علاج خراج البنكرياس: نهج الإماهة الوريدية الأولية

References

DOI: 10.14309/ajg.0000000000002645

We suggest moderately aggressive fluid resuscitation for patients with AP.

We suggest using lactated Ringer solution over normal saline for intravenous resuscitation in AP (conditional recommendation, low quality of evidence).

Additional boluses will be needed if there is evidence of hypovolemia (conditional recommendation, low quality of evidence).

Fluid volumes need to be reassessed at frequent intervals within 6 hours of presentation and for the next 24–48 hours with a goal to decrease the BUN.

In general, intravenous hydration providing for a decrease in the HCT (hemodilution) and/or decreased BUN (increased renal perfusion) have been shown to be associated with decreased morbidity and mortality.