А вот встретился такой гайд по жидкостной реанимации, с интересными рекомендациями. Вот так взяли и расставили точки над Ё: [
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Цитата:
RECOMMENDATIONS
• Level 1
Despite equivalent efficacy, crystalloids are the resuscitation fluids of choice given the lack of survival benefit and increased cost associated with albumin.
Albumin is contraindicated in the initial resuscitation of the traumatically injured.
Albumin should be avoided in patients with severe traumatic brain injury (Glasgow Coma Score (GCS) ≤ 8).
• Level 2
Non-protein colloids are preferred over albumin based on economic considerations.
• Level 3
Colloids may have a secondary role in patients unresponsive to crystalloids or those who cannot tolerate large-volume crystalloid resuscitation.
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И дальше:
Цитата:
Crystalloids: Are the initial resuscitation fluid of choice for:
• Hemorrhagic shock / traumatic injury
• Septic shock
• Hepatic resection
• Thermal injury
• Cardiac surgery
• Dialysis induced hypotension
Non-protein colloids: Should be used as second-line agents in patients who do not respond to crystalloid
Albumin: Should be considered a third-line agent
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