![](/images/graphics-bg.png)
Fluid Therapy: Double-Edged Sword during Critical Care?
Joint Authors
Molnar, Zsolt
Kirov, Mikhail Y.
Lainscak, Mitja
Kuzkov, Vsevolod V.
Monnet, Xavier
Benes, Jan
Voga, Gorazd
Source
Issue
Vol. 2015, Issue 2015 (31 Dec. 2015), pp.1-14, 14 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2015-12-22
Country of Publication
Egypt
No. of Pages
14
Main Subjects
Abstract EN
Fluid therapy is still the mainstay of acute care in patients with shock or cardiovascular compromise.
However, our understanding of the critically ill pathophysiology has evolved significantly in recent years.
The revelation of the glycocalyx layer and subsequent research has redefined the basics of fluids behavior in the circulation.
Using less invasive hemodynamic monitoring tools enables us to assess the cardiovascular function in a dynamic perspective.
This allows pinpointing even distinct changes induced by treatment, by postural changes, or by interorgan interactions in real time and enables individualized patient management.
Regarding fluids as drugs of any other kind led to the need for precise indication, way of administration, and also assessment of side effects.
We possess now the evidence that patient centered outcomes may be altered when incorrect time, dose, or type of fluids are administered.
In this review, three major features of fluid therapy are discussed: the prediction of fluid responsiveness, potential harms induced by overzealous fluid administration, and finally the problem of protocol-led treatments and their timing.
American Psychological Association (APA)
Benes, Jan& Kirov, Mikhail Y.& Kuzkov, Vsevolod V.& Lainscak, Mitja& Molnar, Zsolt& Voga, Gorazd…[et al.]. 2015. Fluid Therapy: Double-Edged Sword during Critical Care?. BioMed Research International،Vol. 2015, no. 2015, pp.1-14.
https://search.emarefa.net/detail/BIM-1056530
Modern Language Association (MLA)
Benes, Jan…[et al.]. Fluid Therapy: Double-Edged Sword during Critical Care?. BioMed Research International No. 2015 (2015), pp.1-14.
https://search.emarefa.net/detail/BIM-1056530
American Medical Association (AMA)
Benes, Jan& Kirov, Mikhail Y.& Kuzkov, Vsevolod V.& Lainscak, Mitja& Molnar, Zsolt& Voga, Gorazd…[et al.]. Fluid Therapy: Double-Edged Sword during Critical Care?. BioMed Research International. 2015. Vol. 2015, no. 2015, pp.1-14.
https://search.emarefa.net/detail/BIM-1056530
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1056530