UK now the world’s 2nd safest place for crystalloid fluid resuscitation!

Deservedly getting lots of mentions,

Patterns of intravenous fluid resuscitation use in adult intensive care patients between 2007 and 2014: An international cross-sectional study

Great global collaboration. The stand-out for me is that the UK participating units went from being the world’s worst offenders for colloid resuscitation (>80%) to being second only to Germany as the safest crystalloiders (>80%) in the world.

The interesting question is how this happened. How were UK practitioners duped into using starch in such huge volumes? Was it just down to  a very hospitable and effective Sales Force? Why did eminent people teach colloid therapy in the face of decades of contrary evidence? Will they now hold their hands up and explain what influenced them so we can learn and make sure it does not happen again. I won’t hold my breath.

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