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ID 37684
file
creator
Okabayashi, Kiyoshi
Ohtani, Minako
Yamanoue, Takao
Sera, Akihiko
Wada, Seishi
Inoue, Takeshi
subject
Pediatric thermal injury
Respiratory failure
Fluid resuscitation
NDC
Medical sciences
abstract
We evaluated the accurate fluid requirement to prevent respiratory failure during the postresuscitation period in the resuscitation of massively burned children without inhalation injury. Forty-nine children were treated by similar fluid resuscitation and physiologic support protocols. Using a retrospective chart review, the children were divided into three groups as follows: Group N (no lung injury, n = 33, 41.4 ± 18. 7%TBSA burned), Group M (mild-to-moderate lung injury, n = 11, 73.7 ± 17.1%TBSA burned) and Group S (severe lung injury, n = 5, 67.2 ± 16.6%TBSA burned). Information about fluid resuscitation during the first 24 hr post-injury was collected and compared among the three groups. There was no significant difference in the hourly urine output and the resuscitation volume estimated by body weight and burn size among the groups. The volumes estimated by ml/kg/%TBSA burned were 7.0 ml/kg/%TBSA burned, 8.0 ml/kg/%TBSA burned, and 9.4 ml/kg/%TBSA burned in Groups N, M, and S, respectively. According to the fluid volume estimated by the burn index CBI; 1/2 of% second-degree burns plus % third-degree burns), the volumes were 13.8 ± 4.0ml/kg/BI, 14.4 ± 4.4ml/kg/BI, 18.8 ± 3.7ml/kg/BI in Groups N, M, and S, respectively (Group N < Group S, p < 0.05). There was a significant positive correlation between the maximum respiratory index (AaDOiPaO2) during the first week and the initial total volume administered (ml/kg/BI). These findings indicated that the fluid requirements to prevent postresuscitation respiratory failure in massively burned children might be estimated according to the depth of burned area in addition to body weight and burn size.
journal title
Hiroshima Journal of Medical Sciences
volume
Volume 50
issue
Issue 2
start page
41
end page
45
date of issued
2001-06
publisher
Hiroshima University Medical Press
issn
0018-2052
ncid
language
eng
nii type
Departmental Bulletin Paper
HU type
Departmental Bulletin Papers
DCMI type
text
format
application/pdf
text version
publisher
department
Graduate School of Biomedical Science
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