Intravenous maintenance fluids in resuscitation for thermal injuries in children

Thermal injuries in children require fluid resuscitation in a timely manner [1]. In addition to the fluid resuscitation calculated per the Parkland or Galveston formulae, children less than 30kg have maintenance requirements based on Holiday and Segar regimen or the body surface area [2]. Titration of resuscitation fluid after burns is based on urine output and hemodynamic end-points. The usual practice is to continue intravenous maintenance fluids without titration and reduce them on the commencement of enteral nutrition.
Source: Burns : Journal of the International Society for Burn Injuries - Category: Cosmetic Surgery Authors: Tags: Letter to the Editor Source Type: research