Acute Pancreatitis Resuscitation: No Need to Overdo It

Saving Lives Podcast: Critical Care w/eddyjoemd

How should we provide IV fluids to patient with acute pancreatitis? Let's look at a recent paper in the NEJM that helps with rate & duration. In this episode, we discuss the resuscitation of acute pancreatitis and why it's important not to overdo it. Acute pancreatitis is a common condition that can be associated with significant morbidity and mortality. Fluid resuscitation is a key component of the management of these patients, but recent evidence suggests that excessive fluid administration may actually do more harm than good. We review the latest NEJM paper and evidence on fluid resuscitation in acute pancreatitis. Whether you're a seasoned critical care clinician or just starting out, this episode will provide valuable insights into the resuscitation of acute pancreatitis.
Show Notes: http://eddyjoemd.com/fluids-pancreatitis/

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Citation:
de-Madaria E, Buxbaum JL, Maisonneuve P, García García de Paredes A, Zapater P, Guilabert L, Vaillo-Rocamora A, Rodríguez-Gandía MÁ, Donate-Ortega J, Lozada-Hernández EE, Collazo Moreno AJR, Lira-Aguilar A, Llovet LP, Mehta R, Tandel R, Navarro P, Sánchez-Pardo AM, Sánchez-Marin C, Cobreros M, Fernández-Cabrera I, Casals-Seoane F, Casas Deza D, Lauret-Braña E, Martí-Marqués E, Camacho-Montaño LM, Ubieto V, Ganuza M, Bolado F; ERICA Consortium. Aggressive or Moderate Fluid Resuscitation in Acute Pancreatitis. N Engl J Med. 2022 Sep 15;387(11):989-1000. doi: 10.1056/NEJMoa2202884. PMID: 36103415.

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