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Published in: Critical Care 1/2018

Open Access 01-12-2018 | Editorial

We should avoid the term “fluid overload”

Authors: Jean-Louis Vincent, Michael R. Pinsky

Published in: Critical Care | Issue 1/2018

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Excerpt

Using the right word or phrase to describe a specific pathologic process/patient diagnosis and/or status is important, not only within the intensive care unit team, but also when we communicate with external consultants. This is not just a question of semantics. Using incorrect terms can lead to misunderstanding and even to incorrect therapeutic decisions. For example, it is not uncommon to see clinicians examining an edematous patient, saying that the patient has “fluid overload” or “hypervolemia” or both and proposing fluid restriction and/or diuretics as the logical strategy, when often during the acute phases of resuscitation from circulatory shock this approach may be inappropriate. …
Literature
2.
go back to reference Arshed S, Pinsky MR. Applied physiology of fluid resuscitation in critical illness. Crit Care Clin. 2018;34:267–77.CrossRefPubMed Arshed S, Pinsky MR. Applied physiology of fluid resuscitation in critical illness. Crit Care Clin. 2018;34:267–77.CrossRefPubMed
3.
go back to reference Thacker JK, Mountford WK, Ernst FR, Krukas MR, Mythen MM. Perioperative fluid utilization variability and association with outcomes: considerations for enhanced recovery efforts in sample US surgical populations. Ann Surg. 2016;263:502–10.CrossRefPubMed Thacker JK, Mountford WK, Ernst FR, Krukas MR, Mythen MM. Perioperative fluid utilization variability and association with outcomes: considerations for enhanced recovery efforts in sample US surgical populations. Ann Surg. 2016;263:502–10.CrossRefPubMed
4.
go back to reference Shin CH, Long DR, McLean D, Grabitz SD, Ladha K, Timm FP, Thevathasan T, Pieretti A, Ferrone C, et al. Effects of intraoperative fluid management on postoperative outcomes: a hospital registry study. Ann Surg. 2018;267:1084–92.CrossRefPubMed Shin CH, Long DR, McLean D, Grabitz SD, Ladha K, Timm FP, Thevathasan T, Pieretti A, Ferrone C, et al. Effects of intraoperative fluid management on postoperative outcomes: a hospital registry study. Ann Surg. 2018;267:1084–92.CrossRefPubMed
5.
go back to reference Da Luz PL, Weil MH, Liu VY, Shubin H. Plasma volume prior to and following volume loading during shock complicating acute myocardial infarction. Circulation. 1974;49:98–105.CrossRefPubMed Da Luz PL, Weil MH, Liu VY, Shubin H. Plasma volume prior to and following volume loading during shock complicating acute myocardial infarction. Circulation. 1974;49:98–105.CrossRefPubMed
Metadata
Title
We should avoid the term “fluid overload”
Authors
Jean-Louis Vincent
Michael R. Pinsky
Publication date
01-12-2018
Publisher
BioMed Central
Published in
Critical Care / Issue 1/2018
Electronic ISSN: 1364-8535
DOI
https://doi.org/10.1186/s13054-018-2141-7

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