Some patients with burns may benefit from infusion of albumin. The Joint Trauma System Clinical Practice Guideline (JTS CPG) outlines its use.
Patient selection: >= 30% BSA with partial or full thickness burns
Indications for starting an albumin infusion - 1 or both of the following at 8-12 hours post-burn:
(1) IV infusion rate > 1500 mL per hour
(2) projected 24-hour total infusion >= 250 mL per kg
Start: 8-12 hours after burn
Ends: 48 hour after burn
Interval: 36 to 40 hours
Fluid: 5% albumin or fresh frozen plasma
Adult Weight
30-49% BSA
50-69% BSA
>= 70% BSA
< 70 kg
30 mL/h
70 mL/h
110 mL/h
70 to 90 kg
40 mL/h
80 mL/h
140 mL/h
> 90 kg
50 mL/h
90 mL/h
160 mL/h
For pediatric patients:
(1) dose 4-7 mL per kg
(2) infuse at 0.5 mL per minute (30 mL per hour)
(3) reduce crystalloid infusion by the same amount
To read more or access our algorithms and calculators, please log in or register.
Specialty: Emergency Medicine, Critical Care
