Positive cumulative fluid balance at 72h is associated with adverse outcomes following acute pediatric thermal injury

Fluid resuscitation remains the cornerstone of treatment following thermal injury. However, fluid resuscitation often exceeds consensus formula estimates and has been associated with adverse outcomes. The term “fluid creep” has been used to describe the phenomenon of fluid resuscitation well beyond that which was predicted in the first 24h following thermal injury [1]. Multifactorial in nature, fluid creep has been attributed to a reluctance to use colloid, hesitation to reduce intravenous fluid rates in the face of adequate urine output, pursuit of goal directed therapies, use of continuous opiate infusions, and the inability of the Parkland formula to accurately estimate fluid resuscitation for large burns [1,2].
Source: Burns : Journal of the International Society for Burn Injuries - Category: Cosmetic Surgery Authors: Source Type: research