Resuscitation with albumin using BET formula keeps at bay fluid administration in burned patients. An observational study

• Published in: Burns 2020-06, Vol.46 (4), p.860-867
• Main Authors: Blanco-Schweizer, Pablo, Sánchez-Ballesteros, Jesús, Bendito, Beatriz, Martín, Ana I., Fernández, Lorena, Piqueras, Jose M., Enríquez, Pedro, Blanco, Jesús
• Format: Article
• Language: English
• Subjects: Albumin; BET; Burn; Colloid; Resuscitation
• ISSN: 0305-4179; 1879-1409
• DOI: 10.1016/j.burns.2019.10.024

•Burn patients’ resuscitation using BET formula is able to limit fluid administration.•BET formula resuscitates burn patients effectively.•BET formula limits fluid related complications in burn patients. BET (Biological Engineering Technology) formula uses fluids with high albumin concentration to resuscitate burn patients. It estimates fluid resuscitation as a function of Body Burned Surface Area (BBSA) (ml/h = BBSA (m2) × 220) and administers it through a combination of lactated ringer and 20% Albumin starting at a 1:1 relationship. The proportion of albumin is decreased every 8 h, and infusion rate is modified according to urinary output. The study’s purpose was to review resuscitation related variables of all burned patients treated in our unit using BET formula. We retrospectively analyzed all patients admitted to our critical care burn unit during a five year period. Only those admitted within the first 12 h post-burn injury were considered. 40 patients met all inclusion criteria. Resuscitation volume during the first 24 h was 2.58 ml/kg/%BBSA, significantly less than Parkland’s estimation (4 ml/kg/%BBSA; P