Resuscitation fluid practices in Brazilian intensive care units: a secondary analysis of Fluid-TRIPS

To describe fluid resuscitation practices in Brazilian intensive care units and to compare them with those of other countries participating in the Fluid-TRIPS. This was a prospective, international, cross-sectional, observational study in a convenience sample of intensive care units in 27 countries...

Full description

Saved in:

Bibliographic Details
Published in:	Revista Brasileira de terapia intensiva Vol. 33; no. 2; pp. 206 - 218
Main Authors:	Freitas, Flavio Geraldo Rezende de, Hammond, Naomi, Li, Yang, Azevedo, Luciano Cesar Pontes de, Cavalcanti, Alexandre Biasi, Taniguchi, Leandro, Gobatto, André, Japiassú, André Miguel, Bafi, Antonio Tonete, Mazza, Bruno Franco, Noritomi, Danilo Teixeira, Dal-Pizzol, Felipe, Bozza, Fernando, Salluh, Jorge Ibrahin Figueira, Westphal, Glauco Adrieno, Soares, Márcio, Assunção, Murillo Santucci César de, Lisboa, Thiago, Lobo, Suzana Margarete Ajeje, Barbosa, Achilles Rohlfs, Ventura, Adriana Fonseca, Souza, Ailson Faria de, Silva, Alexandre Francisco, Toledo, Alexandre, Reis, Aline, Cembranel, Allan, Rea Neto, Alvaro, Gut, Ana Lúcia, Justo, Ana Patricia Pierre, Santos, Ana Paula, Albuquerque, André Campos D de, Scazufka, André, Rodrigues, Antonio Babo, Fernandino, Bruno Bonaccorsi, Silva, Bruno Goncalves, Vidal, Bruno Sarno, Pinheiro, Bruno Valle, Pinto, Bruno Vilela Costa, Feijo, Carlos Augusto Ramos, Abreu Filho, Carlos de, Bosso, Carlos Eduardo da Costa Nunes, Moreira, Carlos Eduardo Nassif, Ramos, Carlos Henrique Ferreira, Tavares, Carmen, Arantes, Cidamaiá, Grion, Cintia, Mendes, Ciro Leite, Kmohan, Claudio, Piras, Claudio, Castro, Cristine Pilati Pileggi, Lins, Cyntia, Beraldo, Daniel, Fontes, Daniel, Boni, Daniela, Castiglioni, Débora, Paisani, Denise de Moraes, Pedroso, Durval Ferreira Fonseca, Mattos, Ederson Roberto, Brito Sobrinho, Edgar de, Troncoso, Edgar M V, Rodrigues Filho, Edison Moraes, Nogueira, Eduardo Enrico Ferrari, Ferreira, Eduardo Leme, Pacheco, Eduardo Souza, Jodar, Euzebio, Ferreira, Evandro L A, Araujo, Fabiana Fernandes de, Trevisol, Fabiana Schuelter, Amorim, Fábio Ferreira, Giannini, Fabio Poianas, Santos, Fabrício Primitivo Matos, Buarque, Fátima, Lima, Felipe Gallego, Costa, Fernando Antonio Alvares da, Sad, Fernando Cesar Dos Anjos, Aranha, Fernando G, Ganem, Fernando, Callil, Flavio, Costa Filho, Francisco Flávio, Dall Arto, Frederico Toledo Campo, Moreno, Geovani, Friedman, Gilberto, Moralez, Giulliana Martines, Silva, Guilherme Abdalla da, Costa, Guilherme, Cavalcanti, Guilherme Silva, Betônico, Gustavo Navarro, Reis, Hélder, Araujo, Helia Beatriz N, Hortiz Júnior, Helio Anjos, Guimaraes, Helio Penna, Urbano, Hugo, Maia, Israel, Santiago Filho, Ivan Lopes, Farhat Júnior, Jamil, Alvarez, Janu Rangel, Passos, Joel Tavares, Paranhos, Jorge Eduardo da Rocha
Format:	Journal Article
Language:	English Portuguese
Published:	Brazil Associação de Medicina Intensiva Brasileira - AMIB 01-04-2021
Subjects:	Brazil Critical Illness Cross-Sectional Studies Fluid Therapy Humans Intensive Care Units Isotonic Solutions Original Prospective Studies Rehydration Solutions Resuscitation Brazil
Online Access:	Get full text
Tags:	Add Tag No Tags, Be the first to tag this record!

Description
Summary:	To describe fluid resuscitation practices in Brazilian intensive care units and to compare them with those of other countries participating in the Fluid-TRIPS. This was a prospective, international, cross-sectional, observational study in a convenience sample of intensive care units in 27 countries (including Brazil) using the Fluid-TRIPS database compiled in 2014. We described the patterns of fluid resuscitation use in Brazil compared with those in other countries and identified the factors associated with fluid choice. On the study day, 3,214 patients in Brazil and 3,493 patients in other countries were included, of whom 16.1% and 26.8% (p < 0.001) received fluids, respectively. The main indication for fluid resuscitation was impaired perfusion and/or low cardiac output (Brazil: 71.7% versus other countries: 56.4%, p < 0.001). In Brazil, the percentage of patients receiving crystalloid solutions was higher (97.7% versus 76.8%, p < 0.001), and 0.9% sodium chloride was the most commonly used crystalloid (62.5% versus 27.1%, p < 0.001). The multivariable analysis suggested that the albumin levels were associated with the use of both crystalloids and colloids, whereas the type of fluid prescriber was associated with crystalloid use only. Our results suggest that crystalloids are more frequently used than colloids for fluid resuscitation in Brazil, and this discrepancy in frequencies is higher than that in other countries. Sodium chloride (0.9%) was the crystalloid most commonly prescribed. Serum albumin levels and the type of fluid prescriber were the factors associated with the choice of crystalloids or colloids for fluid resuscitation.
ISSN:	0103-507X 1982-4335
DOI:	10.5935/0103-507X.20210028