Assessing volume status and fluid responsiveness in the emergency department.

Authors

David C Mackenzie, Maine Medical Center
Vicki E Noble

Document Type

Article

Publication Date

12-1-2014

Institution/Department

Emergency Medicine

Journal Title

Clin Exp Emerg Med

Abstract

Resuscitation with intravenous fluid can restore intravascular volume and improve stroke volume. However, in unstable patients, approximately 50% of fluid boluses fail to improve cardiac output as intended. Increasing evidence suggests that excess fluid may worsen patient outcomes. Clinical examination and vital signs are unreliable predictors of the response to a fluid challenge. We review the importance of fluid management in the critically ill, methods of evaluating volume status, and tools to predict fluid responsiveness.

ISSN

2383-4625

First Page

67

Last Page

77

Recommended Citation

Mackenzie, David C and Noble, Vicki E, "Assessing volume status and fluid responsiveness in the emergency department." (2014). MaineHealth Maine Medical Center. 23.
https://knowledgeconnection.mainehealth.org/mmc/23