The Revised Starling Principle: Implications for Rational Fluid Therapy
www.pulmccm.org
Jon-Emile S. Kenny [@heart_lung] “Doctrine once sown strikes deep its root, and respect for antiquity influences all men.” -William Harvey [1628] The use of hyperoncotic albumin to draw fluid from the interstitial space permeates dark corners of the critical care community. The ‘pull and push’ of 25% albumin followed by furosemide remains somewhat of a cryptic lore – its use often spoken of in hushed tones, as if this special physiology may be called upon only in the most dire of situations and only by the most venerable of clinicians. It is a physiology that I have invoked whilst managing patients with cirrhosis – or others in whom the mystical creature of ‘hypervolemic, yet volume deplete’ is raised.
The Revised Starling Principle: Implications for Rational Fluid Therapy
The Revised Starling Principle: Implications…
The Revised Starling Principle: Implications for Rational Fluid Therapy
Jon-Emile S. Kenny [@heart_lung] “Doctrine once sown strikes deep its root, and respect for antiquity influences all men.” -William Harvey [1628] The use of hyperoncotic albumin to draw fluid from the interstitial space permeates dark corners of the critical care community. The ‘pull and push’ of 25% albumin followed by furosemide remains somewhat of a cryptic lore – its use often spoken of in hushed tones, as if this special physiology may be called upon only in the most dire of situations and only by the most venerable of clinicians. It is a physiology that I have invoked whilst managing patients with cirrhosis – or others in whom the mystical creature of ‘hypervolemic, yet volume deplete’ is raised.