Top

Published in:

01-07-2018 | What's New in Intensive Care

The dark sides of fluid administration in the critically ill patient

Authors: Daniel A. Reuter, Daniel Chappell, Azriel Perel

Published in: Intensive Care Medicine | Issue 7/2018

Excerpt

The administration of intravenous fluids is probably the most frequently initiated therapy in critically ill patients. With very few exceptions, such as severe congestive heart failure, IV fluids are considered as a safe and generalistic therapeutic approach. Indeed, IV fluids save lives in many clinical situations and often the benefits outweigh the potential harm. Really? …

Seymour CW, Gesten F, Prescott HC, Friedrich ME, Iwashyna TJ, Phillips GS et al (2017) Time to treatment and mortality during mandated emergency care for sepsis. N Engl J Med 376:2235–2244CrossRefPubMedPubMedCentral

Chappell D, Jacob M (2014) Role of the glycocalyx in fluid management: small things matter. Best Pract Res Clin Anaesthesiol 28:227–234CrossRefPubMed

Kozek-Langenecker SA, Ahmed AB, Afshari A, Albaladejo P, Aldecoa C, Barauskas G et al (2017) Management of severe perioperative bleeding: guidelines from the European Society of Anaesthesiology: first update 2016. Eur J Anaesthesiol 34:332–395CrossRefPubMed

Ince C (2015) Hemodynamic coherence and the rationale for monitoring the microcirculation. Crit Care 19:S8CrossRefPubMedPubMedCentral

Perel A (2017) Iatrogenic hemodilution: a possible cause for avoidable blood transfusions? Crit Care (in press)

Ackland GL, Iqbal S, Paredes LG, Toner A, Lyness C, Jenkins N et al (2015) Individualised oxygen delivery targeted haemodynamic therapy in high-risk surgical patients: a multicentre, randomised, double-blind, controlled, mechanistic trial. Lancet Resp Med 3:33–41CrossRef

Sen A, Keener CM, Sileanu FE, Foldes E, Clermont G, Murugan R et al (2017) Chloride content of fluids used for large-volume resuscitation is associated with reduced survival. Crit Care Med 45:e146–e153CrossRefPubMedPubMedCentral

Tsui AK, Dattani ND, Marsden PA, El-Beheiry MH, Grocott HP, Liu E et al (2010) Reassessing the risk of hemodilutional anemia: some new pieces to an old puzzle. Can J Anesth 57:779–791CrossRefPubMed

Michard F, Teboul JL (2002) Predicting fluid responsiveness in ICU patients: a critical analysis of the evidence. Chest 121:2000–2008CrossRefPubMed

10.

Cecconi M, De Backer D, Antonelli M, Beale R, Bakker J, Hofer C et al (2014) Consensus on circulatory shock and hemodynamic monitoring. Task force of the European Society of Intensive Care Medicine. Intensive Care Med 40:1795–1815CrossRefPubMedPubMedCentral

11.

Monnet X, Julien F, Ait-Hamou N, Lequoy M, Gosset C, Jozwiak M et al (2013) Lactate and venoarterial carbon dioxide difference/arterial-venous oxygen difference ratio, but not central venous oxygen saturation, predict increase in oxygen consumption in fluid responders. Crit Care Med 41:1412–1420CrossRefPubMed

12.

Assaad S, Shelley B, Perrino A (2017) Transpulmonary thermodilution: its role in assessment of lung water and pulmonary edema. J Cardiothorac Vasc Anesth 31:1471–1480CrossRefPubMed

13.

El Hadouti Y, Valencia L, Becerra A, Rodríguez-Pérez A, Vincent JL (2017) Echocardiography and passive leg raising in the postoperative period. A prospective observational study. Eur J Anaesthesiol 34:748–754CrossRefPubMed

14.

Malbrain ML, Marik PE, Witters I, Cordemans C, Kirkpatrick AW, Roberts DJ et al (2014) Fluid overload, de-resuscitation, and outcomes in critically ill or injured patients: a systematic review with suggestions for clinical practice. Anaesthesiol Intensive Ther 46:361–380CrossRefPubMed

15.

Liu J, Shen F, Teboul JL, Anguel N, Beurton A, Bezaz N et al (2016) Cardiac dysfunction induced by weaning from mechanical ventilation: incidence, risk factors, and effects of fluid removal. Crit Care 20:369CrossRefPubMedPubMedCentral

Title: The dark sides of fluid administration in the critically ill patient
Authors: Daniel A. Reuter
Daniel Chappell
Azriel Perel
Publication date: 01-07-2018
Publisher: Springer Berlin Heidelberg
Published in: Intensive Care Medicine / Issue 7/2018
Print ISSN: 0342-4642
Electronic ISSN: 1432-1238
DOI: https://doi.org/10.1007/s00134-017-4989-4

At a glance: The STEP trials

Springer Medicine

The dark sides of fluid administration in the critically ill patient

Excerpt

At a glance: The STEP trials

Springer Medicine

Excerpt

Please log in to get access to this content

Other articles of this Issue 7/2018

Karoshi, a new epidemic in Chinese medical practitioners

AKI biomarkers are poor discriminants for subsequent need for renal replacement therapy, but do not disqualify them yet

Angiotensin inhibition in patients with acute kidney injury: Dr. Jekyll or Mr. Hyde?

Is there a disconnect between what we do and what we should do? A survey of intensive care physicians and nurses in California

Sepsis is a global burden to human health: incidences are underrepresented

Sepsis-related mortality in China: a descriptive analysis