Albumin 5% Versus Crystalloids for Fluid Resuscitation in Children After Cardiac Surgery

Pediatric Critical Care Medicine : a Journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies
Adil R DingankarGonzalo Garcia Guerra

Abstract

To determine the clinical benefit of using colloids versus crystalloids for volume resuscitation in children admitted after cardiac surgery. Retrospective pre-/postintervention cohort study. Stollery Children's Hospital tertiary care pediatric cardiac ICU. Children admitted to the pediatric cardiac ICU after cardiac surgery. Fluid resuscitation policy change in which crystalloids replaced albumin 5% as the primary fluid strategy for resuscitation after cardiac surgery. Children who underwent cardiac surgery in the 6 months prior to the policy change (5% albumin group) were compared with children admitted during the 6 months after (crystalloid group). Demographic, perioperative, and outcome variables (fluid intake days 1-4 postoperative, vasoactive therapy, blood products, time to negative fluid balance, renal replacement therapies, mechanical ventilation, pediatric cardiac ICU, and length of stay) were collected. Data were analyzed using linear and logistic multivariate analysis. The study included 360 children. There was no association between fluid group and fluid intake (mL/kg) on day 1 postoperatively (coefficient, 2.84; 95% CI, 5.37-11.05; p = 0.497). However, crystalloid group was associated with significantly less fluid ...Continue Reading

References

Jan 1, 1994·Annales Françaises D'anesthèsie Et De Rèanimation·M C LaxenaireL Feldman
May 1, 1996·Critical Care Medicine·M M PollackU E Ruttimann
Jul 24, 1998·BMJ : British Medical Journal·UNKNOWN Cochrane Injuries Group Albumin Reviewers
Oct 11, 2001·Critical Care Medicine·D L Wessel
Jan 10, 2002·The Journal of Thoracic and Cardiovascular Surgery·Kathy J JenkinsLisa I Iezzoni
May 28, 2004·The New England Journal of Medicine·Simon FinferUNKNOWN SAFE Study Investigators
Nov 26, 2004·American Journal of Respiratory and Critical Care Medicine·UNKNOWN American Thoracic Society
Jun 23, 2006·Intensive Care Medicine·Joanne VerheijA B Johan Groeneveld
Mar 22, 2007·Annual Review of Biomedical Engineering·Sheldon WeinbaumEdward R Damiano
Sep 1, 2007·The New England Journal of Medicine·UNKNOWN SAFE Study InvestigatorsShirley Vallance
Sep 25, 2008·Anesthesiology·Daniel ChappellMarkus Rehm
Aug 8, 2009·The Journal of Thoracic and Cardiovascular Surgery·Dirk BrueggerFrank Christ
Oct 19, 2010·Critical Care : the Official Journal of the Critical Care Forum·Simon FinferUNKNOWN SAFE TRIPS Investigators
Feb 25, 2011·Anesthesia and Analgesia·Rosemary A KozarAngel Paredes
May 28, 2011·The New England Journal of Medicine·Kathryn MaitlandUNKNOWN FEAST Trial Group
Jan 11, 2012·Molecular Aspects of Medicine·Gabriella FanaliPaolo Ascenzi
Jun 29, 2012·The New England Journal of Medicine·Anders PernerUNKNOWN Scandinavian Critical Care Trials Group
Aug 25, 2012·AJNR. American Journal of Neuroradiology·J G MerinoS Warach
Jan 29, 2013·Critical Care Medicine·R Phillip DellingerUNKNOWN Surviving Sepsis Campaign Guidelines Committee including the Pediatric Subgroup
May 29, 2013·Anesthesiology Clinics·Andrew Shaw, Karthik Raghunathan
Apr 30, 2014·Pediatric Critical Care Medicine : a Journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies·Michael G GaiesRavi R Thiagarajan
Aug 19, 2015·Critical Care : the Official Journal of the Critical Care Forum·Bregje M van ParidonUNKNOWN Alberta Sepsis Network
Mar 6, 2016·Pediatric Critical Care Medicine : a Journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies·Amy N McCammondJohn M Costello
Apr 9, 2016·European Journal of Anaesthesiology·Robert G Hahn, Gordon Lyons
May 12, 2017·Pediatric Critical Care Medicine : a Journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies·Meth R DelpachitraWarwick W Butt

❮ Previous
Next ❯

Citations

Sep 5, 2018·Pediatric Critical Care Medicine : a Journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies·Jonathan Sniderman, Steven M Schwartz
Jul 3, 2021·Current Gastroenterology Reports·Charles B ChenKadakkal Radhakrishnan
Jul 16, 2021·Pediatric Critical Care Medicine : a Journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies·Ben GelbartRinaldo Bellomo

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.

Related Papers

Experimental and Clinical Transplantation : Official Journal of the Middle East Society for Organ Transplantation
Zeynep ErsoyMehmet Haberal
Experimental and Clinical Transplantation : Official Journal of the Middle East Society for Organ Transplantation
Emil BjörkbomAlexey Schramko
Pediatric Critical Care Medicine : a Journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies
Maria Helena Müller DittrichEdson Lopes Lavado
© 2022 Meta ULC. All rights reserved