Current technique of fluid status assessment.

W Frank Peacock, Karina M Soto

Journal: Congestive heart failure (Greenwich, Conn.) 2011;16 Suppl 1():S45-51

PMID: 20653711

Abstract

Early in the management of acute illness, it is critically important that volume status is accurately estimated. If inappropriate therapy is given because of errors in volume assessment, acute mortality rates are increased. Unfortunately, as the gold standard of radioisotopic volume measurement is costly and time-consuming, in the acute care environment clinicians are forced to rely on less accurate measures. In this manuscript, the authors review the currently available techniques of volume assessment for patients presenting with acute illness. In addition to discussing the accuracy of the history, physical examination, and radiography, acoustic cardiography and bedside ultrasonography are presented.

Address: Emergency Services Institute, Cleveland Clinic, Cleveland, OH 44195, USA. [email protected]

DOI: 10.1111/j.1751-7133.2010.00166.x

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MeSH Terms: Blood Volume, Body Fluids, Cardiography, Impedance, Dyspnea, Heart Auscultation, Heart Failure, Humans, Natriuretic Peptides, Physical Exertion, Radiography, Thoracic, Vasopressins, Vital Signs, Water-Electrolyte Balance