Annals of burns and fire disasters
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Ann Burns Fire Disasters · Jun 2005
Our experience in the treatment of burn shock by hypertonic lactated saline solution.
Hypertonic salt solutions have for many years been known to be effective in the treatment of burn shock. Rapid infusion of a high concentration of sodium (250 mEq/l) produces positive effects by reducing fluid shifts, decreasing tissue oedema, and causing fewer attendant complications. This study presents data on 20 patients with severe burns who were resuscitated with hypertonic lactated saline (HLS) solution. ⋯ Early administration of high sodium and fluid loads in the first four hours may decrease the total fluid load in the first 24 hours post-burn. A hypertonic regime requires careful observation and calculations. Resuscitation with HLS solution is a valuable regime in the treatment of severe burn patients that is also applicable in other similar clinical conditions.