Early Fluid Is Less Fluid: Comparing Early Versus Late ICU Resuscitation in Severely Injured Trauma Patients.

ABSTRACT:

Objectives

The temporal trends of crystalloid resuscitation in severely injured trauma patients after ICU admission are not well characterized. We hypothesized early crystalloid resuscitation was associated with less volume and better outcomes than delaying crystalloid.

Design

Retrospective, observational.

Setting

High-volume level 1 academic trauma center.

Patients

Adult trauma patients admitted to the ICU with emergency department serum lactate greater than or equal to 4 mmol/dL, elevated lactate (≥ 2 mmol/L) at ICU admission, and normal lactate by 48 hours.

Interventions

None.

Measurements and main results

For the 333 subjects, we analyzed patient and injury characteristics and the first 48 hours of ICU course. Receipt of greater than or equal

SUBMITTER: Beni CE 

PROVIDER: S-EPMC11224828 | biostudies-literature | 2024 Jul

REPOSITORIES: biostudies-literature