Isotonic crystalloid is still the most commonly used fluid for resuscitation in U.S. burn centers. The most popular fluid resuscitation regimen, the Parkland Formula, uses isotonic crystalloid solutions and estimates the fluid requirements in the first 24 hours to be 4 mL/kg per TBSA burned.
Burn resuscitation refers to the replacement of fluids in burn patients to combat the hypovolemia and hypoperfusion that can result from the body's systemic response to burn injury.Mar 29, 2021
The goal of fluid management in major burn injuries is to maintain the tissue perfusion in the early phase of burn shock, in which hypovolemia finally occurs due to steady fluid extravasation from the intravascular compartment.
Charles Baxter, is perhaps the most widely recognized fluid replacement formula for burn injuries. It stipulates that 2 to 4 ml of Ringer's Lactate per kilogram of weight per percentage of body surface area burned, with the first half given over the first 8 hours and the remainder given over the next 16 hours.Jul 9, 2021