Download MBBS (Bachelor of Medicine, Bachelor of Surgery) Burns and Plastic Surgery PPT 5 Fluid Therapy And Wound Care In Burns Complications Burns Lecture Notes
Fluid therapy and wound
care in burns,Complications
Fluid therapy in burns
Why fluid therapy?
Prompt fluid resuscitation is essential for survival in these patients.
Since the implementation of efficient, dynamic fluid replacement, fewer
patients die in the first 24?48 h
All formulas are guides: Clinical decisions
Assessment of Burn Area
The Rule of 9
Due to differences in body
proportions, the percentage for
each body area is different in
adults and children.
Lund and Browder chart
Initial 24 hours: RL 4 ml/kg/% burn (adults)
Next 24 hours: Begin col oid infusion of 5% albumin 0.3?1 ml/kg/% burn/per hour
Initial 24 hours: No col oids. RL solution 2 ml/kg/% burn in adults and 3 ml/kg/%
burn in children
Next 24 hours: Col oids at 0.3?0.5 ml/kg/% burn and no crystal oids are given.
Glucose in water is added in the amounts required to maintain good urinary
Initial 24 hours: RL 5000 ml/m2 burn + 2000 ml/m2 total (1/2 of total volume
over 8 hours, rest of the total volume in 16 hours)
Assessment of adequacy of fluid
0.5 ml/kg/hour adults
1.5-2 m/kg/hr electrical burn
Fluid therapy after 24 hours
Evaporative water loss
Type of Fluid :
Outpatient Burn Management
Who can be treated as outpatient
Cleansing the wound
Acute Burn wound management
Dressings in Burn
Bilogical dressings: Amniotic
Skin substitutes: Alloderm,
Tangential excision removes burned skin while preserving the underlying viable
Full thickness excision
Complications of Burns
Infection and sepsis
1. What is the most common topical agent used for burn dressing?
2. What is the fluid required for resuscitation of superficial burns involving 10%
TBSA in a 50 kg man?
3. What is marjolin's ulcer?
This post was last modified on 07 April 2022