Episode 41: Fluids and Pressors…
Ed, Mike and Dan get nerdy again talking about IV fluids and vasopressors! What works, why, and what do you need to know about the stuff we put into patients…and why it may be hurting more than helping!
2008 JAMA article on fluid resuscitation:
Association between a chloride-liberal vs chloride-restrictive intravenous fluid administration strategy and kidney injury in critically ill adults
R Bellomo, C Hegarty, D Story, L Ho, M Bailey – Jama, 2012 – jamanetwork.com… “Normal” 0.9 per cent salt solution is neither “normal” nor physiological. JAMA … The
biochemical effects of restricting chloride-rich fluids in intensive care. Crit Care Med … Crit
Care Resusc. 2008;10(3):225-23018798721PubMedGoogle
Cochrane Review on colloids or crystalloids:
Colloids or crystalloids for fluid replacement in critically people …
https://www.cochrane.org/…/INJ_colloids-or-crystalloids-fluid-replacement-critically-…
Costs involved in using colloids:
Albumin Use Guidelines and Outcome in a Surgical … – JAMA Network
https://jamanetwork.com/journals/jamasurgery/fullarticle/401980
ATLS 10th edition changes:
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