Open AccessResuscitation fluid practices in Brazilian intensive care units: a secondary analysis of Fluid-TRIPS
Author(s) -
Flávio Geraldo Rezende Freitas,
Naomi Hammond,
Yang Li,
Luciano César Pontes Azevedo,
Alexandre Biasi Cavalcanti,
Leandro Utino Taniguchi,
André Luiz Nunes Gobatto,
André Miguel Japiassú,
Antônio Tonete Bafi,
Bruno Franco Mazza,
Danilo Teixeira Noritomi,
Felipe DalPizzol,
Fernando A. Bozza,
Jorge I. Salluh,
Glauco Adrieno Westphal,
Márcio Soares,
Murillo Santucci César de Assunção,
Thiago Lisboa,
Suzana M. Lobo,
Achilles Rohlfs Barbosa,
Adriana Ventura,
Adilson Severiano de Souza,
Alexandre Francisco Silva,
Alexandre Toledo,
Aline Mela dos Reis,
Allan Cembranel,
Álvaro Réa-Neto,
Ana Lúcia Gut,
Ana Patricia Pierre Justo,
Ana Paula Santos,
André Campos D de Albuquerque,
André Scazufka,
Antônio B do N Rodrigues,
B Fernandino,
Bruno Gonçalves Silva,
B. Vidal,
Bruno Valle Pinheiro,
Bruno Vilela Costa Pinto,
Carlos Augusto Ramos Feijó,
Carlos de Abreu Filho,
Carlos Eduardo da Costa Nunes Bosso,
Carlos Eduardo Nassif Moreira,
Carlos Henrique Ferreira Ramos,
Carmen Tavares,
Cidamaiá Arantes,
Cintia Mc Grion,
Ciro Leite Mendes,
Claudio Kmohan,
Cláudio Piras,
Cristine Pilati Pileggi Castro,
Cyntia Lins,
Daniel Beraldo,
Daniel Fontes,
Daniela Boni,
D. Mag. Castiglioni,
Denise de Moraes Paisani,
Durval Ferreira Fonseca Pedroso,
E.R. Mattos,
Edgar de Brito Sobrinho,
Edgar M V Troncoso,
Édison Moraes Rodrigues Filho,
Eduardo Enrico Ferrari Nogueira,
Eduardo Leme Ferreira,
Eduardo Souza Pacheco,
Euzebio Jodar,
Evandro Luis Assis Ferreira,
Fabiana Fernandes de Araujo,
Fabiana Schuelter-Trevisol,
Fábio Ferreira Amorim,
Fabio Giannini,
Fabrício Primitivo Matos Santos,
Fátima Buarque,
Felipe Gallego Lima,
Fernando Antonio Alvares da Costa,
Fernando Cesar Dos Anjos Sad,
Fernando Graça Aranha,
Fernando Ganem,
Flavio Callil,
Francisco Flávio Costa Filho,
Frederico Toledo Campo Dall Arto,
Geovani Enrique Cogollo Moreno,
Gilberto Friedman,
G. M. Moralez,
Guilherme Abdalla da Silva,
Guilherme Costa,
Guilherme Silva Cavalcanti,
Gustavo Navarro Betônico,
Hélder Reis,
Hélia Beatriz Nunes de Araújo,
Helio Anjos Hortiz Júnior,
Hélio Penna Guimarães,
Hugo C. A. Urbano,
Israel Silva Maia,
I L S Filho,
Jamil Farhat Júnior,
Janu Rangel Alvarez,
Joel Tavares Passos,
Jorge Paranhos,
José Aurélio Marques,
José Gonçalves Moreira Filho,
J. Andrade,
José Onofre de Carvalho Sobrinho,
Jose Terceiro de Paiva Bezerra,
Juliana Apolônio Alves,
Juliana Carvalho Ferreira,
Judielson Ribeiro Gomes,
Karina Midori Sato,
Karine Becker Gerent,
Kathia Margarida Costa Teixeira,
Katia Aparecida Pessoa Conde,
Laércia Ferreira Martins,
Lanese Medeiros de Figueiredo,
Leila Rezegue,
Leonardo Tcherniacovsk,
Leone Oliveira Ferraz,
Lourenço Cavalcante,
Ligia Rabelo,
Lilian Miilher,
L. Aybar García,
Luana Alves Tannous,
Ludhmila Abrahão Hajjar,
Luís Eduardo Miranda Paciência,
Luiz Monteiro da Cruz Neto,
M V Bley,
Marcelo Ferreira Sousa,
Marcelo Lourencini Puga,
Marcelo Luz Pereira Romano,
Marciano de Sousa Nóbrega,
Marcio Arbex,
Márcio Leite Rodrigues,
Márcio Osório Guerreiro,
Marcone L. S. da Rocha,
Maria Angela Pangoni Alves,
Maria Doroti Rosa,
Mariza D’Ágostino Dias,
Miquéias de Oliveira Martins,
M. De Lima Oliveira,
Miriane Melo Silveira Moretti,
Mirna Matsui,
Octavio Messender,
