A Model for Validation of Parkland Formula for Resuscitation of Major Burns in Pediatrics | ||
| The Egyptian Journal of Plastic and Reconstructive Surgery | ||
| Articles in Press, Accepted Manuscript, Available Online from 23 February 2022 | ||
| Document Type: Research article | ||
| DOI: 10.21608/ejprs.2022.116254.1143 | ||
| Authors | ||
| Fatma elzhraa ahmed Ahmed* 1; Mohamed Samir Badawy2; Amr gaber Sayed3; Dalia Saleh4; Ahmed M. Gad5; Ahmed Moahmed Elbadawy6 | ||
| 1Plastic, Burn and Maxillofacial Surgery department, Faculty of medicine, Ain shams university, Cairo, Egypt | ||
| 2Plastic, Burn and Maxillofacial Department, Faculty Of Medicine, Ain Shams University, Cairo, Egypt | ||
| 3Anethesia, Intensive care and Pain management department, Faculty of Medicine, Ainshams university, cairo, Egypt. | ||
| 4plastic, burn &maxillofacial department, Faculty of Medicine, Ain shams university, Ramses street, Abbasia, Cairo, Egypt | ||
| 5Plastic, Burn and Maxillofacial Surgery department, Faculty of medicine, Ain shams university, Cairo, Egypt. | ||
| 6Plastic, Burn and Maxillofacial Surgery Department, Faculty of Medicine, Ain Shams University, Cairo, Egypt. | ||
| Abstract | ||
| • Background: Parkland formula is the standard formula used for resuscitation of pediatrics burn at our burn center. This formula depends on the percentage of the burn and the weight of the patient. It is used for many years but it has never been validated before. • Patients and methods: A retrospective cohort study between January 2016 and December 2020. Data collected from patient's records including patients' age, sex, type and percentage of burn, delay in start of resuscitation, weight on admission, hourly blood pressure, urine output, central venous pressure in the first 24 hours. Depending on specific resuscitation parameters, Patients were classified into 3 groups according to actual volume of fluid administrated as compared to the calculated parkland then they were compared as regard incidence ratio of pulmonary edema, duration of hospital stay and mortality rate. • Results: 540 pediatric patients were admitted to our center during this period. Only 38 of them met our inclusion criteria. Groups are group I (patients received fluid volume more than that calculated by parkland) 18 patients (47%), group II (patients received fluid volume less than that calculated by parkland) 20 patients (53%), group III (patients received fluid volume equal to parkland) zero. On comparing groups as regard end points of resuscitation in day 1, there was no statistical significance and as regard complications of resuscitation, no statistical significance was detected between the groups. • Conclusion: Although all patients had the same starting point for resuscitation calculated by parkland but none of them was adherent to it and all of them needed tailoring of fluid administrated to reach target urine output 0.5-1 ml/kg/hour. • Recommendations: This study is limited with the small number of patients. It could be a model for validation of parkland formula but with larger number of patients and may be to be done in prospective manner. | ||
| Keywords | ||
| pediatric resuscitation; burn trauma; fluid formulas | ||
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