PulmCCM - Mar 01, 2014
"Resuscitation fluids may be the most common intervention in critical care, with more than 200 million liters of normal saline infused each year in the U.S. alone. However, there is scarce evidence to guide the best use of resuscitation fluids in the ICU. John Myburgh and Michael Mythen’s review article in the September 26 2013 New England Journal of Medicine is a good place to start.
Their most important takeaway is that resuscitation fluids can have harmful effects. Therefore, intensivists should “consider the use of resuscitation fluids as they would any other intravenous drug” — in other words, stop and think a bit more before using them."
http://pulmccm.org/main/2014/review-articles/resuscitation-fluids-in-critical-illness-review-nejm/
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