ArticleIntensive care medicine2015
Resuscitation fluid use in Australian and New Zealand Intensive Care Units between 2007 and 2013.
Article in Intensive care medicine, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers.
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The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
22 citing papers in PubMed.
- Twenty percent human albumin solution fluid bolus administration therapy in patients after cardiac surgery-II: a multicentre randomised controlled trial.Intensive care medicine · 2024Trial
- Effect of a single small volume fluid bolus with balanced or un-balanced fluids on chloride and acid-base status: a prospective randomized pilot study (the FLURES-trial).Journal of nephrology · 2024Trial
- Science-based fluid therapy in the intensive care unit: Professor Rinaldo Bellomo's legacy.Critical care and resuscitation : journal of the Australasian Academy of Critical Care Medicine · 2025Review
- Study protocol and statistical analysis plan for the 20% Human Albumin Solution Fluid Bolus Administration Therapy in Patients after Cardiac Surgery-ll (HAS FLAIR-II) trial.Critical care and resuscitation : journal of the Australasian Academy of Critical Care Medicine · 2022Article
- Violence in intensive care: a point prevalence study.Critical care and resuscitation : journal of the Australasian Academy of Critical Care Medicine · 2022Article
- Article
- Balanced Crystalloid Solutions.American journal of respiratory and critical care medicine · 2019Review
- Resuscitation fluids.Current opinion in critical care · 2018Review
- Personalised fluid resuscitation in the ICU: still a fluid concept?Critical care (London, England) · 2017Review
- Focus on fluid therapy.Intensive care medicine · 2017Article
- An increased chloride level in hypochloremia is associated with decreased mortality in patients with severe sepsis or septic shock.Scientific reports · 2017Article
- Fluid management in acute kidney injury.Intensive care medicine · 2017Review
- Sepsis: frontiers in supportive care, organisation and research.Intensive care medicine · 2017Review
- Current Trends in Volume Replacement Therapy and the Use of Synthetic Colloids in Small Animals-An Internet-Based Survey (2016).Frontiers in veterinary science · 2017Article
- Article
- What's new on balanced crystalloid solutions?Intensive care medicine · 2016Article
- Hyperchloremia and moderate increase in serum chloride are associated with acute kidney injury in severe sepsis and septic shock patients.Critical care (London, England) · 2016Article
- Saline Is Not the First Choice for Crystalloid Resuscitation Fluids.Critical care medicine · 2016Article
- Focus on acute kidney injury and fluids.Intensive care medicine · 2016Article
- Fluid resuscitation practice patterns in intensive care units of the USA: a cross-sectional survey of critical care physicians.Perioperative medicine (London, England) · 2016Article
Corrections and comments
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Authors and funding
9 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionRecent evidence indicates that the choice of intravenous fluids may affect outcomes in critically ill patients.
methodsWe recorded the administration of resuscitation fluids in patients admitted to Australian and New Zealand adult intensive care units (ICUs) for a 24-h period at 6 time points between 2007 and 2013. Changes in patterns of fluid use over this period were determined using regression analyses.
resultsOf the 2825 patients admitted to the 61 ICUs on the 6 study days, 754 (26.7%) patients received fluid resuscitation. Of those receiving fluid resuscitation, the proportion of patients receiving crystalloid significantly increased from 28.9% (41/142) in 2007 to 50.5% (48/95) in 2013 (adjusted odds ratio (OR) 2.93; 95% confidence intervals (CI) 1.35-6.33; p = 0.006); of these, the proportion of patients receiving buffered salt solutions significantly increased from 4.9% (7/142) in 2007 to 31.6% (30/95) in 2013 (OR 7.00; 95% CI 2.14-22.92; p = 0.001). The use of colloids significantly decreased from 59.9% (85/142) in 2007 to 42.1% (40/95) in 2013 (adjusted OR 0.34; 95% CI 0.16-0.74; p = 0.007) due to a significant decrease in the proportion of patients receiving gelatin; 28.9% (41/142) to 2.1% (2/95) (OR 0.10; 95% CI 0.03-0.29; p ≤ 0.001).
conclusionFluid resuscitation practice in Australia and New Zealand adult ICUs has changed over the 6-year study period. Crystalloid use increased primarily due to an increase in the use of buffered salt solutions while overall the use of colloid has decreased.
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