Fluid Resuscitation in Critically Ill Patients
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Abstract
Fluid resuscitation is widely used in the emergency department and critical care unit. To prevent acute kidney injury, intravenous fluid administration restores effective circulating volume and maintains renal perfusion. Conversely, fluid overload strongly associates with adverse outcomes in critical illness. Therefore, the etiology of acute kidney injury, volume status, the type and amount of fluid should all be taken into consideration when fluid treatment is considered. There are ongoing trials on different types of fluid therapy and their results may influence future management. This review addresses various aspects of fluid administration in critically ill patients including the type of fluids as well as the potentially deleterious effects of fluid overload on kidney function and patient outcomes.
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