Secondary objectives: Effect of fluid resuscitation on intubation rate, need for urgent dialysis, hospital length of stay (LOS), intensive care unit (ICU) admission and LOS, need for vasopressors, and hospital
In this Review, we discuss the conflict between the desire to achieve adequate resuscitation of shock and the need to mitigate the harmful effects of fluid overload. In patients with AKI, limiting and resolving fluid overload might prompt earlier use of renal replacement therapy. However, rapid ...
Fluid therapy, together with attention to oxygen supply, is the cornerstone of resuscitation in all critically ill patients. It is important to recognize that fluid deficits can occur in the absence of obvious fluid loss because of vasodilation or alterations in capillary permeability. Hypovolaemia ...
Isotonic, “normal” saline (0.9% NaCl, 154 mM Na+) is the most appropriate resuscitation fluid for normonatremic or hyponatremic patients with severe hypovolemia; colloid solutions such as intravenous albumin are not demonstrably superior for this purpose. Hypernatremic patients should receive a ...
1452: IS FLUID RESUSCITATION ASSOCIATED WITH RESPIRATORY FAILURE IN SEPSIS WITH CHF, ESRD, OR CIRRHOSIS?In 2001, the landmark trial of early goal-directed therapy versus standard care for the treatment of severe sepsis and septic shock was published. The marked decrease in mortality with early ...
Anchoring Sepsis Management: A Retrospective Cohort Study on Fluid Resuscitation in Advanced and ESRDdoi:10.1681/ASN.2024az4q3m1kHunter ReedAbraheim AL-NasseriAdam Michael RobargeUsman KaziAhmed EddibAmerican Society of NephrologyJournal of the American Society of Nephrology...
Fluid resuscitationSevere sepsisSeptic shockSepsis Core measuresESRDCHFObjective: The Surviving Sepsis Campaign and Centers for Medicare and Medicaid Services (CMS) Severe Sepsis and Septic Shock Management Bundle (SEP-1) recommend rapid crystalloid infusion (>= 30 mL/kg) for patients with sepsis-...