Intravenous resuscitation is required in a patient with 30% burns. Which of the following will be the best choice of fluid in the first 24 hours?
Most commonly used fluid for resuscitation in burns is ringer lactate. Some centres use human albumin solution or fresh-frozen plasma, and some centres use hypeonic saline. Intravenous resuscitation is indicated for children with a burn greater than 10% TBSA and adults with 15% TBSA. Parkland formula is the most widely used formula for calculating fluid replacement in the first 24 hours. The formula is Volume in ml = Total percentage body surface area x weight in kilograms x 4. Half of this volume is given in first 8 hours, and the second half is given in the subsequent 16 hours. In children, maintanence fluid is also given which is primarily dextrose saline. Ref: Bailey and Love's Sho Practice of Surgery, 24th edn, Page 271-2
Normal saline
Dextrose 5%
Ringer lactate
Whole blood