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

• Autor(a) principal: de Freitas, Flavio Geraldo Rezende
• Data de Publicação: 2021
• Outros Autores: Hammond, Naomi, Li, Yang, de Azevedo, Luciano Cesar Pontes, 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, de Assunção, Murillo Santucci César, Lisboa, Thiago, Lobo, Suzana Margarete Ajeje, Barbosa, Achilles Rohlfs, Ventura, Adriana Fonseca, de Souza, Ailson Faria, Silva, Alexandre Francisco, Toledo, Alexandre, Reis, Aline, Cembranel, Allan, Neto, Alvaro Rea, Gut, Ana Lúcia [UNESP], Justo, Ana Patricia Pierre, Santos, Ana Paula, de Albuquerque, André Campos D., 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, Filho, Carlos de Abreu, Nunes Bosso, Carlos Eduardo da Costa, 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, Sobrinho, Edgar de Brito, Troncoso, Edgar M.V., Filho, Edison Moraes Rodrigues, Nogueira, Eduardo Enrico Ferrari, Ferreira, Eduardo Leme, Pacheco, Eduardo Souza, Jodar, Euzebio, Ferreira, Evandro L.A., de Araujo, Fabiana Fernandes, Trevisol, Fabiana Schuelter, Amorim, Fábio Ferreira, Giannini, Fabio Poianas, Santos, Fabrício Primitivo Matos, Buarque, Fátima, Lima, Felipe Gallego, Alvares da Costa, Fernando Antonio, dos Anjos Sad, Fernando Cesar, Aranha, Fernando G., Ganem, Fernando, Callil, Flavio, Costa Filho, Francisco Flávio, Campo Dall'Arto, Frederico Toledo, Moreno, Geovani, Friedman, Gilberto, Moralez, Giulliana Martines, da Silva, Guilherme Abdalla, Costa, Guilherme, Cavalcanti, Guilherme Silva, Betônico, Gustavo Navarro, Reis, Hélder, Araujo, Helia Beatriz N., Hortiz, Helio Anjos, Guimaraes, Helio Penna, Urbano, Hugo, Maia, Israel, Filho, Ivan Lopes Santiago, Júnior, Jamil Farhat, Alvarez, Janu Rangel, Passos, Joel Tavares, da Rocha Paranhos, Jorge Eduardo, Marques, José Aurelio, Moreira Filho, José Gonçalves, Andrade, Jose Neto, Sobrinho, José Onofre de C., Paiva Bezerra, Jose Terceiro de, Alves, Juliana Apolônio, Ferreira, Juliana, Gomes, Jussara, Sato, Karina Midori, Gerent, Karine, Costa Teixeira, Kathia Margarida, Conde, Katia Aparecida Pessoa, Martins, Laércia Ferreira, Figueirêdo, Lanese, Rezegue, Leila, Tcherniacovsk, Leonardo, Ferraz, Leone Oliveira, Cavalcante, Liane, Rabelo, Ligia, Miilher, Lilian, Garcia, Lisiane, Tannous, Luana, Hajjar, Ludhmila Abrahão, Paciência, Luís Eduardo Miranda, da Cruz Neto, Luiz Monteiro, Bley, Macia Valeria, Sousa, Marcelo Ferreira, Puga, Marcelo Lourencini, Romano, Marcelo Luz Pereira, Nobrega, Marciano, Arbex, Marcio, Rodrigues, Márcio Leite, Guerreiro, Márcio Osório, Rocha, Marcone, Alves, Maria Angela Pangoni, Rosa, Maria Doroti, D’Agostino Dias, Mariza, Martins, Miquéias, de Oliveira, Mirella, Moretti, Miriane Melo Silveira, Matsui, Mirna, Messender, Octavio, Santarém, Orlando Luís de Andrade, da Silveira, Patricio Júnior Henrique, Vassallo, Paula Frizera, Antoniazzi, Paulo, Gottardo, Paulo César, Correia, Paulo, Ferreira, Paulo, Torres, Paulo, de Barros e Silva, Pedro Gabrile M., Foernges, Rafael, Gomes, Rafael, Moraes, Rafael, Nonato filho, Raimundo, Borba, Renato Luis, Gomes, Renato V., Cordioli, Ricardo, Lima, Ricardo, López, Ricardo Pérez, Gargioni, Ricardo Rath de Oliveira, Rosenblat, Richard, de Souza, Roberta Machado, Almeida, Roberto, Narciso, Roberto Camargo, Marco, Roberto, Waltrick, Roberto, Biondi, Rodrigo, Figueiredo, Rodrigo, Dutra, Rodrigo Santana, Batista, Roseane, Felipe, Rouge, da Silva Franco, Rubens Sergio, Houly, Sandra, Faria, Sara Socorro, Pinto, Sergio Felix, Luzzi, Sergio, Sant’ana, Sergio, Fernandes, Sergio Sonego, Yamada, Sérgio, Zajac, Sérgio, Vaz, Sidiner Mesquita, Bezerra, Silvia Aparecida Bezerra, Farhat, Tatiana Bueno Tardivo, Santos, Thiago Martins, Smith, Tiago, Silva, Ulysses V.A., Damasceno, Valnei Bento, Nobre, Vandack, de Souza Dantas, Vicente Cés, Irineu, Vivian Menezes, Bogado, Viviane, Nedel, Wagner, Filho, Walther Campos, Dantas, Weidson, Viana, William, Filho, Wilson de Oliveira, Delgadinho, Wilson Martins, Finfer, Simon, Machado, Flavia Ribeiro
• Tipo de documento: Artigo
• Idioma: eng
• Título da fonte: Repositório Institucional da UNESP
• Texto Completo: http://dx.doi.org/10.5935/0103-507X.20210028; http://hdl.handle.net/11449/229190
• topic: Colloids; Critical care; Crystalloid solutions; Fluid therapy; Hemodynamics; Shock

Objective: To describe fluid resuscitation practices in Brazilian intensive care units and to compare them with those of other countries participating in the Fluid-TRIPS. Methods: 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. Results: 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. Conclusion: 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.