After an assessment showing that the patient has inadequate intravascular volume, which one of the following options for fluid resuscitation would you choose to be administered over the next 30 minutes to 1 hour?
1. A total of 1 liter of normal saline (0.9% sodium chloride).
2. A total of 1 liter of Ringer’s lactate (Hartmann’s solution).
3. A total of 500 ml of 6% hydroxyethyl starch (130/0.42).
4. A total of 500 ml of 4% human albumin solution.
On September 26th, we will publish the second article in our Critical Care series, Resuscitation Fluids. In advance of its release, we have published a case on NEJM.org that highlights issues raised in that article. Read the case, take the poll, and comment now.
See the first article in the series, Severe Sepsis and Septic Shock, now on NEJM.org. To learn more about this series, read the editorial by guest editors Drs. Simon Finfer and Jean-Louis Vincent. We hope you enjoy this new series.