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Erschienen in: Intensive Care Medicine 1/2019

19.11.2018 | Conference Reports and Expert Panel

Fluid administration for acute circulatory dysfunction using basic monitoring: narrative review and expert panel recommendations from an ESICM task force

verfasst von: Maurizio Cecconi, Glenn Hernandez, Martin Dunser, Massimo Antonelli, Tim Baker, Jan Bakker, Jacques Duranteau, Sharon Einav, A. B. Johan Groeneveld, Tim Harris, Sameer Jog, Flavia R. Machado, Mervyn Mer, M. Ignacio Monge García, Sheila Nainan Myatra, Anders Perner, Jean-Louis Teboul, Jean-Louis Vincent, Daniel De Backer

Erschienen in: Intensive Care Medicine | Ausgabe 1/2019

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Abstract

An international team of experts in the field of fluid resuscitation was invited by the ESICM to form a task force to systematically review the evidence concerning fluid administration using basic monitoring. The work included a particular emphasis on pre-ICU hospital settings and resource-limited settings. The work focused on four main questions: (1) What is the role of clinical assessment to guide fluid resuscitation in shock? (2) What basic monitoring is required to perform and interpret a fluid challenge? (3) What defines a fluid challenge in terms of fluid type, ranges of volume, and rate of administration? (4) What are the safety endpoints during a fluid challenge? The expert panel found insufficient evidence to provide recommendations according to the GRADE system, and was only able to make recommendations for basic interventions, based on the available evidence and expert opinion. The panel identified significant gaps in the scientific evidence on fluid administration outside the ICU (excluding the operating theater). Globally, scientific communities and health care systems should address these critical gaps in evidence through research on how basic fluid administration in resource-rich and resource-limited settings can be improved for the benefit of patients and societies worldwide.
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Metadaten
Titel
Fluid administration for acute circulatory dysfunction using basic monitoring: narrative review and expert panel recommendations from an ESICM task force
verfasst von
Maurizio Cecconi
Glenn Hernandez
Martin Dunser
Massimo Antonelli
Tim Baker
Jan Bakker
Jacques Duranteau
Sharon Einav
A. B. Johan Groeneveld
Tim Harris
Sameer Jog
Flavia R. Machado
Mervyn Mer
M. Ignacio Monge García
Sheila Nainan Myatra
Anders Perner
Jean-Louis Teboul
Jean-Louis Vincent
Daniel De Backer
Publikationsdatum
19.11.2018
Verlag
Springer Berlin Heidelberg
Erschienen in
Intensive Care Medicine / Ausgabe 1/2019
Print ISSN: 0342-4642
Elektronische ISSN: 1432-1238
DOI
https://doi.org/10.1007/s00134-018-5415-2

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