Is human albumin solution really the best resuscitation fluid for patients with advanced cirrhosis?

O'Brien, A, China, L, Forrest, E, Ryder, S, Wright, G, Portal, J, O'Beirne, J, Shabir, Z, Skene, S, Chandler, T et al, Garcia-Hernandez, J and Blackstone, J (2016) Is human albumin solution really the best resuscitation fluid for patients with advanced cirrhosis? Gut, 65 (8).

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Abstract

We read with interest the revised consensus recommendations for management of acute kidney injury (AKI) ) in cirrhosis by the International Club of Ascites.1 We are concerned that plasma volume expansion only with albumin is recommended for stage 2 and 3 AKI and do not believe that this represents a balanced view of the available evidence. No one doubts that fluid resuscitation is an integral part of the management of AKI; however, studies to date have not established class 1 evidence for an advantage of the use of albumin over other colloids or crystalloids.

Item Type:	Article
Divisions :	Faculty of Health and Medical Sciences > Surrey Clinical Research Centre Faculty of Health and Medical Sciences
Authors :	Name Email ORCID O'Brien, A China, L Forrest, E Ryder, S Wright, G Portal, J O'Beirne, J Shabir, Z Skene, S s.skene@surrey.ac.uk Chandler, T Garcia-Hernandez, J Blackstone, J
Date :	27 April 2016
DOI :	10.1136/gutjnl-2016-311999
Copyright Disclaimer :	Copyright © 2016, BMJ Publishing Group Ltd and the British Society of Gastroenterology
Related URLs :	Organisation
Depositing User :	Diane Maxfield
Date Deposited :	23 Apr 2018 11:31
Last Modified :	27 Sep 2019 12:35
URI:	http://epubs.surrey.ac.uk/id/eprint/846287

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