Crystalloids versus colloids……new Cochrane document

 October 16

by Jonathan Downham

Latest Cochrane review re use of colloids in the septic patient. Concludes that their use is not warranted. http://onlinelibrary.wiley.com/store/10.1002/14651858.CD000567.pub5/asset/CD000567.pdf?v=1&t=h42p3v0c&s=cbae16af3279fc4a08803f39de0b24139909c9b9

share this

Related Posts

Decompensated Alcohol Related Liver Disease Part 2

We return to our 48-year-old patient: jaundiced, hypotensive, drowsy, and bleeding. In decompensated cirrhosis, every treatment targets a disrupted system — splanchnic vasodilation, portal hypertension, toxin accumulation, and renal hypoperfusion.Although these patients look fluid overloaded, they are effectively hypovolaemic. Start with small aliquots of balanced crystalloid, avoiding 0.9% saline. In hepatorenal syndrome or tense ascites, 20% albumin is

Read More

Decompensated Alcohol Related Liver Disease

In this episode, I walk through the real-world critical care management of acute decompensated alcohol-related liver disease, using a high-risk ICU case to anchor the discussion. The focus is on understanding the underlying physiology—portal hypertension, rebalanced haemostasis, hepatic encephalopathy, infection, and hepatorenal syndrome—and translating that physiology into clear first-hour priorities at the bedside.  Listeners are

Read More