Fluid Resuscitation for Burn Injuries

Learning Objectives
Identify burn‑related physiologic factors and resuscitation practices that increase the risk of airway edema and necessitate early intubation planning
Explain how fluid resuscitation strategies influence airway patency, respiratory mechanics, and the timing of endotracheal intubation in pediatric burn patients
Apply anticipatory airway assessment and preparation during burn resuscitation to reduce the risk of emergent or unsafe intubation
Analyze patient response to fluid resuscitation, including volume requirements and edema development, to determine escalation to invasive airway support
Evaluate vascular access and resuscitation adequacy to ensure safe delivery of airway medications and support should intubation become necessary
Author(s)
Robert Sheridan, MD
Burn Service Medical Director | Shriners Hospital for Children
Interim Chief of Staff | Shriners Hospital for Children
Attending surgeon | Mass General burn unit
Aleksandra E. Olszewski, MD
Physician, Assistant Professor of Critical Care Medicine and Pediatrics, Department of Critical Care Medicine | UPMC Children's Hospital of Pittsburgh
Traci Wolbrink, MD, MPH
Co-Director, OPENPediatrics; Co-Director, Center for Educational Excellence and Innovation; Program Director, Pediatric Critical Care Medicine Fellowship; Senior Associate in Critical Care Medicine | Boston Children’s Hospital
Associate Professor of Anaesthesia | Harvard Medical School
Citation
Sheridan R, Olszewski AE, Wolbrink TA. Fluid Resuscitation for Burn Injuries. 8/2013. Online Video. OPENPediatrics. https://learn.openpediatrics.org/learn/course/internal/view/elearning/3151/fluid-resuscitation-for-burn-injuries.
