Outcome of Heliotherapy and Modified Parkland’s Formula for Fluid Resuscitation in Management of Moderate Degree of Burns: A Single Centre Observational Study.
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Date
2015-05
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Abstract
Background: Acute resuscitation is one of the most challenging aspects of caring for burned patients. Although the Parkland formula is still the most common employed resuscitation formula worldwide, it is far from a perfect solution.
Materials and Methods: This is a prospective observational study, which was carried out over a period of 3 years. A total of 50 patients were enrolled. Modified Parkland formula and heliotherapy were used in the management of moderate degree burns.
Result: Out of 50 patients with Moderate degree of burns 47 survived (mortality rate: 6%). One of the deaths in occurred during the period of resuscitation (day 2). While the other two deaths were related to septic shock. Urine Output (ml/kg/h) of 0.72 ± 0.06 and 0.92 ± 0.05 was noted on day 1 and 2, respectively.
Conclusion: Modified Parkland formula and heliotherapy proved to be effective in our set-up in comparison to the conventional Parkland formula and protocol for management of burns, as reflected in the published literature, thus, we recommend multicentric trials to test the efficacy of this technique, in management of burns.
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Keywords
Burn, Heliotherapy, Injury
Citation
Pukar Mahesh, Rajshakha Aakash, Mewada Sohank, Lakhani Dhairya. Outcome of Heliotherapy and Modified Parkland’s Formula for Fluid Resuscitation in Management of Moderate Degree of Burns: A Single Centre Observational Study. IJSS Journal of Surgery 2015 May-June; 1(3): 8-13.