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

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