A survey of fluid therapy in 2 intensive care units
10.3760/cma.j.issn.0578-1426.2018.06.010
- VernacularTitle:湘雅医院2个ICU重症患者液体治疗现状调查
- Author:
Hong LIU
1
;
Fang GONG
;
Yuhang AI
;
Meilin AI
;
Qing FENG
;
Songyun DENG
;
Zhiyong LIU
;
Lina ZHANG
Author Information
1. 中南大学湘雅医院重症医学科
- Keywords:
Fluid therapy;
Fluid resuscitation;
Crystalloid solution;
Balanced salt solution
- From:
Chinese Journal of Internal Medicine
2018;57(6):446-449
- CountryChina
- Language:Chinese
-
Abstract:
To explore the present status of fluid therapy and clinical outcome in critically ill patients in intensive care units (ICU).ICU patients consecutively admitted to our ICU were prospectively enrolled.Patients' demographics,laboratory data,fluid record and clinical outcome were collected.Fluid intake quantity of all patients was at peak on the fifth day which was 2 806 (1 997,3 582)ml.From the fourth day in ICU,fluid balance started to benegative as-84 (-1 127,612)ml and gradually increased.Crystalloid solution was the main components.For treatment purposes,medication injections and nutrients were major fluids.Positive correlations were found between total fluid intake quantity,total crystalloid volume,total colloidal volume and hospital stay,ICU stay,duration of intubation (r values as 0.211,0.686,0.282,0.155,0.506,0.174,0.209,0.072,0.292,respectively P＜0.05).Moreover,positive correlations were also demonstrated between total colloidal volume and total bilirubin,direct bilirubin,alanine transaminase,aspartate transaminase,blood urea nitrogen,serum creatinine (r values as 0.196,0.242,0.190,0.335,0.284,0.223,respectively P＜0.05).
