Search results for "Fluids"
Moderate IV fluid resuscitation associated with less sepsis mortality
An industry-funded analysis of ICU patients admitted with sepsis and septic shock found that those who received a moderate amount of IV fluid on day 1 had a 2.5% reduction in mortality compared with those treated with very low or very high amounts of fluid.
https://acphospitalist.acponline.org/archives/2024/08/28/moderate-iv-fluid-resuscitation-associated-with-less-sepsis-mortality.htm
28 Aug 2024
Physiologic assessment for shock associated with use of vasopressors but not fluids, study finds
The authors noted that physiologic assessment was not common in the first 24 hours after shock onset and was performed more often in sicker patients.
https://acphospitalist.acponline.org/weekly/archives/2020/07/08/3.htm
8 Jul 2020
Updated COVID-19 vaccines approved
The FDA also authorized marketing of a molecular-based assay to detect colonization with Candida auris, among other recent actions.
https://acphospitalist.acponline.org/archives/2024/08/28/updated-covid-19-vaccines-approved.htm
28 Aug 2024
Dynamic measures to guide fluid resuscitation may improve outcomes in septic shock
A randomized trial assigned patients with sepsis-associated hypotension to usual care or to assessment of fluid responsiveness with a passive leg raise before a fluid bolus was given or the vasopressor dose was increased.
https://acphospitalist.acponline.org/weekly/archives/2020/05/06/3.htm
6 May 2020
Steward your fluids
Deresuscitation may be the next step in optimizing sepsis care.
https://acphospitalist.acponline.org/archives/2020/04/steward-your-fluids.htm
15 Apr 2020
Neither rate nor type of fluid resuscitation affected outcomes in ICU patients, trial finds
A balanced solution was compared to a 0.9% saline solution in a large trial in Brazilian ICUs that also randomized the same patients to undergo fluid challenges at rates of either 333 mL/h or 999 mL/h.
https://acphospitalist.acponline.org/weekly/archives/2021/08/18/2.htm
18 Aug 2021
Spurious hyperphosphatemia in a multiple myeloma patient
A patient with multiple myeloma had lethargy, disorientation, and several abnormal labs.
https://acphospitalist.acponline.org/archives/2024/08/21/free/spurious-hyperphosphatemia-in-a-multiple-myeloma-patient.htm
21 Aug 2024
Restrictive or individualized fluid resuscitation may work for severe sepsis, studies find
A pilot trial looked at the effects of giving no more than 60 mL/kg of IV fluid in the first 72 hours, while a post-hoc analysis compared baseline lactate and base excess with outcomes from sepsis.
https://acphospitalist.acponline.org/weekly/archives/2019/04/24/2.htm
24 Apr 2019
August 28, 2024
ACP Hospitalist provides hospital-based physicians with news and information about the practice of hospital medicine.
https://acphospitalist.acponline.org/archives/2024/08/28/
Fluid overload associated with adverse event risk in critically ill AKI patients
In a single-center retrospective study, those with fluid overload less than or equal to 10% were less likely to have major adverse kidney events than those with fluid overload greater than 10%.
https://acphospitalist.acponline.org/weekly/archives/2019/06/12/4.htm
12 Jun 2019