Evaluation and Management of Volume Status: A Practical View.
- Author:
Sejoong KIM
1
Author Information
1. Department of Internal Medicine, Gachon University School of Medicine, Inchen, Korea.
- Publication Type:Review
- Keywords:
Water-electrolyte imbalance;
Technology assessment
- MeSH:
Critical Illness;
Fatal Outcome;
Hemodynamics;
Physical Examination;
Technology Assessment, Biomedical;
Water-Electrolyte Imbalance
- From:Korean Journal of Medicine
2011;80(1):1-7
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Objective, rapid, and accurate assessment of volume status is important in the early management of acute, critical illnesses, as inappropriate therapy may lead to interventions with fatal outcomes. Traditionally, the history and physical examinations have been used for this assessment, but have limitations. Radioisotopic measurement or invasive hemodynamic monitoring is impractical, complicated, and expensive. Recently developed technologies offer rapid, accurate estimation of volume status with the potential to improve clinical outcome. This review discusses the methods available for volume assessment, including ultrasound, bioimpedance, and the historical tools.
