The Saline versus Albumin Fluid Evaluation (SAFE) Study, reportedin this issue of the Journal,1 heralds a new era in criticalcare marked by the large, simple, randomized trial popularizedby cardiologists. In a study of fluid resuscitation involvingnearly 7000 critically ill patients, the Australian and NewZealand Intensive Care Society Clinical Trials Group addressedone of the most fundamental and contentious issues in criticalcare. Questions about the merits and demerits of colloids asopposed to crystalloids in the resuscitation of seriously illpatients have smoldered for decades, sparked by a meta-analysissuggesting that albumin was associated with . . . [Full Text of this Article]
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From the Departments of Medicine and Clinical Epidemiology and Biostatistics, McMaster University, Hamilton, Ont., Canada.
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Fluid Resuscitation in the Intensive Care Unit
Haynes G. R., Berman K. E., Neff T. A., Stocker R., Spahn D. R., Barone J. E., Primack W. A., Estes K., Walter E. C., Wendorf R., Kim Y., Finfer S., Boyce N., Norton R., Cook D.
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N Engl J Med 2004;
351:1905-1908, Oct 28, 2004.
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