Questioning Medicine

Episode 291: 290. When Should You Use IV Albumin?

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HERE IS WHEN IT IS RECOMMENDED TO USE ALBUMIN

  • In patients with cirrhosis and spontaneous bacterial peritonitis, to substantially limit kidney impairment and mortality (low-certainty evidence) THIS IS THE ONLY THING YOU HAVE TO REMEMBER FORGET THE REST!
  • In patients with cirrhosis and ascites who undergo large volume paracentesis (LVP; >5 L) to significantly lower the incidence of paracentesis-induced hypotension, but they had no substantial improvement in recurrent ascites or renal impairment and no mortality benefit. (very-low–certainty evidence)


    • New guidelines on the use of albumin (remember albumin is a blood product so if you have a Jehovah’s witness or any patient that avoids blood products you need to ask them if it is ok)


    https://www.sciencedirect.com/science/article/pii/S001236922400285X?via%3Dihub

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