الفهرس 
• Pathophysiology of thermal injuryOnly 14 pages are availabe for public view
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Abstract
During the past several decades, differences of opinion have existed as to whether or not burn patients with concomitant inhalation injury should be given more or less fluid than would ordinarily be necessary for a patient with the same type of thermal injury without pulmonary involvement.
The study includes fifty patients who had inhalation injury as diagnosed by bronchoscopic examination. The degree of inhalation injury was determined and the effect of this on the amount of fluid resuscitation was studied.
The study confirmed that the amount of fluid resuscitation in burned patients with inhalation injury is much more than that needed in patents without inhalation injury.
This amount is equal to 4.31-4.62 ml per Kg body weight per % total body surface area burn for the 1st 24 hours, and 2.26-2.51 ml per Kg body weight per % total body surface area burn for the 2nd 24 hours (12.5% increase above the Parkland formula).
The study proved that there is no correlation between the degree of inhalation injury and the amount of fluid resuscitation. There were also no effects of age, sex or delay in hours on the fluid resuscitation, and the main factor that has effect is the product of body weight multiplied by the % total body surface area burn.
Our study proved that restricting fluid resuscitation below physiologic requirements represents an error in priorities. Resuscitation formulas are simply guidelines to fluid therapy and should be continuously adjusted according to response of the patients.