European Society of Intensive Care Medicine clinical practice guideline on fluid therapy in adult critically ill patients. Part 1: the choice of resuscitation fluids

Intensive Care MedPublished Clinical practice guideline

Methodological detailsGRADE methodology, international expert panel
  • GRADE methodology
  • International expert panel

Recommendations

As issued by the authors

  1. Conditional; moderate certainty of evidence

    Crystalloids rather than albumin in critically ill patients in general

  2. Conditional; moderate certainty of evidence

    Crystalloids rather than albumin in sepsis

  3. Conditional; very low certainty of evidence

    Crystalloids rather than albumin in acute respiratory failure

  4. Conditional; very low certainty of evidence

    Crystalloids rather than albumin in the perioperative period and in patients at risk for bleeding

  5. Conditional; very low certainty of evidence

    Isotonic saline rather than albumin in TBI

  6. Conditional; very low certainty of evidence

    Albumin rather than crystalloids in cirrhosis

  7. Conditional; low certainty of evidence

    Balanced crystalloids rather than isotonic saline in critically ill patients in general

  8. Conditional; low certainty of evidence

    Balanced crystalloids rather than isotonic saline in sepsis

  9. Conditional; very low certainty of evidence

    Balanced crystalloids rather than isotonic saline in kidney injury

  10. Conditional; very low certainty of evidence

    Isotonic saline rather than balanced crystalloids in TBI

  11. Conditional; very low certainty of evidence

    Isotonic crystalloids rather than small-volume hypertonic crystalloids in critically ill patients in general

Original publication

European Society of Intensive Care Medicine clinical practice guideline on fluid therapy in adult critically ill patients. Part 1: the choice of resuscitation fluids. Intensive Care Med. Published 21 May 2024. doi:10.1007/s00134-024-07369-9

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