fluid therapy archivos - Perfusfind Intensive Care

Advances in resuscitation and deresuscitation

Summary This review discusses significant recent developments in fluid resuscitation and deresuscitation practices within critical care, highlighting a paradigm shift toward conservative, personalized fluid management. Advances in fluid stewardship, goal-directed fluid therapy (GDFT), and innovative monitoring tools, including automated closed-loop systems and machine learning, support a precision medicine approach. The authors advocate for balanced resuscitation […]

Cardiopulmonary resuscitation (CPR), deresuscitation, fluid resuscitation, fluid therapy

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Miscellaneous

How we use ultrasound to support clinical decisions on fluid administration in critical ill patients

🩺 How Ultrasound Guides Fluid Administration in Critical Illness Abstract: Intravenous fluids are among the most frequently used therapies in critical care but must be considered drugs, carrying both benefits and risks. Critical care ultrasound (CCUS)—through echocardiography (CCE), lung ultrasound (LUS), and venous excess ultrasound (VExUS)—offers a structured way to assess the risks and benefits

echocardiography, Fluid Management, fluid therapy, ultrasound

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Miscellaneous, Sepsis

How I personalize fluid therapy in septic shock?

Abstract During septic shock, fluid therapy is aimed at increasing cardiac output and improving tissue oxygenation, but it poses two problems: it has inconsistent and transient efficacy, and it has many well-documented deleterious effects. We suggest that there is a place for its personalization according to the patient characteristics and the clinical situation, at all

Cardiac output, Fluid balance, fluid challenge, fluid therapy, septic shock, Tidal volume, Volume expansion

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