The Ins and Outs of IV Fluids in Hemodynamic Resuscitation.
Journal
Critical care medicine
ISSN: 1530-0293
Titre abrégé: Crit Care Med
Pays: United States
ID NLM: 0355501
Informations de publication
Date de publication:
01 10 2023
01 10 2023
Historique:
medline:
15
9
2023
pubmed:
14
9
2023
entrez:
14
9
2023
Statut:
ppublish
Résumé
Concise definitive review of the physiology of IV fluid (IVF) use in critically ill patients. Available literature on PubMed and MEDLINE databases. Basic physiology studies, observational studies, clinical trials, and reviews addressing the physiology of IVF and their use in the critically ill were included. None. We combine clinical and physiologic studies to form a framework for understanding rational and science-based use of fluids and electrolytes. IVF administration is among the most common interventions for critically ill patients. IVF can be classified as crystalloids or colloids, and most crystalloids are sodium salts. They are frequently used to improve hemodynamics during shock states. Many recent clinical trials have sought to understand which kind of IVF might lead to better patient outcomes, especially in sepsis. Rational use of IVF rests on understanding the physiology of the shock state and what to expect IVF will act in those settings. Many questions remain unanswered, and future research should include a physiologic understanding of IVF in study design.
Identifiants
pubmed: 37707377
doi: 10.1097/CCM.0000000000006001
pii: 00003246-202310000-00012
doi:
Substances chimiques
Crystalloid Solutions
0
Types de publication
Journal Article
Review
Langues
eng
Sous-ensembles de citation
IM
Pagination
1397-1406Informations de copyright
Copyright © 2023 by the Society of Critical Care Medicine and Wolters Kluwer Health, Inc. All Rights Reserved.
Déclaration de conflit d'intérêts
Dr. Kaufman is a member of the Medical Advisory Board for Maquet Critical Care AB, and he receives consulting fees from this engagement. He also receives consulting fees from FloSonics Medical. In the past, he received grant funding and travel reimbursements from Cheetah Medical (now a part of Baxter). The remaining authors have disclosed that they do not have any potential conflicts of interest.
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