Fluid resuscitation and balance management strategies in pediatric acute respiratory distress syndrome
10.3760/cma.j.issn.1673-4912.2025.01.001
- VernacularTitle:儿童急性呼吸窘迫综合征的液体复苏和平衡管理策略
- Author:
Hongxing DANG
1
;
Feng XU
1
Author Information
1. 重庆医科大学附属儿童医院重症医学科，国家儿童健康与疾病临床医学研究中心，儿童发育疾病研究教育部重点实验室，重庆 400014
- Publication Type:Journal Article
- Keywords:
Acute respiratory distress syndrome;
Fluid resuscitation;
Fluid balance;
Pediatrics;
Intensive care
- From:
Chinese Pediatric Emergency Medicine
2025;32(1):1-7
- CountryChina
- Language:Chinese
-
Abstract:
Fluid management is a key component in the treatment of pediatric acute respiratory distress syndrome (PARDS).Its primary goal is to maintain hemodynamic stability and improve tissue perfusion while avoiding complications such as worsening pulmonary edema and other adverse effects due to fluid overload.In children with shock who require fluid resuscitation,fluid management must balance the necessity of early resuscitation with the need for de-resuscitation in later stages,necessitating the development of an individualized and precise assessment and management strategy.This review integrates clinical practice with the latest evidence to explore the pathophysiological characteristics of PARDS,strategies for fluid resuscitation,key monitoring indicators, indications and contraindications for fluid resuscitation,as well as the management of common issues,current controversies, and future directions.
