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Handbook of Intravenous Fluids pp 143–163Cite as

Concept of Fluid Responsiveness. Fluid Challenge

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Abstract

Once a patient in circulatory shock has already recieved initial intravenous fluid bolus, decision to infuse further fluid is challenging in most clinical scenarios. This decision process can be complemented by certain tests to predict particular patient’s response to a real fluid bolus (“Fluid Responsiveness”) or by actually challenging the patient with small bolus of fluid in a controlled environment (“Fluid Challenge”). This chapter discusses various tests for fluid responsiveness, their physiological rationale, utility in appropriate clinical context and limitations. A descripton is provided for appropriate technique of fluid challenge that can be utilised in patients where tests for fluid responsiveness are either not possible or not available.

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Authors and Affiliations

  1. Department of Critical Care Medicine, Fortis Escorts Hospital, Faridabad, Haryana, India

    Supradip Ghosh

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  1. Supradip Ghosh
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© 2022 The Author(s), under exclusive license to Springer Nature Singapore Pte Ltd.

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Ghosh, S. (2022). Concept of Fluid Responsiveness. Fluid Challenge. In: Handbook of Intravenous Fluids. Springer, Singapore. https://doi.org/10.1007/978-981-19-0500-1_9

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  • DOI: https://doi.org/10.1007/978-981-19-0500-1_9

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  • Publisher Name: Springer, Singapore

  • Print ISBN: 978-981-19-0499-8

  • Online ISBN: 978-981-19-0500-1

  • eBook Packages: MedicineMedicine (R0)

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