scholarly journals Effect of Intravenous Fluid Treatment With a Balanced Solution vs 0.9% Saline Solution on Mortality in Critically Ill Patients

JAMA ◽  
2021 ◽  
Author(s):  
Fernando G. Zampieri ◽  
Flávia R. Machado ◽  
Rodrigo S. Biondi ◽  
Flávio G. R. Freitas ◽  
Viviane C. Veiga ◽  
...  
Keyword(s):  
Critically Ill ◽  
Critically Ill Patients ◽  
Saline Solution ◽  
Intravenous Fluid ◽  
Balanced Solution

scholarly journals Impact of Intravenous Fluids and Enteral Nutrition on the Severity of Gastrointestinal Dysfunction: A Systematic Review and Meta-analysis

2020 ◽  
Vol 6 (1) ◽  
pp. 5-24
Author(s):  
Varsha M. Asrani ◽  
Annabelle Brown ◽  
Ian Bissett ◽  
John A. Windsor
Keyword(s):  
Enteral Nutrition ◽  
Anastomotic Leak ◽  
Critically Ill ◽  
Fluid Resuscitation ◽  
Enteral Feeding ◽  
Critically Ill Patients ◽  
Intravenous Fluid ◽  
Intravenous Fluids ◽  
Gastrointestinal Dysfunction ◽  
The Impact

AbstractIntroductionGastrointestinal dysfunction (GDF) is one of the primary causes of morbidity and mortality in critically ill patients. Intensive care interventions, such as intravenous fluids and enteral feeding, can exacerbate GDF. There exists a paucity of high-quality literature on the interaction between these two modalities (intravenous fluids and enteral feeding) as a combined therapy on its impact on GDF.AimTo review the impact of intravenous fluids and enteral nutrition individually on determinants of gut function and implications in clinical practice.MethodsRandomized controlled trials on intravenous fluids and enteral feeding on GDF were identified by a comprehensive database search of MEDLINE and EMBASE. Extraction of data was conducted for study characteristics, provision of fluids or feeding in both groups and quality of studies was assessed using the Cochrane criteria. A random-effects model was applied to estimate the impact of these interventions across the spectrum of GDF severity.ResultsRestricted/ goal-directed intravenous fluid therapy is likely to reduce ‘mild’ GDF such as vomiting (p = 0.03) compared to a standard/ liberal intravenous fluid regime. Enterally fed patients experienced increased episodes of vomiting (p = <0.01) but were less likely to develop an anastomotic leak (p = 0.03) and peritonitis (p = 0.03) compared to parenterally fed patients. Vomiting (p = <0.01) and anastomotic leak (p = 0.04) were significantly lower in the early enteral feeding group.ConclusionsThere is less emphasis on the combined approach of intravenous fluid resuscitation and enteral feeding in critically ill patients. Conservative fluid resuscitation and aggressive enteral feeding are presumably key factors contributing to severe life-threatening GDF. Future trials should evaluate the impact of cross-interaction between conservative and aggressive modes of these two interventions on the severity of GDF.

scholarly journals Balanced crystalloids for intravenous fluid therapy in critically ill and non-critically ill patients

Medicine ◽  
2018 ◽  
Vol 97 (51) ◽  
pp. e13683
Author(s):  
Peifen Ma ◽  
Bo Wang ◽  
Jun Zhang ◽  
Xiping Shen ◽  
Liping Yu ◽  
...  
Keyword(s):  
Critically Ill ◽  
Fluid Therapy ◽  
Critically Ill Patients ◽  
Intravenous Fluid ◽  
Intravenous Fluid Therapy ◽  
Balanced Crystalloids

Slower vs Faster Intravenous Fluid Bolus Rates and Mortality in Critically Ill Patients—Reply

JAMA ◽  
2021 ◽  
Vol 326 (22) ◽  
pp. 2332
Author(s):  
Fernando G. Zampieri ◽  
Alexandre B. Cavalcanti
Keyword(s):  
Critically Ill ◽  
Critically Ill Patients ◽  
Intravenous Fluid ◽  
Fluid Bolus
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