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2024, Number 4

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Med Crit 2024; 38 (4)

Fluid therapy in critical ill patients, some considerations based on current evidence

Agüero MAM, Infante RKZ

Language: Spanish
References: 58
Page: 294-303
PDF size: 353.38 Kb.


ABSTRACT

Introduction: one third of patients in intensive care units receive fluids for resuscitation daily, considering as any other drug: indications, contraindications, adverse effects and complications. Fluid administration may be associated with harm, and there are unresolved questions about the type, dose, and timing of administration. Material and methods: a qualitative and systematic review was carried out in the English and Spanish languages of the literature published and updated up to March 2023. Conclusions: complications of fluid therapy in seriously ill patients are frequent and are associated with increased mortality, consumption of resources, costs, and length of stay in intensive care. Selection, timing, and doses of intravenous fluids should be carefully evaluated.


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