Fluid Creep in ARDS after Shock Resuscitation of Trauma, Burns, Sepsis, and Acute Pancreatitis Patients: How Much, Where, and How to Find it?

Authors: Ghanem ANM*, Moussa L and Ghanem ANK

DOI: 10.23880/oajc-16000176

Volume 7, Issue 1

Abstract

I peer-reviewed this article with great interest but was rejected by the editor [1]. The retrospective study compares two fluid regimens in acute pancreatitis (AP) “resuscitation” or more accurately “management” and there is a difference. Two cohorts were created: aggressive IVF resuscitation (>3ml/kg/hr) and non-aggressive (≤ 1.5 ml/kg/hr) IVF resuscitation. The authors gave reference to the hospital length of stay (HLS), the onset of complications of acute kidney injury, sepsis, and mortality. The conclusion was: “No significant difference in mortality and HLS was identified between rates of IVF resuscitation, even in patients with severe pancreatitis.” This is a surprising negative conclusion, but why!? There are two possible explanations that will be discussed later.

Keywords: Trauma; Burns; Acute Pancreatitis

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