| What is a fluid challenge? | |
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MedLine Citation:
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PMID: 21508838 Owner: NLM Status: Publisher |
Abstract/OtherAbstract:
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PURPOSE OF REVIEW: The fluid challenge is used in the fluid management of many sick patients. The principle behind the fluid challenge technique is that by giving a small amount of fluid in a short period of time, the clinician can assess whether the patient has a preload reserve that can be used to increase the stroke volume with further fluids. The key components of a fluid challenge are described. RECENT FINDINGS: Dynamic predictors of fluid responsiveness are increasingly used in preference to the central venous and pulmonary artery occlusion pressure. The gold standard to monitor the response to a fluid challenge is using a continuous cardiac output monitoring. Fluid therapy guided by flow monitoring has been shown to reduce hospital stay and postoperative complications. SUMMARY: A fluid challenge identifies and simultaneously treats volume depletion, whilst avoiding deleterious consequences of fluid overload through its small volume and targeted administration. |
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Authors:
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Maurizio Cecconi; Anthony K Parsons; Andrew Rhodes |
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Publication Detail:
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Type: JOURNAL ARTICLE Date: 2011-4-19 |
Journal Detail:
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Title: Current opinion in critical care Volume: - ISSN: 1531-7072 ISO Abbreviation: - Publication Date: 2011 Apr |
Date Detail:
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Created Date: 2011-4-21 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 9504454 Medline TA: Curr Opin Crit Care Country: - |
Other Details:
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Languages: ENG Pagination: - Citation Subset: - |
Affiliation:
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Department of Intensive Care Medicine, St George's Healthcare NHS Trust, London, UK. |
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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