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Editorial |

Cost-effectiveness of Fluid Resuscitation of Critically Ill Adults: New Insights From Uncharted Territory

Craig M. Lilly, MD, FCCP; Sunkaru Touray, MBChB, MSc
Author and Funding Information

FINANCIAL/NONFINANCIAL DISCLOSURES: None declared.

Department of Pulmonary Allergy and Critical Care Medicine, University of Massachusetts Medical School, Worcester, MA

CORRESPONDENCE TO: Craig M. Lilly, MD, FCCP, Department of Pulmonary Allergy and Critical Care Medicine, University of Massachusetts Medical School, UMass Memorial Medical Center, 55 Lake Ave N, Worcester, MA 01655


Copyright 2016, American College of Chest Physicians. All Rights Reserved.


Chest. 2016;150(6):1179-1180. doi:10.1016/j.chest.2016.10.011
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Extract

The importance of resuscitation for surviving critical illness and injury has long been recognized and is now a standard and integral part of critical care practice. Our approach to resuscitation has evolved over the past century, encouraged by intense research efforts that have led to clinical trials of alternative resuscitation fluids including hydroxyethyl starch (HES). One of the key understudied aspects of resuscitation is its effect on the duration of illness or injury in relation to the costs of care. It is estimated that each year, 20 to 30 million patients worldwide will receive resuscitation as part of their care. For an integral aspect of commonly delivered care, there is considerable variation in clinical practice regarding the choice of fluid, in part influenced by product availability, local preferences, and costs.

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