Guidelines for the choice of intravenous fluids for vascular filling in critically ill patients, 2021

Joannès-Boyau, Olivier; Conte, Philippe Le; Bonnet, Marie‐Pierre; Cesareo, Eric; Chousterman, Benjamin; Chaiba, Djamila; Douay, B.; Futier, Emmanuel; Harrois, Anatole; Huraux, Catherine; Ichai, Carole; Desgouttes, Eric Meaudre; Mimoz, Olivier; Muller, Laurent; Oberlin, M.; Peschanski, Nicolas; Quintard, Hervé; Rousseau, Geoffroy; Savary, Dominique; Tran-Dinh, Alexy; Villoing, Barbara; Chauvin, Anthony; Weiss, Emmanuel

doi:10.1016/j.accpm.2022.101058

Cited by 16 publications

(11 citation statements)

References 63 publications

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“…Since 2020, there are four guidelines published with recommendations for the choice of fluid and vasoactive drug administration specific to critically ill patients. [9][10][11][12] All four of these guidelines have strong recommendations against using starch products. It is worth noting, though, that task force decisionmaking occurred prior to the publication of two large randomized investigations comparing balanced salt solutions to normal saline; the Balanced Solution versus Saline in Intensive Care Study (BaSICS) and the Plasma-Lyte 148 versus Saline (PLUS) trials.…”

Section: Clini C Al Pr Ac Ti Ce G U Ideline Smentioning

confidence: 99%

“…The most recent guidelines relative to choice of intravenous fluids (no recommendations for vasoactive agents) in critically ill patients was a compilation of recommendations by the French Society of Anaesthesia and Intensive Care Medicine and the French Society of Emergency Medicine. 11 The guidelines include a strong recommendation not to use hypertonic saline as a first-line therapy for hemorrhagic shock. There was a strong agreement based on expert opinion not to use gelatin products for patients with sepsis or septic shock.…”

Section: Clini C Al Pr Ac Ti Ce G U Ideline Smentioning

confidence: 99%

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Precision fluid and vasoactive drug therapy for critically ill patients

2023

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There are several clinical practice guidelines concerning the use of fluid and vasoactive drug therapies in critically ill adult patients, but the recommendations in these guidelines are often based on low‐quality evidence. Further, some were compiled prior to the publication of landmark clinical trials, particularly in the comparison of balanced crystalloid and normal saline. An important consideration in the treatment of critically ill patients is the application of precision medicine to provide the most effective care to groups of patients most likely to benefit from the therapy. Although not currently widely integrated into these practice guidelines, the utility of precision medicine in critical illness is a recognized research priority for fluid and vasoactive therapy management. The purpose of this narrative review was to illustrate the evaluation and challenges of providing precision fluid and vasoactive therapies to adult critically ill patients. The review includes a discussion of important investigations published after the release of currently available clinical practice guidelines to provide insight into how recommendations and research priorities may change future guidelines and bedside care for critically ill patients.

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Section: Clini C Al Pr Ac Ti Ce G U Ideline Smentioning

confidence: 99%

Section: Clini C Al Pr Ac Ti Ce G U Ideline Smentioning

confidence: 99%

Precision fluid and vasoactive drug therapy for critically ill patients

2023

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“…It is reasonable to administer up to 2–3 L of balanced crystalloid to critically ill adult patients [ 36 ]. Notably, rapid infusion of fluids may increase the risk of pulmonary edema [ 33 ]. The vital signs should be regularly monitored including blood pressure, body temperature, pulse rate, respiration rate, and mental state.…”

Section: Fluid Supportive Therapymentioning

confidence: 99%

“…Balanced crystalloids are solutions in which including sodium, potassium, chloride, and bicarbonate buffers closer to that of extracellular fluid [31]. According to the previous literatures [32][33][34], the routine use of balanced crystalloids is greatly beneficial for critically ill patients. Compared with saline, the intravenous fluid administration of balanced crystalloids may cause a decrease in all-cause mortality and incidence of renal insufficiency [33].…”

Section: Fluid Supportive Therapymentioning

confidence: 99%

“…According to the previous literatures [32][33][34], the routine use of balanced crystalloids is greatly beneficial for critically ill patients. Compared with saline, the intravenous fluid administration of balanced crystalloids may cause a decrease in all-cause mortality and incidence of renal insufficiency [33]. Particularly, hyperkalemia is a relative contraindication to the use of balanced crystalloids [32].…”

Section: Fluid Supportive Therapymentioning

confidence: 99%

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Progress in the management of acute colchicine poisoning in adults

Liu

2022

Intern Emerg Med

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Colchicine is a tricyclic, lipid-soluble alkaloid which has long been used to treat gout and many immunological diseases. Due to its narrow therapeutic window and long half-life of elimination, colchicine overdose occurs occasionally. Unfortunately, some patients lost their lives because of colchicine overdose or suicide. Acute colchicine poisoning can lead to original gastrointestinal disorders, shock, progressive multiple organ failure, and myelosuppression. Although many researchers in the world performed lots of research, there are currently no specific antidotes for colchicine poisoning. Meanwhile, there are no management guidelines to treat patients with acute colchicine poisoning until now. Herein, we systematically elaborate on the clinical features and progress in the management of acute colchicine poisoning in adults according to the previous literature. This paper will provide some valuable and available information for clinicians.

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Recent data and the French guidelines for choice of intravenous fluids for vascular filling

Young

2022

Anaesthesia Critical Care & Pain Medicine

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Guidelines for the choice of intravenous fluids for vascular filling in critically ill patients, 2021

Cited by 16 publications

References 63 publications

Precision fluid and vasoactive drug therapy for critically ill patients

Precision fluid and vasoactive drug therapy for critically ill patients

Progress in the management of acute colchicine poisoning in adults

Recent data and the French guidelines for choice of intravenous fluids for vascular filling

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