DOSE trial showed lasix infusion has no mortality benefit


  • low dose bolus or infusion: home diuretic converted to IV equivalent
  • high dose bolus or infusion: 2.5x home diuretic converted to IV
  • comparing bolus vs infusion, there's no mortality differences, no difference in symptoms, change in Cr
  • infusion at higher dose has trend towards faster improvement in symptoms, greater diuresis, but worse renal function.1

Footnotes

  1. https://www.nejm.org/doi/full/10.1056/nejmoa1005419