Abstract
One of our readers wrote concerning the article, "Burns in Children," (PIR 4:271, 1983): "There is a difference of opinion between experts regarding early use of colloid solution in treatment of second and third degree burns. Guzzetta and Randolph do not recommend colloid, whereas other experts do. What is the consensus of experts?" In reply: The use of colloid solution as part of the fluid resuscitation formula in burned children is controversial. Baxter has shown that for the first 24 hours a "capillary leak" exists throughout the body and not just in the burned area. It is difficult to justify using a more expensive volume expander such as albumin, when the capillaries are equally permeable to both the colloid and Ringer's lactate.
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