Fluid Overload and Management
Critically ill patients have a high amount of fluid exposure due to the nature of their illness. Fluids are the sine qua non of successful intensive care unit (ICU) support, facilitating resuscitation, medication delivery, and nutrition. Context specific risk factors make ICU patients very vulnerable to fluid accumulation and fluid overload. Timely recognition might offer opportunities for successful intervention to treat, reverse, or prevent fluid overload. In this chapter, we will provide a brief overview of pathophysiology and then offer the reader a pragmatic approach to assessment and treatment of fluid overload.
KeywordsAcute kidney injury Children Fluid overload Edema Dialysis
- 6.Soler YA, Nieves-Plaza M, Prieto M, García-De Jesús R, Suárez-Rivera M. Pediatric Risk, Injury, Failure, Loss, End-Stage renal disease score identifies acute kidney injury and predicts mortality in critically ill children: a prospective study. Pediatr Crit Care Med. 2013;14(4):e189–95.CrossRefGoogle Scholar
- 13.Barhight MF, Lusk J, Brinton J, Stidham T, Soranno DE, Faubel S, et al. Hyperchloremia is independently associated with mortality in critically ill children who ultimately require continuous renal replacement therapy. Pediatr Nephrol. 2018;30(2):300.Google Scholar