fluid management in the ICU

  • related: ICU intensive care unit
  • tags: #literature

  • use capillary refill time as one of the guides to resuscitation

Types of fluids

  • albumin does not have mortality benefit over crystalloid fluids
  • lactated ringer maybe not better than normal saline
  • lactated ringer is safe for treating hypercalcemia

What to give

  • SMART trial found balanced crystalloids have improved outcome of death and renal dysfunctin over saline
  • SALT ED trial found no difference between crystalloids and saline groups

How much to give

  • FACTT Trial showed restrictive fluid strategy leads to mortality improvement
  • There is no mortality difference between restrictive fluid strategy and liberal fluid strategy in septic patients

Links to this note

  • ICU intensive care unit
    • fluid management in the ICU
  • lactated ringer is safe for treating hypercalcemia
    • related: Hypercalcemia, fluid management in the ICU
  • albumin does not have mortality benefit over crystalloid fluids
    • related: fluid management in the ICU
  • lactated ringer maybe not better than normal saline
    • related: fluid management in the ICU
  • There is no mortality difference between restrictive fluid strategy and liberal fluid strategy in septic patients
    • related: fluid management in the ICU
  • use capillary refill time as one of the guides to resuscitation
    • related: fluid management in the ICU