Intravenous Fluid Resuscitation: Breaking the Dilemma

Intravenous fluid resuscitation: was Poiseuille right?

AIM To compare the flow rates of readily available intravenous infusion devices and to compare the effect of the addition of pressure or a needle-free intravenous connector device. METHODS Several intravenous devices with different characteristics had their flow rates determined under a standard set of conditions. The flow rates were then measured with the addition of a pressure bag to the sy...

Resuscitation--fluid replacement.

Limited fluid volume resuscitation.

Volume replacement therapy is crucial to the treatment of hypovolemic shock. In patients with certain conditions, limiting the volume of fluid administered has many potential therapeutic benefits and technical advantages. Hypertonic saline and colloids have characteristics that allow effective treatment of hypovolemic shock using relatively smaller volumes than would be required for isotonic cr...

Fluid resuscitation in trauma

Appropriate fluid replacement is an essential component of trauma fluid resuscitation. Once he orrhage is controlled, restoration of normovolemia is a priority. In the presence of uncontrolled haemorrhage, aggressive fluid management may be harmful. The crystalloid-colloid debate continues but existing clinical practice is more likely to reflect local biases rather than evidence based medicine....

Personalised fluid resuscitation in the ICU: still a fluid concept?

The administration of intravenous fluid to critically ill patients is one of the most common, but also one of the most fiercely debated, interventions in intensive care medicine. Even though many thousands of patients have been enrolled in large trials of alternative fluid strategies, consensus remains elusive and practice is widely variable. Critically ill patients are significantly heterogene...