 1164-1171 ◽  
Author(s):  
Junyi Zhou ◽  
Jianglin Tan ◽  
Yali Gong ◽  
Ning Li ◽  
Gaoxing Luo
Keyword(s):  
Risk Factors ◽  
Retrospective Study ◽  
Burn Patients ◽  
Major Burn

Evaluation of Tp-e interval and Tp-e/QT ratio in major burn patients

2020 ◽  
Vol 60 ◽  
pp. 67-71 ◽  
Author(s):  
Mustafa Yenerçağ ◽  
Uğur Arslan ◽  
Alper Ceylan ◽  
Güney Erdoğan ◽  
Onur Osman Seker
Keyword(s):  
Burn Patients ◽  
Major Burn
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