November 2013 critical care journal club

• Main Author: Robbins RA
• Format: Article
• Language: English
• Published: Arizona Thoracic Society 2013-11-01
• Series: Southwest Journal of Pulmonary and Critical Care
• Subjects: fluid resuscitation; shock; vasopressor; beta blocker; septic shock; vasopressin; corticosteroids; epinephrine; cardiac arrest; hydroxyethyl starch
• Online Access: http://www.swjpcc.com/critical-care-journal-club/2013/11/21/november-2013-critical-care-journal-club.html

No abstract available. Article truncated at 150 words. Four manuscripts were reviewed. The first two were review articles from the New England Journal of Medicine. Both are good assessments of the current state of the art of fluid resuscitation and shock in the intensive care unit. Myburgh JA, Mythen MG. Resuscitation fluids. N Engl J Med. 2013;369 (13):1243-51. Fluid administration is one of the most common interventions in medicine. The authors review the use of resuscitation fluids and point out that until recently that the evidence basis for the selection, timing, and doses of intravenous fluids was empiric, based more on training and preference than data. The authors summarize the literature nicely in Table 2 of their manuscript with the following being major points of the manuscript: No currently available resuscitation fluid can be considered to be ideal. Fluids should be administered with the same caution that is used with any intravenous drug. Fluid resuscitation is a component …