Fluid Resusciatation Early In Major Burns: Ten Years Experience In Saudi Arabia

摘要

In the period from January 1992 up to the end of July 2001, the Burns Unit in King Khalid-C-Hospital in the North West of Saudi Arabia received 735 cases of burns. The cases had various causes, age groups, degrees, depth and extent. The formula used in treating these burns patients was a modification of Parkland formula. The fluid used was Ringer lactate solution. This fluid was continiously administered until the general condition of the patient was stabilized. Early oral intake was encouraged in all patients and was started as early as the second day in most cases. Colloids were given once the patient is stabilised, and according to the individual patients' needs. The results of this treatment regime significantly avoided renal complications and ensured perfect patient rehydration. Introduction Many IV fluid formulas had been postulated, and most of them had a lot of recorded complications. In this study we used modification of Parkland formula on the majority of our patients to see its effectviness in rehydrating, maintaining virtal organs of our patients. Patients This study included 735 patients, who were admitted to the Burn Unit in King Khalid-C- Hospital in the North West of Saudi Arabia during the 10 year period from January 1992 up to the end of July 2001. The majority were Saudi patients 650 (87%); only 35 cases (13%)were non-Saudis. The age distribution is shown in Table 1. Among the burns cases, 60% were males and 40% were females , table (1). From the series 50 cases came as old burns, 6 cases from which were severely infected, one pregnant lady with old flame burn 60% and she had severe MRSA infection. Several cases came a few days after onset of the burn and after using traditional Arabic medicine. Patients were obliged to come to the hospital when their conditions started to deteriorate.