Resuscitation Fluid Use in a Single Surgical Intensive Care Unit
10.17479/jacs.2020.10.1.18
- Author:
Yong Dae LEE
1
;
Jeong-Am RYU
;
Dae-Sang LEE
;
Jinkyeong PARK
;
Joongbum CHO
;
Chi Ryang CHUNG
;
Yang Hyun CHO
;
Jeong Hoon YANG
;
Gee Young SUH
;
Chi-Min PARK
Author Information
1. Department of Critical Care Medicine, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea
- Publication Type:Original Article
- From:
Journal of Acute Care Surgery
2020;10(1):18-24
- CountryRepublic of Korea
- Language:English
-
Abstract:
Purpose:The aim of this study was to analyze the temporal change of resuscitation fluid use based on all fluids administered in a surgical intensive care unit (ICU).
Methods:The administration of resuscitation fluid to all patients admitted to a surgical ICU of a tertiary referral hospital was investigated from 2008 to 2015. The types and volumes of fluid, and laboratory data taken within 7 days after ICU admission were evaluated. Resuscitation fluids were defined as fluids infused according to stat orders, rather than routine orders.
Results:There were a total of 8,885 admissions to the ICU for 7,886 patients. The volumetric proportion of crystalloid to total resuscitation fluids increased significantly over the study period (p < 0.001; 79.6% in 2008; 93.7% in 2015). Although the proportion of 0.9% saline to crystalloids decreased, that of balanced solutions increased (p < 0.001; 29.5% in 2008; 55.6% in 2015). The use of colloids decreased from 20.4% in 2008, to 6.3% in 2015 (p < 0.001). Proportions calculated using the number of individual fluids administered revealed trends similar to those calculated using volumetric data. The amount of infused 0.9% saline was weakly correlated with the lowest blood pH and the highest serum chloride levels (ρ = -0.26 and 0.19, respectively).
Conclusion:Changes in the trends of fluid resuscitation practice were noted in a single surgical ICU over the 8-year study period. Crystalloid use increased owing to a rise in the utilization of balanced solutions with a downward trend in colloid use.
