Rational or rationalized choices in fluid resuscitation?

• Type of Material: Article
• Authors: Jenny Han, Emory University; Greg Martin, Emory University
• Language: English
• Date: 2010-11-09
• Publisher: BioMed Central
• Publication Version: Final Published Version
• Copyright Statement: © 2010 BioMed Central Ltd
• License: Creative Commons Attribution 2.0 Generic
• Final Published Version (URL): http://ccforum.com/content/14/6/1006
• Title of Journal or Parent Work: Critical Care
• ISSN: 1364-8535
• Volume: 14
• Issue: 6
• Start Page: 1
• End Page: 3
• Research Categories: Health Sciences, Medicine and Surgery

Abstract

The war between colloids and crystalloids wages on. In a large multinational survey of fluid prescribing practices in critically ill patients, we have a new and intriguing snapshot of global fluid resuscitation practices. Colloids are more often used for impaired perfusion or low cardiac output, and the choice of colloid or crystalloid varies enormously between countries. Why are some ICUs prescribing colloids more often than crystalloids when there is little convincing evidence that colloids are superior for fluid resuscitation? Are colloids advantageous in certain diseases, or in specific regional patient populations that have not yet been elucidated? Perhaps we should look inwards: the answer may not be more randomized clinical trials, but better adherence to current guidelines and treatment recommendations.