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Scandinavian clinical practice guideline on choice of fluid in resuscitation of critically ill patients with acute circulatory failure
Author(s) -
PERNER A.,
JUNTTILA E.,
HANEY M.,
HREINSSON K.,
KVÅLE R.,
VANDVIK P. O.,
MØLLER M. H.
Publication year - 2015
Publication title -
acta anaesthesiologica scandinavica
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.738
H-Index - 107
eISSN - 1399-6576
pISSN - 0001-5172
DOI - 10.1111/aas.12429
Subject(s) - medicine , resuscitation , intensive care medicine , hydroxyethyl starch , guideline , intensive care unit , sepsis , circulatory failure , intensive care , critically ill , emergency medicine , anesthesia , surgery , pathology
Background The task force on A cute C irculatory F ailure of the S candinavian S ociety of A naesthesiology and I ntensive C are M edicine produced this guideline with recommendations concerning the use of crystalloid vs. colloid solutions in adult critically ill patients with acute circulatory failure. Methods G rading of R ecommendations A ssessment, D evelopment and E valuation ( GRADE ) methodology was used to grade the quality of evidence and to determine the strengths of the recommendations. As efficacy and harm may vary in different subpopulations of patients with acute circulatory failure, we produced recommendations for general intensive care unit ( ICU ) patients and those with sepsis, trauma and burn injury. Results For general ICU patients and those with sepsis, we recommend using crystalloids for resuscitation rather than hydroxyethyl starch and we suggest using crystalloids rather than gelatin and albumin. For patients with trauma we recommend to use crystalloids for resuscitation rather than colloid solutions. For patients with burn injury we provide no recommendations as there are very limited data from randomised trials on fluid resuscitation in this patient population. Conclusions We recommend using crystalloid solutions rather than colloid solutions for resuscitation in the majority of critically ill patients with acute circulatory failure.