Assessment of intravascular volume status and volume responsiveness in critically ill patients | Zendy

Kambiz Kalantari | Zendy; Jamison Chang | Zendy; Claudio Ronco | Zendy; Mitchell H. Rosner | Zendy

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Assessment of intravascular volume status and volume responsiveness in critically ill patients

Author(s) -

Kambiz Kalantari,

Jamison Chang,

Claudio Ronco,

Mitchell H. Rosner

Publication year - 2013

Publication title -

kidney international

Language(s) - English

Resource type - Journals

SCImago Journal Rank - 3.499

H-Index - 276

eISSN - 1523-1755

pISSN - 0085-2538

DOI - 10.1038/ki.2012.424

Subject(s) - intravascular volume status , critically ill , intensive care medicine , medicine , critical illness , volume (thermodynamics) , plasma volume , cardiology , hemodynamics , physics , quantum mechanics

Accurate assessment of a patient's volume status, as well as whether they will respond to a fluid challenge with an increase in cardiac output, is a critical task in the care of critically ill patients. Despite this, most decisions regarding fluid therapy are made either empirically or with limited and poor data. Given recent data highlighting the negative impact of either inadequate or overaggressive fluid therapy, understanding the tools and techniques available for accurate volume assessment is critical. This review highlights both static and dynamic methods that can be utilized to help in the assessment of volume status.

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