fluid management in the ICU

• related: ICU intensive care unit
• tags: #literature

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Types of fluids

• albumin does not have mortality benefit over crystalloid fluids in septic shock
• balanced crystalloids have no mortality benefit compared to normal saline
• lactated ringer is safe for treating hypercalcemia
• restrictive vs liberal fluid have no difference in septic shock

What to give

• SMART trial found balanced crystalloids have improved outcome of death and renal dysfunctin over saline
• SALT ED trial found no difference between crystalloids and saline groups

How much to give

• FACTT Trial showed restrictive fluid strategy leads to mortality improvement
• There is no mortality difference between restrictive fluid strategy and liberal fluid strategy in septic patients

Links to this note

• ICU intensive care unit

  • fluid management in the ICU

• septic shock

  • fluid management in the ICU

• lactated ringer is safe for treating hypercalcemia

  • related: Hypercalcemia, fluid management in the ICU

• albumin does not have mortality benefit over crystalloid fluids in septic shock

  • related: fluid management in the ICU

• balanced crystalloids have no mortality benefit compared to normal saline

  • related: fluid management in the ICU

• restrictive vs liberal fluid have no difference in septic shock

  • related: septic shock, fluid management in the ICU

• There is no mortality difference between restrictive fluid strategy and liberal fluid strategy in septic patients

  • related: fluid management in the ICU

• use capillary refill time as one of the guides to resuscitation

  • related: fluid management in the ICU