How to avoid fluid overload

• Type of Material: Article
• Authors: Ogbonna C. Ogbu, Emory University; David Murphy, Emory University; Gregory Martin, Emory University
• Language: English
• Date: 2015-08-01
• Publisher: Lippincott, Williams & Wilkins
• Publication Version: Author Accepted Manuscript (After Peer Review)
• Copyright Statement: © 2015 Wolters Kluwer Health, Inc. All rights reserved.
• Final Published Version (URL): http://dx.doi.org/10.1097/MCC.0000000000000211
• Title of Journal or Parent Work: Current Opinion in Critical Care
• ISSN: 1070-5295
• Volume: 21
• Issue: 4
• Start Page: 315
• End Page: 321
• Grant/Funding Information: This manuscript was supported, in part, by funding from the Emory Critical Care Center, the Grady Health System, the National Institutes of Health and the Food and Drug Administration, including grant numbers T32 GM095442 (OO), KL2 TR000455 (OO), R01 FD003440 (GSM) and UL1 TR000454 (GSM).; Dr. Martin conducts research on fluid management in critically ill patients and his institution (Emory University) has received funding from Abbott Laboratories and Baxter Healthcare for research, and Dr. Martin has served as a medical advisor to CSL Behring and Grifols.
• Keywords: ACUTE LUNG INJURY; MANAGEMENT; General & Internal Medicine; fluid resuscitation; RESPONSIVENESS; SEVERE SEPSIS; RESPIRATORY-DISTRESS-SYNDROME; VENTILATED SEPTIC PATIENTS; GOAL-DIRECTED RESUSCITATION; shock; Science & Technology; Life Sciences & Biomedicine; BALANCE; Critical Care Medicine; CRITICALLY-ILL PATIENTS; SHOCK; fluid overload
• Research Categories: Health Sciences, Health Care Management

Abstract

Purpose of the review This review highlights recent evidence describing the outcomes associated with fluid overload in critically ill patients and provides an overview of fluid management strategies aimed at preventing fluid overload during the resuscitation of patients with shock. Recent findings Fluid overload is a common complication of fluid resuscitation and is associated with increased hospital costs, morbidity and mortality. Summary Fluid management goals differ during the resuscitation, optimization, stabilization and evacuation phases of fluid resuscitation. To prevent fluid overload, strategies that reduce excessive fluid infusions and emphasize the removal of accumulated fluids should be implemented.