Abstract:
:Fluid infusion may be lifesaving in patients with severe sepsis, especially in the earliest phases of treatment. Following initial resuscitation, however, fluid boluses often fail to augment perfusion and may be harmful. In this review, we seek to compare and contrast the impact of fluids in early and later sepsis; show that much fluid therapy is clinically ineffective in patients with severe sepsis; explore the detrimental aspects of excessive volume infusion; examine how clinicians assess the intravascular volume state; appraise the potential for dynamic indexes to predict fluid responsiveness; and recommend a clinical approach.
journal_name
Chestjournal_title
Chestauthors
Durairaj L,Schmidt GAdoi
10.1378/chest.07-1496subject
Has Abstractpub_date
2008-01-01 00:00:00pages
252-63issue
1eissn
0012-3692issn
1931-3543pii
S0012-3692(15)48986-Xjournal_volume
133pub_type
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