RT Book, Section
A1 Schmidt, Gregory A.
A2 Schmidt, Gregory A.
A2 Kress, John P.
A2 Douglas, Ivor S.
SR Print(0)
ID 1201800942
T1 Judging the Adequacy of Fluid Resuscitation
T2 Hall, Schmidt and Wood’s Principles of Critical Care, 5<sup>th</sup> Edition
YR 2023
FD 2023
PB McGraw Hill
PP New York, NY
SN 9781264264353
LK accesssurgery.mhmedical.com/content.aspx?aid=1201800942
RD 2024/10/15
AB KEY  POINTSOf  critically  ill  patients  with  conventional  indications  for  a  fluid  bolus,  only  about  half  will  respond  with  a  meaningful  increase  in  perfusion.Fluid  therapy  that  does  not  boost  perfusion  may  cause  harm  by  impairing  lung  function,  producing  edema  in  other  organs,  or  contributing  to  endothelial  dysfunction.Static  hemodynamic  parameters,  such  as  central  venous  pressure  or  pulmonary  artery  occlusion  pressure,  have  little  value  in  guiding  fluid  therapy.Fluid  responsiveness  can  be  predicted  using  cardiopulmonary  interactions  to  probe  circulatory  function  or  through  passive  leg  raising.Dynamic  fluid-responsiveness  predictors  are  accurate  but  require  careful  attention  to  preconditions  for  validity.