Randomized Trialhigh evidence

Safety and efficacy of 6% hydroxyethyl starch in patients undergoing major surgery: The randomised controlled PHOENICS trial.

European journal of anaesthesiology·January 1, 2026·PMID 41133731

Why it matters

This large, rigorous RCT provides reassurance that in-label perioperative use of modern HES is noninferior to crystalloids for renal safety in elective abdominal surgery, addressing long-standing concerns from sepsis trials.

Infographic summary of Safety and efficacy of 6% hydroxyethyl starch in patients undergoing major surgery: The randomised controlled PHOENICS trial.
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