The emerging concept of fluid tolerance: A position paper

Abstract

Fluid resuscitation is a core component of emergency and critical care medicine. While the focus of clinicians has largely been on detecting patients who would respond to fluid therapy, relatively little work has been done on assessing patients' tolerance to this therapy. In this article we seek to review the concept of fluid tolerance, propose a working definition, and introduce relevant clinical signals by which physicians can assess fluid tolerance, hopefully becoming a starting point for further research.

Keywords: Fluid responsiveness; Fluid resuscitation; Fluid tolerance; Septic shock.