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Albumin controversy continues

BMJ 1999; 318 doi: (Published 13 February 1999) Cite this as: BMJ 1999;318:464

Meta-analysis has affected use of albumin

  1. Richard Patey, Specialist registrar in paediatrics,
  2. Georgina Wilson, Senior house officer in paediatrics,
  3. Tony Hulse, Consultant paediatrician
  1. Paediatric Department, Maidstone Hospital, Maidstone, Kent ME16 9QQ
  2. Dalhousie University, Halifax, Nova Scotia, Canada B3H 2Y9

    EDITOR—With the recent Cochrane Injuries Group meta-analysis regarding albumin1 and subsequent correspondence in mind, we undertook a postal survey of paediatric departments in the South East Thames region. We asked clinicians which fluid (crystalloid, albumin, or other colloid) would be used in a variety of scenarios, before and after 25July 1998,in light of the meta-analysis. Altogether 12of 13departments replied, which equals a 92% response rate (table).

    View this table:

    Results of postal survey on use of colloids in paediatric wards

    We found that all 12would use crystalloid for 5% dehydration after gastroenteritis, both before …

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