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Erschienen in: Intensive Care Medicine 10/2019

09.08.2019 | What’s new in ICM

Liberal versus restrictive fluid therapy in critically ill patients

verfasst von: Jonathan A. Silversides, Anders Perner, Manu L. N. G. Malbrain

Erschienen in: Intensive Care Medicine | Ausgabe 10/2019

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Excerpt

Administration of intravenous fluid is one of the most commonly applied therapies in critical care, and has evolved from the replacement of water and electrolytes lost in diarrhoeal illness to the concept of ‘optimising’ cardiac output and thus, it is often incorrectly assumed as tissue perfusion [1]. As critical care transitions from a historical focus on normalisation of physiology towards the rigorous application of evidence-based practices which result in the best possible long-term outcomes, a re-evaluation of the role of basic therapies, such as intravenous fluids, is necessary. …
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Literatur
1.
Zurück zum Zitat Malbrain MLNG, Van Regenmortel N, Saugel B et al (2018) Principles of fluid management and stewardship in septic shock: it is time to consider the four D’s and the four phases of fluid therapy. Ann Intensive Care 8:66CrossRef Malbrain MLNG, Van Regenmortel N, Saugel B et al (2018) Principles of fluid management and stewardship in septic shock: it is time to consider the four D’s and the four phases of fluid therapy. Ann Intensive Care 8:66CrossRef
2.
Zurück zum Zitat Cecconi M, Hofer C, Teboul J-L et al (2015) Fluid challenges in intensive care: the FENICE study: a global inception cohort study. Intensive Care Med 41:1529–1537CrossRef Cecconi M, Hofer C, Teboul J-L et al (2015) Fluid challenges in intensive care: the FENICE study: a global inception cohort study. Intensive Care Med 41:1529–1537CrossRef
3.
Zurück zum Zitat Van der Mullen J, Wise R, Vermeulen G et al (2018) Assessment of hypovolaemia in the critically ill. Anaesthesiol Intensive Ther 50:141–149CrossRef Van der Mullen J, Wise R, Vermeulen G et al (2018) Assessment of hypovolaemia in the critically ill. Anaesthesiol Intensive Ther 50:141–149CrossRef
4.
Zurück zum Zitat Rhodes A, Evans LE, Alhazzani W et al (2017) Surviving sepsis campaign: international guidelines for management of sepsis and septic shock: 2016. Intensive Care Med 43:304–377CrossRef Rhodes A, Evans LE, Alhazzani W et al (2017) Surviving sepsis campaign: international guidelines for management of sepsis and septic shock: 2016. Intensive Care Med 43:304–377CrossRef
5.
Zurück zum Zitat Hernandez G, Ospina-Tascón GA, Damiani LP et al (2019) Effect of a resuscitation strategy targeting peripheral perfusion status vs serum lactate levels on 28-day mortality among patients with septic shock. JAMA 321:654–711CrossRef Hernandez G, Ospina-Tascón GA, Damiani LP et al (2019) Effect of a resuscitation strategy targeting peripheral perfusion status vs serum lactate levels on 28-day mortality among patients with septic shock. JAMA 321:654–711CrossRef
6.
Zurück zum Zitat Lammi MR, Aiello B, Burg GT et al (2015) Response to fluid boluses in the fluid and catheter treatment trial. Chest 148:919–926CrossRef Lammi MR, Aiello B, Burg GT et al (2015) Response to fluid boluses in the fluid and catheter treatment trial. Chest 148:919–926CrossRef
7.
Zurück zum Zitat Bjerregaard MR, Hjortrup PB, Perner A (2019) Indications for fluid resuscitation in patients with septic shock: post-hoc analyses of the CLASSIC trial. Acta Anaesthesiol Scand 63:337–343CrossRef Bjerregaard MR, Hjortrup PB, Perner A (2019) Indications for fluid resuscitation in patients with septic shock: post-hoc analyses of the CLASSIC trial. Acta Anaesthesiol Scand 63:337–343CrossRef
8.
Zurück zum Zitat Glassford NJ, Eastwood GM, Bellomo R (2014) Physiological changes after fluid bolus therapy in sepsis: a systematic review of the contemporary literature. Crit Care 18:696CrossRef Glassford NJ, Eastwood GM, Bellomo R (2014) Physiological changes after fluid bolus therapy in sepsis: a systematic review of the contemporary literature. Crit Care 18:696CrossRef
9.
Zurück zum Zitat Silversides JA, Major E, Ferguson AJ et al (2017) Conservative fluid management or deresuscitation for patients with sepsis or acute respiratory distress syndrome following the resuscitation phase of critical illness: a systematic review and meta-analysis. Intensive Care Med 43:155–170CrossRef Silversides JA, Major E, Ferguson AJ et al (2017) Conservative fluid management or deresuscitation for patients with sepsis or acute respiratory distress syndrome following the resuscitation phase of critical illness: a systematic review and meta-analysis. Intensive Care Med 43:155–170CrossRef
10.
Zurück zum Zitat Prowle JR, Chua H-R, Bagshaw SM, Bellomo R (2012) Clinical review: volume of fluid resuscitation and the incidence of acute kidney injury—a systematic review. Crit Care 16:230CrossRef Prowle JR, Chua H-R, Bagshaw SM, Bellomo R (2012) Clinical review: volume of fluid resuscitation and the incidence of acute kidney injury—a systematic review. Crit Care 16:230CrossRef
11.
