Letters Intravenous fluids in surgery

Authors of guideline respond

BMJ 2009; 339 doi: http://dx.doi.org/10.1136/bmj.b3030 (Published 28 July 2009) Cite this as: BMJ 2009;339:b3030
  1. Jeremy Powell-Tuck, emeritus professor of clinical nutrition1,
  2. Peter Gosling, consultant clinical biochemist2,
  3. Dileep N Lobo, associate professor and reader in gastrointestinal surgery3,
  4. Gordon L Carlson, professor of surgery4,
  5. Simon P Allison, former professor of clinical nutrition3,
  6. Marcus Gore, consultant surgeon5,
  7. Andrew J Lewington, consultant nephrologist6,
  8. Rupert L Pearse, senior lecturer and consultant in intensive care medicine1,
  9. Monty G Mythen, Smiths medical professor of anaesthesia and critical care7
  1. 1Barts and The London Queen Mary’s School of Medicine and Dentistry, London
  2. 2University Hospitals Birmingham NHS Foundation Trust, Birmingham
  3. 3Nottingham Digestive Diseases Centre Biomedical Research Unit, Nottingham University Hospitals, Queen’s Medical Centre, Nottingham
  4. 4Salford Royal Hospital, Salford
  5. 5Royal Hampshire County Hospital, Winchester
  6. 6Leeds Teaching Hospitals, Leeds
  7. 7University College London, London
  1. j.powelltuck{at}btinternet.com

    In their criticism of the British consensus guidelines on intravenous fluid therapy for adult surgical patients Liu and Finfer assert that high quality research is needed before guidelines can be useful and that “guidelines should be avoided completely, and clinicians would be better off making clinical decisions on the basis of primary data.”1 2 They evidently disapprove of guidelines in principle, especially those, …

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