false
OasisLMS
Catalog
SCCM Resource Library
Is It SMART to Give Balanced Crystalloids or Are W ...
Is It SMART to Give Balanced Crystalloids or Are We Still SPLIT on the BaSICS of Fluid?
Back to course
[Please upgrade your browser to play this video content]
Video Transcription
Video Summary
The speaker, a senior author of a related study, discussed the importance of fluid composition in critically ill patients, highlighting potential biases due to their involvement in the research. They reviewed several major randomized controlled trials (RCTs) assessing balanced fluids versus saline, noting methodological differences that might explain varying results. The SMART trial used balanced fluids in ICU settings, observing a potential benefit, though results were small. The BASICS and PLUS trials, using different methods, found no significant outcome differences. The speaker emphasized the timing of fluid administration and pre-enrollment factors as potentially impactful, particularly noting how initial fluid compositions could influence patient outcomes before ICU admission. Despite small observed effects on mortality, a meta-analysis suggested balanced fluids were preferable over saline for most critical patients, barring traumatic brain injury cases. The speaker stressed the significance of early fluid choice due to the high volume of patients receiving IV fluids annually.
Asset Caption
One-Hour Concurrent Session | When New Data Conflict With Old Data: Making Sense Through the Lens of Landmark Trials
Meta Tag
Content Type
Presentation
Membership Level
Professional
Membership Level
Select
Year
2024
Keywords
fluid composition
critically ill patients
randomized controlled trials
balanced fluids
ICU settings
×
Please select your language
1
English