The downside of aggressive volume administration in critically ill patients-"aggressive" may lead to "excessive"

doi:10.1186/s40560-019-0360-x

. 2019 Feb 2:7:10.

doi: 10.1186/s40560-019-0360-x. eCollection 2019.

The downside of aggressive volume administration in critically ill patients-"aggressive" may lead to "excessive"

Kenichiro Morisawa¹, Shigeki Fujitani¹, Yasuhiko Taira¹

Affiliations

PMID: 30761214
PMCID: PMC6359817
DOI: 10.1186/s40560-019-0360-x

The downside of aggressive volume administration in critically ill patients-"aggressive" may lead to "excessive"

Kenichiro Morisawa et al. J Intensive Care. 2019.

. 2019 Feb 2:7:10.

doi: 10.1186/s40560-019-0360-x. eCollection 2019.

Authors

Kenichiro Morisawa¹, Shigeki Fujitani¹, Yasuhiko Taira¹

Affiliation

¹ Department of Emergency and Critical Care Medicine, St. Marianna University School of Medicine, 2-16-1, Sugao, Miyamae-ku, Kawasaki-shi, Kanagawa Japan.

PMID: 30761214
PMCID: PMC6359817
DOI: 10.1186/s40560-019-0360-x

Abstract

Management of fluid therapy in an intensive care unit (ICU) tends to be volume restriction after initial fluid resuscitation, since it has been the consensus that volume overload is associated with complications and poor clinical outcomes. Aggressive volume administration without cautious monitoring should be avoided in the ICU, because it could lead to excessive volume administration. However, there are limited consensus on determining the completion of resuscitation phase, in other words, when to stop aggressive infusion and initiate infusion restriction.

Keywords: Aggressive volume administration; Critical care; Intensive care unit; Volume restriction; Volume resuscitation.

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Conflict of interest statement

Not applicableNot applicableThe authors declare that they have no competing interests.Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

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References

1. Rivers E, Nguyen B, Havstad S, Ressler J, Muzzin A, Knoblich B, Peterson E, Tomlanovich M. Early goal-directed therapy collaborative G: early goal-directed therapy in the treatment of severe sepsis and septic shock. N Engl J Med. 2001;345(19):1368–1377. doi: 10.1056/NEJMoa010307. - DOI - PubMed
1. Investigators A, Group ACT. Peake SL, Delaney A, Bailey M, Bellomo R, Cameron PA, Cooper DJ, Higgins AM, Holdgate A, et al. Goal-directed resuscitation for patients with early septic shock. N Engl J Med. 2014;371(16):1496–1506. doi: 10.1056/NEJMoa1404380. - DOI - PubMed
1. Pro CI, Yealy DM, Kellum JA, Huang DT, Barnato AE, Weissfeld LA, Pike F, Terndrup T, Wang HE, Hou PC, et al. A randomized trial of protocol-based care for early septic shock. N Engl J Med. 2014;370(18):1683–1693. doi: 10.1056/NEJMoa1401602. - DOI - PMC - PubMed
1. Mouncey PR, Osborn TM, Power GS, Harrison DA, Sadique MZ, Grieve RD, Jahan R, Harvey SE, Bell D, Bion JF, et al. Trial of early, goal-directed resuscitation for septic shock. N Engl J Med. 2015;372(14):1301–1311. doi: 10.1056/NEJMoa1500896. - DOI - PubMed
1. Forrester JS, Diamond G, McHugh TJ, Swan HJ. Filling pressures in the right and left sides of the heart in acute myocardial infarction. A reappraisal of central-venous-pressure monitoring. N Engl J Med. 1971;285(4):190–193. doi: 10.1056/NEJM197107222850402. - DOI - PubMed

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[1] Rivers E, Nguyen B, Havstad S, Ressler J, Muzzin A, Knoblich B, Peterson E, Tomlanovich M. Early goal-directed therapy collaborative G: early goal-directed therapy in the treatment of severe sepsis and septic shock. N Engl J Med. 2001;345(19):1368–1377. doi: 10.1056/NEJMoa010307. - DOI - PubMed

[2] Rivers E, Nguyen B, Havstad S, Ressler J, Muzzin A, Knoblich B, Peterson E, Tomlanovich M. Early goal-directed therapy collaborative G: early goal-directed therapy in the treatment of severe sepsis and septic shock. N Engl J Med. 2001;345(19):1368–1377. doi: 10.1056/NEJMoa010307. - DOI - PubMed

[3] Investigators A, Group ACT. Peake SL, Delaney A, Bailey M, Bellomo R, Cameron PA, Cooper DJ, Higgins AM, Holdgate A, et al. Goal-directed resuscitation for patients with early septic shock. N Engl J Med. 2014;371(16):1496–1506. doi: 10.1056/NEJMoa1404380. - DOI - PubMed

[4] Investigators A, Group ACT. Peake SL, Delaney A, Bailey M, Bellomo R, Cameron PA, Cooper DJ, Higgins AM, Holdgate A, et al. Goal-directed resuscitation for patients with early septic shock. N Engl J Med. 2014;371(16):1496–1506. doi: 10.1056/NEJMoa1404380. - DOI - PubMed

[5] Pro CI, Yealy DM, Kellum JA, Huang DT, Barnato AE, Weissfeld LA, Pike F, Terndrup T, Wang HE, Hou PC, et al. A randomized trial of protocol-based care for early septic shock. N Engl J Med. 2014;370(18):1683–1693. doi: 10.1056/NEJMoa1401602. - DOI - PMC - PubMed

[6] Pro CI, Yealy DM, Kellum JA, Huang DT, Barnato AE, Weissfeld LA, Pike F, Terndrup T, Wang HE, Hou PC, et al. A randomized trial of protocol-based care for early septic shock. N Engl J Med. 2014;370(18):1683–1693. doi: 10.1056/NEJMoa1401602. - DOI - PMC - PubMed

[7] Mouncey PR, Osborn TM, Power GS, Harrison DA, Sadique MZ, Grieve RD, Jahan R, Harvey SE, Bell D, Bion JF, et al. Trial of early, goal-directed resuscitation for septic shock. N Engl J Med. 2015;372(14):1301–1311. doi: 10.1056/NEJMoa1500896. - DOI - PubMed

[8] Mouncey PR, Osborn TM, Power GS, Harrison DA, Sadique MZ, Grieve RD, Jahan R, Harvey SE, Bell D, Bion JF, et al. Trial of early, goal-directed resuscitation for septic shock. N Engl J Med. 2015;372(14):1301–1311. doi: 10.1056/NEJMoa1500896. - DOI - PubMed

[9] Forrester JS, Diamond G, McHugh TJ, Swan HJ. Filling pressures in the right and left sides of the heart in acute myocardial infarction. A reappraisal of central-venous-pressure monitoring. N Engl J Med. 1971;285(4):190–193. doi: 10.1056/NEJM197107222850402. - DOI - PubMed

[10] Forrester JS, Diamond G, McHugh TJ, Swan HJ. Filling pressures in the right and left sides of the heart in acute myocardial infarction. A reappraisal of central-venous-pressure monitoring. N Engl J Med. 1971;285(4):190–193. doi: 10.1056/NEJM197107222850402. - DOI - PubMed

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The downside of aggressive volume administration in critically ill patients-"aggressive" may lead to "excessive"

Affiliation

The downside of aggressive volume administration in critically ill patients-"aggressive" may lead to "excessive"

Authors

Affiliation

Abstract

Conflict of interest statement

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References

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