Educational Blog about Anesthesia, Intensive care and Pain management

Burn Fluid Resuscitation Formulas

Burn Fluid Resuscitation Formulas 1-Harkins formula (1942) Initial 24 hours: ➧ 1000 ml plasma/10% burn Used in patients with ≥ 10% burn. 2-Body weight burn budget (1947) Initial 24 hours: ➧ Ringer's lactate (RL) solution 1-4 L + 1200ml NS + 7.5% body weight colloid + 1.5-5 L D5W. Next 24 hours:  ➧ RL 1-4 L + 1200ml NS + 2.5%body weight colloid + 1.5-5 L D5W. 3-Evans formula (1952) Initial 24 hours: ➧ 0.9% saline at 1 ml/kg/%...

Ropivacaine (Naropin®)

Ropivacaine (Naropin®)➧ Ropivacaine is a long-acting amide local anesthetic (LA) drug. The name ropivacaine refers to both the racemic mixture and the marketed S-enantiomer. ➧ It produces effects similar to other LAs via reversible inhibition of sodium ion influx in nerve fibers.Advantages: ➧ Ropivacaine is less lipophilic than bupivacaine and is less likely to penetrate...