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Surgical Intensive Care Medicine pp 47–53Cite as

Fluid Resuscitation

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Abstract

Intravenous resuscitation fluids are administered to critically ill patients primarily to correct symptomatic hypovolaemia. Crystalloids are pragmatic first-line resuscitation fluids for the majority of patients with little evidence that colloids confer any clinical benefit over crystalloids. Fluids should be selected according to the cause and severity of hypovolaemia that vary over the course of acute illness, to prevent toxicity, specifically physiological or organ dysfunction associated with the type of fluid, particularly semi-synthetic colloids and chloride-rich crystalloids, and to minimise excess cumulative fluid balance that is independently associated with adverse outcomes.

Keywords

  • Fluid resuscitation
  • Colloids
  • Crystalloids
  • Surgical intensive care

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Author information

Authors and Affiliations

  1. Malcolm Fisher Department of Intensive Care, Royal North Shore Hospital, Level 6, Acute Services Building, Pacific Highway, St. Leonard’s, NSW, Australia

    Naomi E. Hammond BN, MN (Crit. Care), MPH

  2. Department of Intensive Care Medicine, St. George Hospital, Gray Street, Kogarah, NSW, Australia

    Manoj K. Saxena MBBChir, BSc & John A. Myburgh AO, MBBCh, PhD, FCICM

Authors
  1. Naomi E. Hammond BN, MN (Crit. Care), MPH
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  2. Manoj K. Saxena MBBChir, BSc
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  3. John A. Myburgh AO, MBBCh, PhD, FCICM
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Corresponding author

Correspondence to Naomi E. Hammond BN, MN (Crit. Care), MPH .

Editor information

Editors and Affiliations

  1. Department of Surgical Critical Care; Lahey Hospital and Medical Center, Division of Surgery, Burlington, Massachusetts, USA

    John M. O'Donnell

  2. Surgical Critical Care Medicine, Pr�-Card�o Hospital, Critical Care Medicine, University Hospital, Federal University of Rio de Janeiro, Rio de Janeiro, Rio de Janeiro, Brazil

    Flávio E. Nácul

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Hammond, N.E., Saxena, M.K., Myburgh, J.A. (2016). Fluid Resuscitation. In: O'Donnell, J., Nácul, F. (eds) Surgical Intensive Care Medicine. Springer, Cham. https://doi.org/10.1007/978-3-319-19668-8_4

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  • DOI: https://doi.org/10.1007/978-3-319-19668-8_4

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