Search results for "Fluids"
Diabetic ketoacidosis in a prediabetic patient on ophthalmic steroids
The patient presented with fatigue, polydipsia, and polyuria after surgery for spontaneous retinal detachment.
https://acphospitalist.acponline.org/archives/2024/07/24/free/diabetic-ketoacidosis-in-a-prediabetic-patient-on-ophthalmic-steroids.htm
24 Jul 2024
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
Quality and inequalities in sepsis measurement
CMS plans to start paying for performance on SEP-1. Sepsis quality experts have concerns and suggestions.
https://acphospitalist.acponline.org/archives/2024/07/10/quality-and-inequalities-in-sepsis-measurement.htm
10 Jul 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
Earlier norepinephrine for septic shock appears safe, possibly beneficial, review finds
Although earlier administration of norepinephrine in patients with septic shock was not associated with a significant reduction in overall mortality, it was linked with reduced incidence of pulmonary edema, a review and meta-analysis of 12 studies found.
https://acphospitalist.acponline.org/archives/2024/07/17/earlier-norepinephrine-for-septic-shock-appears-safe-possibly-beneficial-review-finds.htm
17 Jul 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
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
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
June 22, 2022
ACP Hospitalist provides hospital-based physicians with news and information about the practice of hospital medicine.
https://acphospitalist.acponline.org/archives/2022/06/22/