Fluid overload in AKI

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Fluid Overload

Despite its high prevalence and significant rates of associated morbidity and mortality, the syndrome of decompensated heart failure (HF) remains poorly defined and vastly understudied. HF is due to several mechanisms including pump dysfunction disorder, neurohormonal activation disorder, and salt-water retention disorder. The first step of the syndrome includes cardiac damage and remodeling in...

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Oliguria and fluid overload.

Oliguria is a very common clinical situation that is also often difficult to interpret since it may represent either the expression of a disease or an appropriate response of the kidneys to extracellular volume depletion or decreased renal blood flow. In patients with acute kidney injury, oliguria is independently associated with mortality. Fluid overload is a complication of the impaired sodiu...

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How to avoid fluid overload.

PURPOSE OF REVIEW This review highlights the recent evidence describing the outcomes associated with fluid overload in critically ill patients and provides an overview of fluid management strategies aimed at preventing fluid overload during the resuscitation of patients with shock. RECENT FINDINGS Fluid overload is a common complication of fluid resuscitation and is associated with increased ...

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Pharmacological management of fluid overload.

BACKGROUND Standard treatment practice for the hypotensive patient with poor tissue perfusion is rapid volume resuscitation; in some scenarios, such as septic shock, this is performed with targeted goal-directed endpoints within 6 h of presentation. As a result, patients often develop significant positive fluid accumulation, which has been associated with poor outcomes above certain thresholds....

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Fluid overload in children undergoing mechanical ventilation

Patients admitted to an intensive care unit are prone to cumulated fluid overload and receive intravenous volumes through the aggressive resuscitation recommended for septic shock treatment, as well as other fluid sources related to medications and nutritional support. The liberal liquid supply strategy has been associated with higher morbidity and mortality. Although there are few prospective ...

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ژورنال

عنوان ژورنال: Current Opinion in Critical Care

سال: 2012

ISSN: 1070-5295

DOI: 10.1097/mcc.0b013e32835a1c44