Fluid Therapy in the Critically Ill Patient
- 1 April 2002
- journal article
- research article
- Published by SAGE Publications in Journal of Pharmacy Practice
- Vol. 15 (2), 114-123
- https://doi.org/10.1106/5qg8-t9bj-46ly
Abstract
The administration of intravenous fluids in the critically ill patient presents many challenges for clinicians. Intravenous fluids are usually categorized as either crystalloids or colloids, with each having distinct advantages and disadvantages in various patient populations. The appropriate selection of fluid type remains an issue of great debate in the critical care literature and has been the subject of numerous comparative studies. Despite the vast amount of data available, there is no clear consensus in the literature to direct the clinician in the choice of fluid type. This article will provide an overview of fluid distribution within the body and the factors that affect this distribution, a review of the various types of fluids administered in the critically ill patient, and the rationale for the selection of each type. A review of the literature surrounding the colloid-crystalloid controversy is provided.Keywords
This publication has 48 references indexed in Scilit:
- NONBLOOD FLUID RESUSCITATIONAnesthesiology Clinics of North America, 1999
- A Paradigm for ConsensusArchives of Internal Medicine, 1995
- A Multicenter Trial for Resuscitation of Injured Patients With 7.5% Sodium ChlorideArchives of Surgery, 1993
- Serum albumin, coronary heart disease, and deathAmerican Heart Journal, 1992
- The APACHE III Prognostic SystemSocial psychiatry. Sozialpsychiatrie. Psychiatrie sociale, 1991
- Albumin Supplementation in the Critically IllArchives of Surgery, 1990
- Death Risk in Hemodialysis Patients: The Predictive Value of Commonly Measured Variables and an Evaluation of Death Rate Differences Between FacilitiesAmerican Journal of Kidney Diseases, 1990
- ASSOCIATION BETWEEN SERUM ALBUMIN AND MORTALITY FROM CARDIOVASCULAR DISEASE, CANCER, AND OTHER CAUSESThe Lancet, 1989
- Quantitative Measurement of Bleeding Following Hypertonic Saline Therapy in 'Uncontrolled' Hemorrhagic ShockThe Journal of Trauma and Acute Care Surgery, 1989
- Effect of albumin supplementation during parenteral nutrition on hospital morbidityCritical Care Medicine, 1988