Assessing volume status and fluid responsiveness in the emergency department
نویسندگان
چکیده
Resuscitation with intravenous fluid can restore intravascular volume and improve stroke volume. However, in unstable patients, approximately 50% of fluid boluses fail to improve cardiac output as intended. Increasing evidence suggests that excess fluid may worsen patient outcomes. Clinical examination and vital signs are unreliable predictors of the response to a fluid challenge. We review the importance of fluid management in the critically ill, methods of evaluating volume status, and tools to predict fluid responsiveness.
منابع مشابه
Assessing Volume Status and Fluid Responsiveness in Resuscitation
Marik PE, Baram M, Vahid B: Does the central venous pressure predict fluid responsiveness? A systematic review of the literature and the tale of seven mares. Chest 2008, 134:172-178. Central venous pressure measurements are utilized in many intensive care units (ICUs), emergency departments, and operating rooms throughout the world. It is used to assess the fluid status of patients and to aid i...
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