Episode 18 – Fluid Resuscitation: What to Base It On


Base deficit and excess are reliable biomarkers in determining the severity of our patients’ conditions. But is a deficit an automatic indicator for fluid resuscitation, as some may believe? Tune in as we discuss acid/base balance and what you should and should not base fluid resuscitation on. We also include an updated mnemonic that will help you remember the causes of metabolic acidosis:


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Davis, J. W., Dirks, R. C., Kaups, K. L., & Tran, P. (2018). Base deficit is superior to lactate in trauma. The American Journal of Surgery, 215(4), 682-685. Retrieved May 2, 2018, from https://www.sciencedirect.com/science/article/pii/S0002961017305457

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Raux, M., Le Manach, Y., Gauss, T., Baumgarten, R., & Hamada, S. (2017). Comparison of the Prognostic Significance of Initial Blood Lactate and Base Deficit in Trauma Patients. The Journal of the American Society of Anesthesiologists, 126(3), 522-533. Retrieved from http://anesthesiology.pubs.asahq.org/article.aspx?articleid=2598359

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