Outcome of Heliotherapy and Modified Parkland’s Formula for Fluid Resuscitation in Management of Moderate Degree of Burns: A Single Centre Observational Study

  • Dr. Mahesh M Pukar Dhiraj General Hospital, Smt. B. K. Shah Medical Institute& Research Centre, Sumandeep Vidyapeeth University Campus, Vadodara - 391 760, Gujarat, India
  • Aakash Rajshakha Smt. B.K. Shah Medical Institute & Research Centre,Sumandeep Vidyapeeth University, Vadodara, Gujarat, India
  • Sohank Mewada Dr. Ulhas Patil MedicalCollege & Hospital, Maharashtra, India
  • Dhairya Lakhani Dhiraj General Hospital, Vadodara, Gujarat, India
Keywords: Burn, Heliotherapy, Injury

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.

Author Biographies

Dr. Mahesh M Pukar, Dhiraj General Hospital, Smt. B. K. Shah Medical Institute& Research Centre, Sumandeep Vidyapeeth University Campus, Vadodara - 391 760, Gujarat, India

Professor, Department of Surgery

Aakash Rajshakha, Smt. B.K. Shah Medical Institute & Research Centre,Sumandeep Vidyapeeth University, Vadodara, Gujarat, India

Resident, Department of Surgery

Sohank Mewada, Dr. Ulhas Patil MedicalCollege & Hospital, Maharashtra, India

Intern, Department of Surgery

Dhairya Lakhani, Dhiraj General Hospital, Vadodara, Gujarat, India

Intern, Department of Surgery

Published
2015-05-30