Response to “Are fluids resuscitation the “Keyser Soze” of acute kidney injury in trauma patients?”

Excerpt

We appreciate the interest expressed by Dr. Jamme and Ben Hadj Salem in our study recently published in critical care reporting the prevalence and the risk factors of acute kidney injury (AKI) in a multicentre cohort of 3111 trauma patients [1]. The issue they raised was the lack of data on fluid resuscitation, especially regarding the amount of crystalloids and colloids. We share with the authors the view that the choice of fluid is a critical issue to prevent AKI in trauma patients. Indeed, recent studies have called into question the safety of colloids [2] in trauma patients as well as the safety of NaCl 0.9% in ICU patients [3]. Our database provides data on prehospital fluid resuscitation for the whole study cohort as well as data on 24-h fluid resuscitation for hemorrhagic shock patients (n = 355, 11%). …