RT Book, Section
A1 Robinson, Matthew T.
A1 Heffner, Alan C.
A2 Farcy, David A.
A2 Chiu, William C.
A2 Marshall, John P.
A2 Osborn, Tiffany M.
SR Print(0)
ID 1135703975
T1 Fluid Management
T2 Critical Care Emergency Medicine, 2e
YR 2016
FD 2016
PB McGraw-Hill Education
PP New York, NY
SN 9780071838764
LK accessemergencymedicine.mhmedical.com/content.aspx?aid=1135703975
RD 2024/04/20
AB Relative  and  absolute  hypovolemia  complicate  many  clinical  conditions,  and  fluid  therapy  is  a  cornerstone  of  acute  critical  illness  management.  The  clinician  is  constantly  tasked  with  assessment  of  volume  status,  the  need  for  fluid  therapy,  and  the  selection  of  the  appropriate  fluid  and  dose  guided  to  a  suitable  endpoint.  Timely  fluid  therapy  maintains  macrocirculatory  and  microcirculatory  support  and  reduces  morbidity  and  mortality.1,2  In  contrast,  both  under-  and  over-resuscitation  adversely  affect  outcome;  inadequate  resuscitation  risks  leaving  a  patient  in  compensated  shock,  and  overly  aggressive  fluid  administration  results  in  volume  overload  without  improving  oxygen  delivery  and  is  associated  with  worse  clinical  outcomes.3,4  A  thorough  understanding  of  the  appropriate  selection,  timing,  and  goals  of  fluid  therapy  is  vital  to  optimize  patient  care.