Fluid therapy in critically ill adults with sepsis- Risks and benefits
Written By : Medha Baranwal
Medically Reviewed By : Dr. Kamal Kant Kohli
Published On 2023-06-16 14:30 GMT | Update On 2023-06-16 15:00 GMT
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USA: Fluids are one of the essential components in treating critically ill patients with sepsis. The latest review article published in the Journal of the American Medical Association (JAMA) on June 13, 2023 has pointed out how they should be administered in each phase of critical illness.
The researchers suggest "clinicians should consider the benefits and risks of fluid administration in each phase of critical illness, avoid hydroxyethyl starch use, and facilitate fluid removal for patients recovering from acute respiratory distress syndrome." They, however, add that optimal fluid management in sepsis patients remains uncertain.
From the emergency department to the intensive care unit, all critically ill patients with sepsis should be given fluid therapy as fluid administered intravenously can increase cardiac output and blood pressure and maintain or increase intravascular fluid volume.
In this review, the authors summarize the 4 phases of fluid therapy used for critically ill patients with sepsis: resuscitation, optimization, stabilization, and evacuation.
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