Saline has similar effect to albumin in critically ill patients

Nutritional Assessment in Critically Ill Patients

Background: Malnutrition is an important factor in the survival of critically ill patients. The purpose of the present study was to assess the nutritional status of patients in the intensive care unit (ICU) on the days of admission and discharge via a detailed nutritional assessment. Methods: Totally, 125 patients were followed up from admission to discharge at 8ICUs in Shiraz, Iran. The patien...

Review: albumin increases mortality in critically ill patients.

D a t a s o u r c e s Studies were identified by searching CENTRAL, the Cochrane Controlled Trials Register, MEDLINE, EMBASE/Excerpta Medica, BIDS Index to Scientific and Technical Proceedings, the register of the Medical Editors’ Trial Amnesty, and bibliographies of relevant studies. 29 journals and proceedings of several conferences were hand searched, and authors and manufacturers were conta...

Albumin in critically ill patients: controversies and recommendations.

Human albumin has been used as a therapeutic agent in intensive care units for more than 50 years. However, clinical studies from the late 1990s described possible harmful effects in critically ill patients. These studies' controversial results followed other randomized controlled studies and meta-analyses that showed no harmful effects of this colloid solution. In Brazil, several public and pr...

probiotics in critically ill patients

Selenium substitution has no direct effect on thyroid hormone metabolism in critically ill patients.

BACKGROUND In severe illness, plasma selenium levels are decreased; a decreased activity of the selenoenzyme 5'-deiodinase has been hypothesized to contribute to low tri-iodothyronine (T3) levels in non-thyroidal illness (NTI) syndrome in these patients. OBJECTIVE To analyse the influence of selenium substitution on thyroid hormone metabolism in patients with severe sepsis. DESIGN A prospec...