This is my approach to fluid resuscitation – sorry for the lack of precision which, to me, is actually key. It would be against the N=1 principle to give out a recipe…but here’s a way to think about it:
Sorry the last bit cut off – my iphone can only email an 8 minute audio clip! Which I wasn’t aware of until today. Anyway all that was lost at the end was “thanks for listening and I’d really like to hear comments and others’ practices!”
And here’s a disclaimer: I don’t think this is the be-all and end-all. My resuscitation is a work in progress, both in terms of new fluids coming up, and in terms of identifying subgroups or individuals who would benefit from a different approach, so I’m definitely eager to hear from anyone who does things differently – but physiologically!
Please see Dr. John Myburgh’s excellent review on fluid resus in NEJM sep 26th issue!
Oh and here’s the diagram!