Fluid challenge revisited

@article{Vincent2006FluidCR,
  title={Fluid challenge revisited},
  author={Jean Louis Vincent and Max Harry Weil},
  journal={Critical Care Medicine},
  year={2006},
  volume={34},
  pages={1333-1337}
}
OBJECTIVE To discuss the rationale, technique, and clinical application of the fluid challenge. [...] Key MethodDATA SOURCE Relevant literature from MEDLINE and authors' personal databases. STUDY SELECTION Studies on fluid challenge in the acutely ill. Expand

Paper Mentions

Interventional Clinical Trial
The aim of this study is to determine if the incidence of post-operative complications can be decreased by the implementation of intra-operative, minimally invasive hemodynamic… Expand
ConditionsCritical Illness, Trauma
InterventionDevice
Interventional Clinical Trial
The intensive care unit (ICU) team needs to know what effects acetaminophen has in critically ill patients. Acetaminophen is better known as Tylenol. It is the drug given to reduce fever… Expand
ConditionsCritical Illness, Fever
InterventionDrug
Use of the Fluid Challenge in Critically Ill Adult Patients: A Systematic Review
TLDR
It is indicated that the FC most commonly consists in infusing 500 mL of crystalloids or colloids in 20–30 minutes, and considered an increase in cardiac index ≥15% as a positive response, however, definite standards for FC administration and evaluation remain undefined. Expand
What is a fluid challenge?
TLDR
A fluid challenge identifies and simultaneously treats volume depletion, whilst avoiding deleterious consequences of fluid overload through its small volume and targeted administration. Expand
Four phases of intravenous fluid therapy: a conceptual model.
TLDR
A recently proposed model for fluid therapy in severe sepsis is reviewed and a framework by which it could be adopted for use in most situations where fluid management is required is proposed. Expand
Fluid administration for acute circulatory dysfunction using basic monitoring: narrative review and expert panel recommendations from an ESICM task force
TLDR
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. Expand
Fluid Challenge During Anesthesia: A Systematic Review and Meta-analysis
TLDR
The key components of FC including type of fluid (colloids, often 6% HES), volume (500 and 250 mL in non-GDT studies and GDT studies, respectively), and time of infusion (10 minutes) are quite standardized in operating room, however, pooled sensitivity and specificity of both PPV and SVV are limited. Expand
Fluid challenges in intensive care: the FENICE study
TLDR
An observational study conducted in ICUs around the world to evaluate how physicians conduct FCs in terms of type, volume, and rate of given fluid and to compare the proportion of patients receiving further fluid administration based on the response to the FC. Expand
Predicting Fluid Responsiveness in Children: A Systematic Review
TLDR
Static variables did not predict fluid responsiveness in children, which was consistent with evidence in adults, but the evidence for dynamic variables based on plethysmography was inconclusive. Expand
Title : Pharmacodynamic Analysis Of A Fluid Challenge
Objective: This study aims to describe the pharmacodynamics (PD) of a fluid challenge over a ten-minute period in post-operative patients. Design: Prospective observational study Setting: General andExpand
Approach to Fluid Therapy in the Acute Setting
TLDR
The chapter aims to review the optimal approach to fluid therapy in the acute setting, from the understanding of the relevant basic sciences to the practice at the bedside. Expand
Will This Hemodynamically Unstable Patient Respond to a Bolus of Intravenous Fluids?
TLDR
Passive leg raising followed by measurement of cardiac output or related parameters following passive leg raising may be the most useful test for predicting fluid responsiveness in hemodynamically unstable adults. Expand
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References

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TLDR
Overall, there is no apparent difference in pulmonary edema, mortality, or length of stay between isotonic crystalloid and colloid resuscitation between randomized clinical trials of adult patients requiring fluid resuscitation vs. colloids. Expand
FLUID RESUSCITATION: COLLOIDS VS CRYSTALLOIDS
TLDR
Until the results from such studies are available, physicians should probably be more concerned with ensuring that enough fluid is given to maintain perfusion than with which fluid they use to achieve it. Expand
Morbidity in hospitalized patients receiving human albumin: A meta-analysis of randomized, controlled trials*
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Albumin reduces morbidity in acutely ill hospitalized patients and can obscure the effects of albumin on clinical outcome in randomized trials, according to a meta-analysis of randomized trials. Expand
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No evidence from randomised controlled trials is found to support early or larger volume of intravenous fluid administration in uncontrolled haemorrhage in bleeding trauma patients. Expand
Pulse pressure variations to predict fluid responsiveness: influence of tidal volume
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ΔPP is a reliable predictor of fluid responsiveness in mechanically ventilated patients only when tidal volume is at least 8 ml/kg, and it best identified different behaviors at different tidal volume thresholds. Expand
Clinical usefulness of respiratory variations in arterial pressure.
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TLDR
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TLDR
In patients in the ICU, use of either 4 percent albumin or normal saline for fluid resuscitation results in similar outcomes at 28 days, with no significant differences between the groups. Expand
Role of early fluid resuscitation in pediatric septic shock.
TLDR
Rapid fluid resuscitation in excess of 40 mL/kg in the first hour following emergency department presentation was associated with improved survival, decreased occurrence of persistent hypovolemia, and no increase in the risk of cardiogenic pulmonary edema or adult respiratory distress syndrome in this group of pediatric patients with septic shock. Expand
Small hemodynamic effect of typical rapid volume infusions in critically ill patients.
TLDR
The effect of a typical rapid volume infusion on hemodynamics and left ventricular areas in patients admitted to the ICU for > 12 hrs is surprisingly small. Expand
Hypoalbuminemia in Acute Illness: Is There a Rationale for Intervention?: A Meta-Analysis of Cohort Studies and Controlled Trials
TLDR
There is no compelling basis to withhold albumin therapy if it is judged clinically appropriate, and further well-designed trials are needed to characterize the effects of albumin Therapy in hypoalbuminemic patients. Expand
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