How to avoid fluid overload

• Authors: Ogbonna C. Ogbu, Emory University; David Murphy, Emory University; Gregory Martin, Emory University
• Journal Title: Current Opinion in Critical Care
• Volume: Volume 21, Number 4
• Publisher: Lippincott, Williams & Wilkins | 2015-08-01, Pages 315-321
• Type of Work: Article | Post-print: After Peer Review
• Publisher DOI: http://doi.org/10.1097/MCC.0000000000000211
• Subjects: Health Sciences, Health Care Management
• Keywords: Science & Technology; Life Sciences & Biomedicine; Critical Care Medicine; General & Internal Medicine; fluid overload; fluid resuscitation; shock; CRITICALLY-ILL PATIENTS; ACUTE LUNG INJURY; RESPIRATORY-DISTRESS-SYNDROME; GOAL-DIRECTED RESUSCITATION; VENTILATED SEPTIC PATIENTS; SEVERE SEPSIS; SHOCK; MANAGEMENT; BALANCE; RESPONSIVENESS

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.