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Correction Factors of Csontos et al for Fluid Requirements During the First 24 Hours After Burn Trauma

Description

Csontos et al made adjustments to the Parkland formula for fluid resuscitation of burn patients during the first 24 hours. These consider the impact of factors such as body mass index (BMI) and the size of the burn. The authors are from the University of Pecs in Hungary.


Fluid replacement tended to exceed the volumes recommended by the Parkland Formula.

 

VIWB = volume infused per kg body weight and percent burnt body surface area

 

The median 24 hour VIWB was 4.66 mL per kg per percent BSA burned, which was higher than the Parkland Formula's 4.0 mL per kg per percent

 

Factors influencing the fluid requirements:

(1) body mass index

(2) percent of body surface area burned

(3) significant amount of deep thermal injury

 

BMI

Correction Factor

20 to 25

1.30

25 to 30

1.18

30 to 35

1.05

35 to 40

0.90

 

 

Percent BSA Burned

Correction Factor

< 20%

1.3

20 to 40%

1.2

40 to 60%

1.1

60 to 80%

1.0

80 to 100%

0.9

 

The fluid requirements was also increased if there was deep burn injury. Based on Figure 4 this appears to be 1.1 times greater.


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