Tucson critical care journal club: albumin use in the critical care unit

Abstract

No abstract available. Article truncated at 150 words. Lyu PF, Hockenberry JM, Gaydos LM, Howard DH, Buchman TG, Murphy DJ. Impact of a sequential intervention on albumin utilization in critical care. Crit Care Med. 2016 Jul;44(7):1307-13. Albumin use for volume resuscitation in critically ill patients has been a hotly contested topic for decades (1). Widespread use of this expensive medicine in some settings has been based on perceived benefits without strong supporting evidence (2 ). Providing patient centered, evidence based, high value care is an expectation of most healthcare entities thus leading many hospitals to consider the cost effectiveness of their practices (3). One area of interest involves the use of albumin for volume resuscitation. Provider education has not changed practice; therefore, novel approaches to align provider behavior with evidence-based standards are necessary (4-6). In this pre-post quasi-experimental study with historical controls, investigators at Emory Critical Care Center (ECCC) hypnotized that a sequentially implemented multifaceted intervention would reduce ...

Keywords

• albumin
• intensive care unit
• ICU
• volume resuscitation
• trial
• Emory
• cost
• mortality
• reduction
• use