RELIEF

2018 Fluids
47 ICUs
3000 patients

Clinical Question

In adult patients undergoing major elective abdominal surgery, does a restrictive fluid regimen compared with a liberal fluid regimen reduce complications and improved disability-free survival?

Critical Appraisal

Critique

the hypothesis lacks biological plausibility

Population
Surgical Patients
Population Details
Risk of post operative complications
Intervention Arms

Restrictive fluids
CSL bolus up to 5ml/kg,
then 5ml/kg/hr for surgery,
then 0.8ml/kg/hr for 24hrs

Control Arms

Liberal fluids
CSL bolus 10ml/kg,
then 8ml/kg/hr for surgery,
then 1.5ml/kg/hr for 24hrs

Primary Outcome
Survival at 1 year
Secondary Outcomes
More AKI , More CRRT
P Value
0.61

Outcome Results

Not recorded