Orlando Luís de Andrade Santarém,
Patrício Júnior Henrique da Silveira,
Paula Frizera Vassallo,
Paulo Antoniazzi,
Paulo César Gottardo,
Paulo César Correia,
Paulo Ferreira,
Paulo Torres,
Pedro Gabrile M de Barros E Silva,
Rafael Botelho Foernges,
Rafael Medeiros Gomes,
Rafael Barberena Moraes,
Raimundo ato Lima Filho,
Renato Luis Borba,
Renato Vieira Gomes,
Ricardo Luiz Cordioli,
R Lima,
Ricardo Pérez López,
Ricardo Rath de Oliveira Gargioni,
R Rosenblat,
Roberta Machado de Souza,
Roberto Moreira de Almeida,
Roberto Camargo Narciso,
Roberto de Marco,
Roberto Waltrick,
Rodrigo Santos Biondi,
Rodrigo Cruvinel Figueiredo,
Rodrigo Santana Dutra,
Roseane Batista,
Rouge Felipe,
Rubens Sergio da Silva Franco,
Sandra Houly,
Sara Socorro Faria,
Sérgio Felix Pinto,
Sérgio Luzzi,
S. Ruiz Santana,
Sergio Sonego Fernandes,
Sérgio Yamada,
Sérgio Zajac,
Sidiner Mesquita Vaz,
Silvia Aparecida Bezerra Bezerra,
Tatiana Bueno Tardivo Farhat,
Thiago Martins Santos,
Tiago Smith,
Ulysses V. A. Silva,
Valnei Bento Damasceno,
Vandack Nobre,
Vicente Cés de Souza Dantas,
Vivian Menezes Irineu,
Viviane Bogado,
Wagner Luís Nedel,
Walther Campos Filho,
W Dantas,
William N. Viana,
Wilson de Oliveira Filho,
Wilson Martins Delgadinho,
Simon Finfer,
Flávia Ribeiro Machado
Publication year - 2021
Publication title -
revista brasileira de terapia intensiva
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.431
H-Index - 19
eISSN - 1982-4335
pISSN - 0103-507X
DOI - 10.5935/0103-507x.20210028
Subject(s) - medicine , resuscitation , intensive care , observational study , emergency medicine , intensive care medicine , anesthesia
Objective To describe fluid resuscitation practices in Brazilian intensive care units and to compare them with those of other countries participating in the Fluid-TRIPS. Methods This was a prospective, international, cross-sectional, observational study in a convenience sample of intensive care units in 27 countries (including Brazil) using the Fluid-TRIPS database compiled in 2014. We described the patterns of fluid resuscitation use in Brazil compared with those in other countries and identified the factors associated with fluid choice. Results On the study day, 3,214 patients in Brazil and 3,493 patients in other countries were included, of whom 16.1% and 26.8% (p < 0.001) received fluids, respectively. The main indication for fluid resuscitation was impaired perfusion and/or low cardiac output (Brazil: 71.7% versus other countries: 56.4%, p < 0.001). In Brazil, the percentage of patients receiving crystalloid solutions was higher (97.7% versus 76.8%, p < 0.001), and 0.9% sodium chloride was the most commonly used crystalloid (62.5% versus 27.1%, p < 0.001). The multivariable analysis suggested that the albumin levels were associated with the use of both crystalloids and colloids, whereas the type of fluid prescriber was associated with crystalloid use only. Conclusion Our results suggest that crystalloids are more frequently used than colloids for fluid resuscitation in Brazil, and this discrepancy in frequencies is higher than that in other countries. Sodium chloride (0.9%) was the crystalloid most commonly prescribed. Serum albumin levels and the type of fluid prescriber were the factors associated with the choice of crystalloids or colloids for fluid resuscitation.