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Article Dans Une Revue Anaesthesia Critical Care & Pain Medicine Année : 2022

Guidelines for the choice of intravenous fluids for vascular filling in critically ill patients, 2021

1 CHU Bordeaux
2 Centre médico chirurgical Magellan - Hôpital Haut-Lévêque - CHU de Bordeaux
3 CHU Nantes - Centre Hospitalier Universitaire de Nantes
4 Nantes Univ - Nantes Université
5 CHU Trousseau [APHP]
6 GRC 29 - ARPE - Groupe de Recherche Clinique en Anesthésie Réanimation médecine PEriopératoire
7 EPOPé [CRESS - U1153 / UMR_A 1125] - Obstetrical, Perinatal and Pediatric Epidemiology | Épidémiologie Obstétricale, Périnatale et Pédiatrique
8 Hôpital Edouard Herriot [CHU - HCL]
9 MASCOT (UMR_S_942 / U942) - Marqueurs cardiovasculaires en situation de stress
10 Hôpital Lariboisière-Fernand-Widal [APHP]
11 Hôpital Simone Veil [Eaubonne]
12 Hôpital Beaujon [AP-HP]
13 GReD - Génétique, Reproduction et Développement
14 CHU Clermont-Ferrand
15 CHU Estaing [Clermont-Ferrand]
16 Hôpital Bicêtre [AP-HP, Le Kremlin-Bicêtre]
17 Université Paris-Saclay
18 Clinique des Cèdres
19 CHU - Hôpital Pasteur [Nice]
20 HIA - Hopital d'instruction des armées Sainte-Anne [Toulon]
21 PHAR2 [Poitiers] - Pharmacologie des anti-infectieux et antibiorésistance [U 1070]
22 CHU de Poitiers - Centre hospitalier universitaire de Poitiers = Poitiers University Hospital
23 CHU Nîmes - Hôpital Universitaire Carémeau [Nîmes]
24 CHU Nîmes - Centre Hospitalier Universitaire de Nîmes
25 IMAGINE - Initial MAnagement and prevention of acute orGan failures IN critically ill patiEnts
26 HUS - Les Hôpitaux Universitaires de Strasbourg
27 Centre Hospitalier Universitaire de Rennes [CHU Rennes] = Rennes University Hospital [Ponchaillou]
28 UR Médecine - Université de Rennes - Faculté de Médecine
29 HUG - Hôpitaux Universitaires de Genève
30 CHRU Tours - Centre Hospitalier Régional Universitaire de Tours
31 CHU Angers - Centre Hospitalier Universitaire d'Angers
32 AP-HP - Hôpital Bichat - Claude Bernard [Paris]
33 UPCité - Université Paris Cité
34 Hôpital Cochin [AP-HP]
35 CRI (UMR_S_1149 / ERL_8252 / U1149) - Centre de recherche sur l'Inflammation
Dominique Savary

Résumé

PURPOSE: To provide recommendations for the appropriate choice of fluid therapy for resuscitation of critically ill patients. DESIGN: A consensus committee of 24 experts from the French Society of Anaesthesia and Intensive Care Medicine (Société française d’anesthésie et de réanimation, SFAR) and the French Society of Emergency Medicine (Société française de médecine d’urgence, SFMU) was convened. A formal conflict-of-interest policy was developed at the onset of the process and enforced throughout. The entire guideline elaboration process was conducted independently of any industry funding. The authors were advised to follow the principles of the Grading of Recommendations Assessment, Development and Evaluation (GRADE) system to guide their assessment of quality of evidence. The potential drawbacks of making strong recommendations in the presence of low-quality evidence were emphasised. Some recommendations were left ungraded. METHODS: Four fields were defined: patients with sepsis or septic shock, patients with haemorrhagic shock, patients with acute brain failure, and patients during the peripartum period. For each field, the panel focused on two questions: (1) Does the use of colloids, as compared to crystalloids, reduce morbidity and mortality, and (2) Does the use of some specific crystalloids effectively reduce morbidity and mortality. Population, intervention, comparison, and outcomes (PICO) questions were reviewed and updated as needed, and evidence profiles were generated. The analysis of the literature and the recommendations were then conducted according to the GRADE methodology. RESULTS: The SFAR/SFMU guideline panel provided nine statements on the appropriate choice of fluid therapy for resuscitation of critically ill patients. After two rounds of rating and various amendments, strong agreement was reached for 100% of the recommendations. Out of these recommendations, two have a high level of evidence (Grade 1 +/-), six have a moderate level of evidence (Grade 2 +/-), and one is based on expert opinion. Finally, no recommendation was formulated for two questions. CONCLUSIONS: Substantial agreement among experts has been obtained to provide a sizable number of recommendations aimed at optimising the choice of fluid therapy for resuscitation of critically ill patients.
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Origine : Publication financée par une institution

Dates et versions

hal-03692384 , version 1 (19-09-2022)

Licence

Paternité - Pas d'utilisation commerciale - Pas de modification

Identifiants

Citer

Olivier Joannes-Boyau, Philippe Le Conte, Marie-Pierre Bonnet, Eric Cesareo, Benjamin Chousterman, et al.. Guidelines for the choice of intravenous fluids for vascular filling in critically ill patients, 2021. Anaesthesia Critical Care & Pain Medicine, 2022, 41 (3), pp.101058. ⟨10.1016/j.accpm.2022.101058⟩. ⟨hal-03692384⟩
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