For physicians treating patients with ACUTE PANCREATITIS, we all agree that the mainstay of management is fluids but aggressive fluid management are no more recommended and was replaced by a goal directed therapy,for this matter i encourage you all to check (The Waterfall Trial)
WATERFALL is a very recently published RCT.
The study aimed at comparing aggressive vs moderate fluid resuscitation.
Aggressive and moderate regimen 👇
Authors’ Conclusions
•In AP, aggressive fluid resuscitation as compared with moderate fluid resuscitation for the treatment of acute pancreatitis, led to a higher risk of volume overload and did not show benefit in disease-specific outcomes