IVF in electricity burn

 Q: In patients with high voltage electrical injuries, a urine output target should be? (select one) 

A) decreased

B) increased

Answer: B

 One of the basic goals of patients with burns is to preserve the end-organs function. Few parameters which can be helpful are urine output,  central venous pressure (CVP), and/or Swan Ganz guided hemodynamic values. Urine output continued to be the cornerstone guide of these patients' fluid resuscitation. In any average patient, ideally, the target is 1 mL/kg/hour for adults. A clinician should adjust this target per each patient, particularly in light of the Total Body Surface Area (TBSA) of burn.

In patients with high voltage electrical injuries, higher urine output should be targeted/maintained as there is an increased risk of myoglobinuria and acute kidney injury (AKI).

#burns

#hemodynamics

#resuscitation

#nephrology

References:

Culnan DM, Farner K, Bitz GH, et al. Volume Resuscitation in Patients With High-Voltage Electrical Injuries. Ann Plast Surg 2018; 80:S113.