Published in:
01-10-2019 | Septicemia | What’s new in ICM
Liberal versus restrictive fluid therapy in critically ill patients
Authors:
Jonathan A. Silversides, Anders Perner, Manu L. N. G. Malbrain
Published in:
Intensive Care Medicine
|
Issue 10/2019
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Excerpt
Administration of intravenous fluid is one of the most commonly applied therapies in critical care, and has evolved from the replacement of water and electrolytes lost in diarrhoeal illness to the concept of ‘optimising’ cardiac output and thus, it is often incorrectly assumed as tissue perfusion [
1]. As critical care transitions from a historical focus on normalisation of physiology towards the rigorous application of evidence-based practices which result in the best possible long-term outcomes, a re-evaluation of the role of basic therapies, such as intravenous fluids, is necessary. …