Episode Details

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Jonatas Zanoveli, Lucca Cirillo e Iaaaaaago Jorge conversam sobre 5 clinicagens na reposição de fluidos:
- Fluido também é remédio
- O soro fisiológico não é tão fisiológico
- Soro fisiológico vs Ringer lactato e outras soluções balanceadas
- Há espaço para albumina como expansor?
- Soro glicosado nutre?

Minutagem:
00:10 Apresentação
03:03 Clinicagem 1 - Fluido também é remédio
15:39 Clinicagem 2 - O soro fisiológico não é tão fisiológico
21:19 Clinicagem 3 - Soro fisiológico vs Ringer lactato e outras soluções balanceadas
34:47 Clinicagem 4 - Há espaço para albumina como expansor?
44:47 Clinicagem 5 - Soro glicosado nutre?

Referências:
1. Malbrain, Manu L N G et al. “Principles of fluid management and stewardship in septic shock: it is time to consider the four D's and the four phases of fluid therapy.” Annals of intensive care vol. 8,1 66. 22 May. 2018, doi:10.1186/s13613-018-0402-x
2. https://www.gov.br/anvisa/pt-br/assuntos/medicamentos/bulas-e-rotulos/especificos/arquivos/6440json-file-1
3. Rajasekaran, Arun et al. “Lactated Ringer's solution and risk of hyperkalemia in patients with reduced kidney function.” The American journal of the medical sciences vol. 364,4 (2022): 433-443. doi:10.1016/j.amjms.2022.04.024
4. Tseng, Chien-Hua et al. “Impact of Comorbidities on Beneficial Effect of Lactated Ringers vs. Saline in Sepsis Patients.” Frontiers in medicine vol. 8 758902. 13 Dec. 2021, doi:10.3389/fmed.2021.758902
5. Figge, James J. “Integration of acid-base and electrolyte disorders.” The New England journal of medicine vol. 372,4 (2015): 390. doi:10.1056/NEJMc1414731
6. Franchini, Stefano. “Physiological approach to assessment of acid-base disturbances.” The New England journal of medicine vol. 372,2 (2015): 193-4. doi:10.1056/NEJMc1413880
7. Lehtiranta, Saara et al. “Risk of Electrolyte Disorders in Acutely Ill Children Receiving Commercially Available Plasmalike Isotonic Fluids: A Randomized Clinical Trial.” JAMA pediatrics vol. 175,1 (2021): 28-35. doi:10.1001/jamapediatrics.2020.3383
8. https://www.azivmedics.com/iv-fluids
9. https://www.nyp-cc.com/dart/iv-fluid-selection
10. Castera, Mark R. and Mahesh B. Borhade . “Fluid Management.” StatPearls, StatPearls Publishing, 29 April 2025.
11. https://link.springer.com/book/10.1007/978-3-031-42205-8#about-this-book
12. Malbrain, Manu L N G et al. “Principles of fluid management and stewardship in septic shock: it is time to consider the four D's and the four phases of fluid therapy.” Annals of intensive care vol. 8,1 66. 22 May. 2018, doi:10.1186/s13613-018-0402-x
13. Malbrain ML, Wong A, Nasa P, Ghosh S. Rational use of intravenous fluids in critically ill patients. Springer Nature; 2024.
14. Joannidis M, Wiedermann CJ, Ostermann M. Ten myths about albumin. Intensive care medicine. 2022 May;48(5):602-5.
15. https://www.accessdata.fda.gov/drugsatfda_docs/label/2016/207449Orig1s000lbl.pdf
16. Finfer S, Bellomo R, Boyce N, French J, Myburgh J, Norton R: A comparison of albumin and saline for fluid resuscitation in the intensive care unit. N Engl J Med. 2004, 350:2247-56. 10.1056/NEJMoa040232
17. Finfer S, McEvoy S, Bellomo R, McArthur C, Myburgh J, Norton R: Impact of albumin compared to saline on organ function and mortality of patients with severe sepsis. Intensive Care Med. 2