Decreasing maintenance fluids in normotensive trauma patients may reduce intensive care unit stay and ventilator days.
J Crit Care
; 31(1): 201-5, 2016 Feb.
Article
en En
| MEDLINE
| ID: mdl-26643858
ABSTRACT
PURPOSE:
The purpose of the study is to determine if excessive fluid administration is associated with a prolonged hospital course and worse outcomes. MATERIALS ANDMETHODS:
In July 2013, all normotensive trauma patients admitted to the surgical intensive care unit (ICU) were administered crystalloids at 30 mL/h ("to keep open [TKO]") and were compared to patients admitted during the preceding 6 months who were placed on a rate between 125 mL/h to 150 mL/h (non-TKO). The primary outcomes were ICU, hospital, and ventilator days.RESULTS:
A total of 101 trauma patients met inclusion criteria 56 (55.4%) in the TKO and 45 (44.6%) in the non-TKO group. Overall, the 2 groups were similar in regard to age, Injury Severity Score, Acute Physiology and Chronic Health Evaluation IV scores, and the need for mechanical ventilation. TKO had no effect on renal function compared to non-TKO with similarities in maximum hospital creatinine. TKO patients had lower ICU stay (2.7 ± 1.5 vs 4.1 ± 4.6 days; P = .03) and ventilator days (1.4 ± 0.5 vs 5.5 ± 4.8 days; P < .01).CONCLUSIONS:
A protocol that encourages admission basal fluid rate of TKO or 30 mL/h in normotensive trauma patients is safe, reduces fluid intake, and may be associated with a shorter intensive care unit course and fewer ventilator days.Palabras clave
Texto completo:
1
Banco de datos:
MEDLINE
Asunto principal:
Respiración Artificial
/
Heridas y Lesiones
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Fluidoterapia
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Unidades de Cuidados Intensivos
/
Tiempo de Internación
Tipo de estudio:
Etiology_studies
/
Observational_studies
/
Risk_factors_studies
Límite:
Adult
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Aged
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Female
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Humans
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Male
/
Middle aged
Idioma:
En
Revista:
J Crit Care
Asunto de la revista:
TERAPIA INTENSIVA
Año:
2016
Tipo del documento:
Article