A burn patient resuscitation therapy designed by computer simulation (BET). Part 1: Simulation studies.

This study presents an analysis of the fluid, electrolyte and colloid needs of burn patients during the shock phase. A digital simulation technique was used which had previously been validated and published in burned patients (Roa et al., 1988). After analysing the repercussions of both burns and various resuscitation procedures, a fluid therapy method (BET) has been designed using a burn patient simulator, which has been characterized by its effectiveness and minimal side-effects. The characteristics of the BET method are a low volume of infusion resuscitation solution (220 ml/h/m2 burned body surface area (BBSA)) and a rapid and large volume of colloidal substances (with colloid concentrations of 10, 7.5 and 5 g/100 ml during the first three 8 h periods of the first postburn day and 2.5 g/100 ml until the 40th h postburn).