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The Meaning of Fluid Responsiveness

  • R. Giraud
  • N. Siegenthaler
  • K. Bendjelid
Part of the Annual Update in Intensive Care and Emergency Medicine book series (AUICEM, volume 2012)

Abstract

The management of intravenous fluid infusion in intensive care unit (ICU) patients is complex and often corresponds to the clinical imperative for perfusion and tissue oxygenation [1]. This issue is important because it concerns a large proportion of ICU patients. Indeed, inappropriate volume restriction may cause low cardiac output and/or inappropriate use of vasopressive or inotropic drugs [2]. In contrast, adjusted volume restriction avoids excessive fluid infusion and related complications, which include pulmonary edema, microcirculatory dysfunction and organ failure [3, 4]. Excessive fluid resuscitation may also lead to electrolytic disorders such as hypernatremia and hyperchloremic acidosis [5] and/or coagulation impairments [6].

Keywords

Inferior Vena Cava Venous Return Positive Pressure Ventilation Fluid Responsiveness Pulmonary Artery Occlusion Pressure 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

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Copyright information

© Springer-Verlag Berlin Heidelberg 2012

Authors and Affiliations

  • R. Giraud
  • N. Siegenthaler
  • K. Bendjelid

There are no affiliations available

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