Fluid resuscitation for critically ill patients
10.11855/j.issn.0577-7402.2017.02.04
- VernacularTitle:重症患者的液体复苏策略
- Author:
Feihu ZHOU
;
Chao LIU
;
Zhi MAO
- Keywords:
crystalloid solution;
colloid solution;
balanced salt solution;
fluid resuscitation;
fluid overload
- From:
Medical Journal of Chinese People's Liberation Army
2017;42(2):109-116
- CountryChina
- Language:Chinese
-
Abstract:
Fluid overload is frequently found in patients with intravenous fluid resuscitation,and recent studies showed the potential risks of fluid overload for organ failure and mortality.To avoid volume overload and its associated complications,strategies to identify fluid responsiveness are necessary.Apart from the amount of fluid utilized for resuscitation,the type of fluid used also impacts patient outcome.In recent years,there has also been an increasing focus on comparing various resuscitation fluids with respect to both benefits and risks.In this article,through analyzing the impact of fluid overload on patient outcome,we describe the differences in static and dynamic estimates of fluid responsiveness,and review the current literature regarding choice of intravenous fluids for resuscitation in critically ill patients to help clinicians to make appropriative decision on intravenous fluids prescription and to optimize patient outcome.
