Resuscitation using less fluid has no negative impact on hydration status in children with moderate sized scalds: a prospective single-centre UK study

• Published in: Burns Vol. 43; no. 7; pp. 1499 - 1505
• Main Authors: Hollén, Linda, Coy, Karen, Day, Andrew, Young, Amber
• Format: Journal Article
• Language: English
• Published: Netherlands Elsevier Ltd 01-11-2017
• Subjects: Adolescent; Body Surface Area; Burns - blood; Burns - therapy; Child; Child, Preschool; Coated Materials, Biocompatible - therapeutic use; Creatinine - blood; Critical Care; Dehydration - blood; Dehydration - epidemiology; Female; Fluid resuscitation; Fluid Therapy - methods; Humans; Hydration; Hypovolemia - blood; Infant; Male; Occlusive Dressings; Paediatric burns; Parkland formula; Permissive hypovolaemia; Prospective Studies; Resuscitation - methods; Sodium - blood; Trauma Severity Indices; United Kingdom; Urea - blood; Urination; urine output; Hydration; inter quartile range; IQR; The South West Children’s Burns Centre; Paediatric burns; Fluid resuscitation; IV; BSA; permissive hypovolaemia; intravenous; Parkland formula; traditional resuscitation; PH; UO; SWCBC; TR; body surface area; Permissive hypovolaemia
• ISSN: 0305-4179; 1879-1409
• DOI: 10.1016/j.burns.2017.04.011

Highlights • Little evidence exists regarding correct volumes of fluid in children with burns. • Serum sodium was comparable between patients given less fluid and those given more. • Urine output was similar in patients given less fluid and those given more fluid. • Children remain adequately hydrated at 24 h after-burn with reduced fluids.