Use or Misuse of Albumin in Critical Ill Patients.
Fuat Hakan SanerBjoern-Ole StuebenDieter Peter HoyerDieter Clemens BroeringDmitri BezinoverPublished in: Diseases (Basel, Switzerland) (2023)
Since 1940 albumin has been used worldwide and is widely available commercially since this time. However, a meta-analysis in 1998 challenged the use of albumin and identified a trend toward higher mortality in critically ill patients who had received albumin. Since then, many studies including multicenter randomized controlled trials have been carried out investigating the safety and efficacy of albumin treatment in different patient cohorts. In this context, patient cohorts that benefit from albumin were identified. However, particularly in non-liver patients, the use of albumin remains controversial. In our comprehensive review, we would like to highlight the most important studies in the recent 20 years and therefore offer an evidence-based outlook for the use of albumin for patients treated in the ICU.
Keyphrases
- end stage renal disease
- newly diagnosed
- ejection fraction
- chronic kidney disease
- randomized controlled trial
- peritoneal dialysis
- case report
- systematic review
- intensive care unit
- chronic pain
- mechanical ventilation
- coronary artery disease
- extracorporeal membrane oxygenation
- acute respiratory distress syndrome
- meta analyses