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Assessing volume status and fluid responsiveness in the emergency department
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 examinat...
Autores principales: | , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
The Korean Society of Emergency Medicine
2014
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5052829/ https://www.ncbi.nlm.nih.gov/pubmed/27752556 http://dx.doi.org/10.15441/ceem.14.040 |
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author | Mackenzie, David C. Noble, Vicki E. |
author_facet | Mackenzie, David C. Noble, Vicki E. |
author_sort | Mackenzie, David C. |
collection | PubMed |
description | 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. |
format | Online Article Text |
id | pubmed-5052829 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2014 |
publisher | The Korean Society of Emergency Medicine |
record_format | MEDLINE/PubMed |
spelling | pubmed-50528292016-10-17 Assessing volume status and fluid responsiveness in the emergency department Mackenzie, David C. Noble, Vicki E. Clin Exp Emerg Med Review Article 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. The Korean Society of Emergency Medicine 2014-12-31 /pmc/articles/PMC5052829/ /pubmed/27752556 http://dx.doi.org/10.15441/ceem.14.040 Text en Copyright © 2014 The Korean Society of Emergency Medicine This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/). |
spellingShingle | Review Article Mackenzie, David C. Noble, Vicki E. Assessing volume status and fluid responsiveness in the emergency department |
title | Assessing volume status and fluid responsiveness in the emergency department |
title_full | Assessing volume status and fluid responsiveness in the emergency department |
title_fullStr | Assessing volume status and fluid responsiveness in the emergency department |
title_full_unstemmed | Assessing volume status and fluid responsiveness in the emergency department |
title_short | Assessing volume status and fluid responsiveness in the emergency department |
title_sort | assessing volume status and fluid responsiveness in the emergency department |
topic | Review Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5052829/ https://www.ncbi.nlm.nih.gov/pubmed/27752556 http://dx.doi.org/10.15441/ceem.14.040 |
work_keys_str_mv | AT mackenziedavidc assessingvolumestatusandfluidresponsivenessintheemergencydepartment AT noblevickie assessingvolumestatusandfluidresponsivenessintheemergencydepartment |