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- Title
Rational fluid management in today's ICU practice.
- Authors
Bartels, Karsten; Thiele, Robert H.; Gan, Tong J.
- Abstract
Intravenous fluid therapy has evolved significantly over time. From the initial report of the first intravenous administration of sodium-chloride-based solution to the development of goal-directed fluid therapy using novel dynamic indices, efforts have focused on improving patient outcomes. The goal of this review is to provide a brief overview of current concepts for intravenous fluid administration in the ICU. Results of recently published clinical trials suggesting harmful effects of starch-based solutions on critically ill patients are discussed. Concepts for goal-directed fluid therapy and new modalities for the assessment of fluid status as well as for the prediction of responsiveness to different interventions will continue to emerge. Advances in technology will have to be critically evaluated for their ability to improve outcomes in different clinical scenarios.
- Subjects
INTRAVENOUS therapy; FLUID therapy; INTENSIVE care units; CRITICAL care medicine; TREATMENT effectiveness; CRITICALLY ill; MEDICAL care
- Publication
Critical Care, 2013, Vol 17, p1
- ISSN
1364-8535
- Publication type
Article
- DOI
10.1186/cc11504