What is the primary objective of fluid resuscitation in burn patients?

The primary objective of fluid resuscitation in burn patients is to maintain urine output between 0.5 to 1.0 mL/kg/hour. This target is crucial for several reasons.

First, adequate urine output is a key indicator of kidney perfusion and overall fluid balance in a patient with significant burns. In the setting of burn injuries, there is often substantial fluid loss through the damaged skin, leading to hypovolemia and increased risk of shock. By ensuring that urine output is within the specified range, healthcare providers can monitor the effectiveness of fluid resuscitation and assess the patient's response to treatment.

Second, maintaining this urine output helps prevent acute kidney injury, which can occur as a result of inadequate perfusion due to hypovolemia. It minimizes the risk of complications associated with renal failure in severely burned patients, resulting in a better overall prognosis.

In summary, focusing on urine output as a primary goal of fluid resuscitation allows for the timely identification and management of fluid status and helps guide ongoing treatment in burn patients.