Time to face the book?: “Unfriending” IV fluids. Where are we currently with fluid administration in anaesthesia and critical care?

摘要

The half-life of medical knowledge is known to be short, and yet the recent collapse in many of the basic tenets of fluid administration has come as a surprise to many. It is fairly clear that we need to change our practice with regard to fluid administration. However, a solid and reliable evidence base to inform the exact direction of this change does not exist yet. There are indications of where the underlying problems have been in fluid administration, and some pragmatic recommendations can be made.