Comparison between two Fluid Management Techniques of Ringer lactate and Hydroxyethyl Starches in cases of Burn

  • Kashif Ali Department of Plastic Surgery, Sheikh Zayed Medical College/Hospital, Rahim Yar Khan, Pakistan.
  • Hassan Mahmood Tabassum Department of General Surgery, Sheikh Zayed Medical College/Hospital, Rahim Yar Khan, Pakistan.
  • Mohtamam Nazir Department of General Surgery, Sheikh Zayed Medical College/Hospital, Rahim Yar Khan, Pakistan.
  • Sultan Ahmed Owaisi Department of General Surgery, Sheikh Zayed Medical College/Hospital, Rahim Yar Khan, Pakistan.
  • Sajid Anwar Department of General Surgery, Sheikh Zayed Medical College/Hospital, Rahim Yar Khan, Pakistan.
  • Muhammad Nauman Ashraf Department of General Surgery, Sheikh Zayed Medical College/Hospital, Rahim Yar Khan, Pakistan.
Keywords: Burn, creatinine, Ringer lactate, HES, Hydroxyethyl Straches

Abstract

Background: Fluid replacement is one of the important issues in the management of burn cases.

Objective: To compare the outcome between Ringer lactate and Hydroxyethyl starches (HESs) in cases with burn injuries.

Methodology: Study design: Randomized controlled trial. Place and duration of study: Department of Plastic Surgery, Sheikh Zayed Hospital, Rahim Yar Khan, from June to  December 2018. Study subjects selected were those who had a burn of any type (thermal, chemical, electric) and at least more than 10% of the surface area of the body. The cases were then divided into two equal groups. The fluid requirement was calculated according to the Parkland formula. After this, the cases in group A were given Ringers lactate solution 500 ml while those in group B were given 500 ml of 6% hydroxyethyl starches (HESs) and further fluid was administered in group A as ringer only and in group B as ringer and HES in a ration of 2:1. The cases were then followed to look for various outcomes in the form of urine output, serum creatinine, and mean hospital stay.

Results: In this study, there were a total of 60 cases (30 in each group). The mean age in group A and B was 17.33±5.39 vs 19.11±4.79 years (p= 0.33). Mean hospital stay was 14.65±3.31 vs 13.49±2.78 days with p= 0.41. Mean urine output per day was 1645.81±143.47 vs 1705.31±165.83 ml with p= 0.43 and mean creatinine in group A and B was 1.79±0.38 vs 1.83±0.44 with p= 0.86.

Conclusion: There was no significant difference in both the groups regarding urine output, creatinine, and mean hospital stay.

Published
2020-09-24