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Effect of slower vs faster intravenous fluid bolus rates on mortality in critically ill patients

JAMA Aug 15, 2021

Zampieri FG, Machado FR, Biondi RS, et al. - No reduction in 90-day mortality was observed among critically ill patients requiring fluid challenges in correlation with lower intravenous fluid infusion rates compared with a faster rate.

  • Unblinded randomized factorial clinical trial, involving 10,520 patients in intensive care units.

  • Ninety-day mortality of 26.6% vs 27.0% was recorded in correlation with undergoing treatment with fluid boluses at 333 mL/h vs 999 mL/h, indicating no statistically significant difference in terms of 90-day mortality .

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