What type of fluid is most commonly administered during the initial burn resuscitation?

During the initial burn resuscitation phase, Lactated Ringer’s solution is most commonly administered due to its electrolyte composition that is more closely aligned with the body’s plasma. This solution contains sodium, potassium, calcium, and lactate, which helps to restore fluid balance and provides essential electrolytes necessary for cellular function during the acute phase of burn injury.

The lactate component of this solution also plays a role in buffering acidosis, which can occur in burn patients due to tissue damage and fluid loss. Lactated Ringer’s is particularly beneficial because it helps provide a more balanced physiologic response in patients who require extensive fluid resuscitation.

While sodium chloride solutions and normal saline could also be used in fluid resuscitation, they do not offer the electrolyte balance provided by Lactated Ringer’s solution and may contribute to hyperchloremic acidosis if used exclusively. Glucose solutions are not appropriate for initial resuscitation as they do not provide the necessary electrolytes and could exacerbate hyperglycemia in critically injured patients.