Hemodynamics, fluids & transfusion

Twenty percent human albumin solution fluid bolus administration therapy in patients after cardiac surgery-II: a multicentre randomised controlled trial

Intensive Care MedPublished Randomised controlled trial

Primary resultResult — go to the resultDifference - 3.8 h 95% CI - 8 to 0.4

Authors' conclusion

In patients after cardiac surgery, when compared to a crystalloid-based FBT, 20% albumin FBT was associated with a reduced positive fluid balance but did not significantly reduce the duration of vasopressor therapy.

Study context

Population
Cardiac surgery patients deemed to require fluid bolus therapy (FBT) in six intensive care units (ICUs)466 analysed
Participants
480 patients
Comparison
FBT with 20% albumin vs crystalloid FBT
Primary endpoint
Cumulative duration of vasopressor therapy
Methodological detailsmulticentre, parallel-group, open-label
  • Multicentre
  • Parallel-group
  • Open-label

Primary result

As reported in the abstract

Difference

- 3.8 h

95% CI - 8 to 0.4

P = 0.08

By group

Secondary outcomes

OutcomeMean difference (mL) (95% CI)
Day one fluid balance- 701 (- 872 to - 530)

Original publication

Twenty percent human albumin solution fluid bolus administration therapy in patients after cardiac surgery-II: a multicentre randomised controlled trial. Intensive Care Med. Published 2 July 2024. doi:10.1007/s00134-024-07488-3

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