Zurück zum Zitat Malbrain MLNG, Marik PE, Witters I et al (2014) Fluid overload, de-resuscitation, and outcomes in critically ill or injured patients: a systematic review with suggestions for clinical practice. Anaesthesiol Intensive Ther 46:361–380CrossRef Malbrain MLNG, Marik PE, Witters I et al (2014) Fluid overload, de-resuscitation, and outcomes in critically ill or injured patients: a systematic review with suggestions for clinical practice. Anaesthesiol Intensive Ther 46:361–380CrossRef
12.
Zurück zum Zitat Byrne L, Obonyo NG, Diab SD et al (2018) Unintended consequences: fluid resuscitation worsens shock in an ovine model of endotoxemia. Am J Respir Crit Care Med 198:1043–1054CrossRef Byrne L, Obonyo NG, Diab SD et al (2018) Unintended consequences: fluid resuscitation worsens shock in an ovine model of endotoxemia. Am J Respir Crit Care Med 198:1043–1054CrossRef
13.
Zurück zum Zitat García MIM, González PG, Romero MG et al (2015) Effects of fluid administration on arterial load in septic shock patients. Intensive Care Med 41:1247–1255CrossRef García MIM, González PG, Romero MG et al (2015) Effects of fluid administration on arterial load in septic shock patients. Intensive Care Med 41:1247–1255CrossRef
14.
Zurück zum Zitat Ince C (2015) Hemodynamic coherence and the rationale for monitoring the microcirculation. Crit Care 19:S8CrossRef Ince C (2015) Hemodynamic coherence and the rationale for monitoring the microcirculation. Crit Care 19:S8CrossRef
15.
Zurück zum Zitat Monnet X, Marik P, Teboul J-L (2016) Passive leg raising for predicting fluid responsiveness: a systematic review and meta-analysis. Intensive Care Med 42:1935–1947CrossRef Monnet X, Marik P, Teboul J-L (2016) Passive leg raising for predicting fluid responsiveness: a systematic review and meta-analysis. Intensive Care Med 42:1935–1947CrossRef
16.
Zurück zum Zitat Miller A, Mandeville J (2016) Predicting and measuring fluid responsiveness with echocardiography. Echo Res Pract 3:G1–G12CrossRef Miller A, Mandeville J (2016) Predicting and measuring fluid responsiveness with echocardiography. Echo Res Pract 3:G1–G12CrossRef
17.
Zurück zum Zitat Jacobs R, Lochy S, Malbrain MLNG (2019) Phenylephrine-induced recruitable preload from the venous side. J Clin Monit Comput 33:373–376CrossRef Jacobs R, Lochy S, Malbrain MLNG (2019) Phenylephrine-induced recruitable preload from the venous side. J Clin Monit Comput 33:373–376CrossRef
18.
Zurück zum Zitat Hjortrup PB, Haase N, Bundgaard H et al (2016) Restricting volumes of resuscitation fluid in adults with septic shock after initial management: the CLASSIC randomised, parallel-group, multicentre feasibility trial. Intensive Care Med 42:1695–1705CrossRef Hjortrup PB, Haase N, Bundgaard H et al (2016) Restricting volumes of resuscitation fluid in adults with septic shock after initial management: the CLASSIC randomised, parallel-group, multicentre feasibility trial. Intensive Care Med 42:1695–1705CrossRef
19.
Zurück zum Zitat Russell JA, Gordon AC, Walley KR (2019) Early may be better: early low-dose norepinephrine in septic shock. Am J Respir Crit Care Med 199:1049–1051CrossRef Russell JA, Gordon AC, Walley KR (2019) Early may be better: early low-dose norepinephrine in septic shock. Am J Respir Crit Care Med 199:1049–1051CrossRef
20.
Zurück zum Zitat Van Regenmortel N, Verbrugghe W, Roelant E et al (2018) Maintenance fluid therapy and fluid creep impose more significant fluid, sodium, and chloride burdens than resuscitation fluids in critically ill patients: a retrospective study in a tertiary mixed ICU population. Intensive Care Med 44:409–417CrossRef Van Regenmortel N, Verbrugghe W, Roelant E et al (2018) Maintenance fluid therapy and fluid creep impose more significant fluid, sodium, and chloride burdens than resuscitation fluids in critically ill patients: a retrospective study in a tertiary mixed ICU population. Intensive Care Med 44:409–417CrossRef
21.
Zurück zum Zitat Cordemans C, De laet I, Van Regenmortel N et al (2012) Aiming for a negative fluid balance in patients with acute lung injury and increased intra- abdominal pressure: a pilot study looking at the effects of PAL-treatment. Ann Intensive Care 2:S15CrossRef Cordemans C, De laet I, Van Regenmortel N et al (2012) Aiming for a negative fluid balance in patients with acute lung injury and increased intra- abdominal pressure: a pilot study looking at the effects of PAL-treatment. Ann Intensive Care 2:S15CrossRef
22.
Zurück zum Zitat Martin GS, Moss M, Wheeler AP et al (2005) A randomized, controlled trial of furosemide with or without albumin in hypoproteinemic patients with acute lung injury. Crit Care Med 33:1681–1687CrossRef Martin GS, Moss M, Wheeler AP et al (2005) A randomized, controlled trial of furosemide with or without albumin in hypoproteinemic patients with acute lung injury. Crit Care Med 33:1681–1687CrossRef
Metadaten
Titel
Liberal versus restrictive fluid therapy in critically ill patients
verfasst von
Jonathan A. Silversides
Anders Perner
Manu L. N. G. Malbrain
Publikationsdatum
09.08.2019
Verlag
Springer Berlin Heidelberg
Erschienen in
Intensive Care Medicine / Ausgabe 10/2019
Print ISSN: 0342-4642
Elektronische ISSN: 1432-1238
DOI
https://doi.org/10.1007/s00134-019-05713-y

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