RESULTADO DE LA TERAPIA DE REANIMACIÓN CON FLUIDOS INTRAVENOSOS EN PACIENTES CON QUEMADURAS MODERADAS Y GRAVES

Abstract

BACKGROUND: Burns are a public health problem in our country. The population most affected is the working population and children. The origin of the burn is primarily associated with thermal and accidents at work and at home. Prompt and appropriate treatment of burn affects the patient's speedy recovery. OBJECTIVE: To identify the outcome of therapy with intravenous fluid resuscitation in patients with moderate and severe burns. MATERIAL AND METHODS: We conducted a longitudinal study in patients attending the emergency department HGR 1, IMSS, Querétaro, in the period April 2009 to April 2010. It included the total of patients who presented with moderate and severe burns, during the aforementioned period, which were treated with Hartman solution resuscitation according to the Parkland formula. We measured blood pressure, body temperature, hourly urinary volume and urine output during first and second hour. Ethical aspects were considered. Averages were analyzed by frequencies and percentages. RESULTS: Of the 54 patients studied, 51.9% (28) were male, mean age 39 ± 3.3.Blood pressure on admission was 118.15/75.19 averaged, with mean arterial pressure of 89 mmHg during the first hour 119.13/75.02 average, with mean arterial pressure of 90 mmHg and in the second hour average blood pressure 118.04 / 75.93 with mean arterial pressure of 90 mmHg. Regarding entry blood pressure and blood pressure in the second hour, only an increase of less than 1 mmHg. The urine volume in the first hour averaged 207.86 ml, 250 ml in 35.2% and 100 ml in 14.8%. During the second hours were 250 ml in 29.6% and 100 ml in 7.4%. Mean hourly uresis 3.44 ml / kg / hour for first hour and 3.93 ml / kg / hour in the second hour. CONCLUSIONS: rehydration therapy according to the Parkland formula improved the hemodynamic status in the early hours of treatment in the burned patient.