What is your approach to volume resuscitation in patients who are third spacing fluids?
Do you always rely on albumin, or do you ever consider running crystalloid fluids at a high rate to increase intravascular half-time?
1 Answer
Mednet MemberInvited Expert
Hospital Medicine · Dartmouth-Hitchcock Medical Center
Answered on
In patients with significant third-spacing (e.g., due to capillary leak in sepsis, severe pancreatitis, hypoalbuminemia, etc), we prefer balanced crystalloids (e.g., Lactated Ringer’s) as the first-line fluid for initial resuscitation in hypovolemic or septic shock with third-spacing. Typical initia...
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