Showing posts with label intensive care. Show all posts
Showing posts with label intensive care. Show all posts

Thursday, August 22, 2019

Does Albumin as Resuscitative Fluid in Sepsis Improve Mortality When Compared to Crystalloid?

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This post was peer reviewed.
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Authors: Laurie Bezjian Wallace, DO
Mike O’Callaghan Military Medical Center

Bottom Line Up Front
Utilizing albumin as resuscitative fluid in patients with sepsis demonstrated no difference in all-cause mortality when compared to crystalloid (System of Record ((SOR)) A: meta-analysis of randomized controlled trials [RCTs]). Administration of 300mL of 20% albumin did not significantly lower mortality rates at 28 days or 90 days post-administration (SOR B: single unblinded RCT).

Introduction
Crystalloid versus colloid fluid resuscitation in septic patients remains a topic of discussion within the critical care community. This article details a meta-analysis and RCT which address the outcomes of utilizing albumin as a resuscitative fluid in patients with sepsis.