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Assessment of Volume Status and Fluid Responsiveness in Small Animals

Intravenous fluids are an essential component of shock management in human and veterinary emergency and critical care to increase cardiac output and improve tissue perfusion. Unfortunately, there are very few evidence-based guidelines to help direct fluid therapy in the clinical setting. Giving insu...

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Detalles Bibliográficos
Autores principales: Boysen, Søren R., Gommeren, Kris
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Frontiers Media S.A. 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8193042/
https://www.ncbi.nlm.nih.gov/pubmed/34124213
http://dx.doi.org/10.3389/fvets.2021.630643
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author Boysen, Søren R.
Gommeren, Kris
author_facet Boysen, Søren R.
Gommeren, Kris
author_sort Boysen, Søren R.
collection PubMed
description Intravenous fluids are an essential component of shock management in human and veterinary emergency and critical care to increase cardiac output and improve tissue perfusion. Unfortunately, there are very few evidence-based guidelines to help direct fluid therapy in the clinical setting. Giving insufficient fluids and/or administering fluids too slowly to hypotensive patients with hypovolemia can contribute to continued hypoperfusion and increased morbidity and mortality. Similarly, giving excessive fluids to a volume unresponsive patient can contribute to volume overload and can equally increase morbidity and mortality. Therefore, assessing a patient's volume status and fluid responsiveness, and monitoring patient's response to fluid administration is critical in maintaining the balance between meeting a patient's fluid needs vs. contributing to complications of volume overload. This article will focus on the physiology behind fluid responsiveness and the methodologies used to estimate volume status and fluid responsiveness in the clinical setting.
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spelling pubmed-81930422021-06-12 Assessment of Volume Status and Fluid Responsiveness in Small Animals Boysen, Søren R. Gommeren, Kris Front Vet Sci Veterinary Science Intravenous fluids are an essential component of shock management in human and veterinary emergency and critical care to increase cardiac output and improve tissue perfusion. Unfortunately, there are very few evidence-based guidelines to help direct fluid therapy in the clinical setting. Giving insufficient fluids and/or administering fluids too slowly to hypotensive patients with hypovolemia can contribute to continued hypoperfusion and increased morbidity and mortality. Similarly, giving excessive fluids to a volume unresponsive patient can contribute to volume overload and can equally increase morbidity and mortality. Therefore, assessing a patient's volume status and fluid responsiveness, and monitoring patient's response to fluid administration is critical in maintaining the balance between meeting a patient's fluid needs vs. contributing to complications of volume overload. This article will focus on the physiology behind fluid responsiveness and the methodologies used to estimate volume status and fluid responsiveness in the clinical setting. Frontiers Media S.A. 2021-05-28 /pmc/articles/PMC8193042/ /pubmed/34124213 http://dx.doi.org/10.3389/fvets.2021.630643 Text en Copyright © 2021 Boysen and Gommeren. https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
spellingShingle Veterinary Science
Boysen, Søren R.
Gommeren, Kris
Assessment of Volume Status and Fluid Responsiveness in Small Animals
title Assessment of Volume Status and Fluid Responsiveness in Small Animals
title_full Assessment of Volume Status and Fluid Responsiveness in Small Animals
title_fullStr Assessment of Volume Status and Fluid Responsiveness in Small Animals
title_full_unstemmed Assessment of Volume Status and Fluid Responsiveness in Small Animals
title_short Assessment of Volume Status and Fluid Responsiveness in Small Animals
title_sort assessment of volume status and fluid responsiveness in small animals
topic Veterinary Science
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8193042/
https://www.ncbi.nlm.nih.gov/pubmed/34124213
http://dx.doi.org/10.3389/fvets.2021.630643
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