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Revista Cubana de Enfermería
versão On-line ISSN 1561-2961
Resumo
LEMUS-LIMA, Erlys et al. Effectiveness of the Modified Brooke Formula of Hydric Substitution for Management of the Burnt Patient. Rev Cubana Enfermer [online]. 2019, vol.35, n.1 Epub 30-Jul-2019. ISSN 1561-2961.
Objective:
To determine the effectiveness of the modified Brooke formula for hydric resuscitation in the first 72 hours of admission.
Methods:
Descriptive, cross-sectional study carried out with severely burnt patients admitted to the Caumatology and Plastic Surgery Department of Dr. Miguel Enríquez University Hospital of Havana, during 2014. Study population of 211, a systematic probabilistic sample of 80 patients was chosen, three groups being formed according to the prognosis of severe (40), critical (17) and extremely critical (23). Statistical techniques of absolute frequency and percentage distribution were used; for the variables studied, we calculated standard deviation considering a level of significance for p<0.05.
Results:
There was a predominance of the male sex (67.50%), age 40-49 years (45.00%), the category of serious (50.00%), 46.25% of the cases began to be resuscitated from 4 to 8 hours after the thermal insult occurred. Tachycardia and thirst were the most important clinical parameters in the phases of resuscitation (97.50% and 73.75%) and post-resuscitation (26.25% and 13.75%), decreased by more than 70.00% from one stage to another.
Conclusions:
In the post-resuscitation stage of the burnt patients, the evaluated clinical parameters improved by more than 70%, this being a satisfactory indicator of the effectiveness of the use of the modified Brooke formula.
Palavras-chave : Burns: effectiveness; resuscitation.