Risks and Benefits of Fluid Administration As Assessed by Ultrasound
Overview
Affiliations
For patients in shock, decisions regarding administering or withholding IV fluids are both difficult and important. Although a strategy of relatively liberal fluid administration has traditionally been popular, recent trial results suggest that moving to a more fluid-restrictive approach may be prudent. The goal of this article was to outline how whole-body point-of-care ultrasound can help clarify both the possible benefits and the potential risks of fluid administration, aiding in the risk/benefit calculations that should always accompany fluid-related decisions.
Critical care echocardiography: training, imaging, and indications.
Cheng J, Arntfield R BJA Educ. 2024; 24(11):399-408.
PMID: 39620105 PMC: 11602661. DOI: 10.1016/j.bjae.2024.07.003.
Nunnally J, Ko S, Ugale K, Lowe T, Bond J, Kenny J SAGE Open Med. 2024; 12:20503121241290378.
PMID: 39526100 PMC: 11549707. DOI: 10.1177/20503121241290378.
Focused Cardiac Ultrasound Findings of Fluid Tolerance and Fluid Resuscitation in Septic Shock.
Prevalska I, Tucker R, England P, Fung C Crit Care Explor. 2023; 5(12):e1015.
PMID: 38053747 PMC: 10695585. DOI: 10.1097/CCE.0000000000001015.
Multiorgan Point-of-Care Ultrasound Assessment in Critically Ill Adults.
Hobbs H, Millington S, Wiskar K J Intensive Care Med. 2023; 39(3):187-195.
PMID: 37552930 PMC: 10845831. DOI: 10.1177/08850666231192047.
Assessing Fluid Intolerance with Doppler Ultrasonography: A Physiological Framework.
Kenny J Med Sci (Basel). 2022; 10(1).
PMID: 35225945 PMC: 8883898. DOI: 10.3390/medsci10010012.