Fluid Management in Acute Respiratory Failure.

Kevin P Seitz, Catherine L Hough, Shewit P Giovanni

Journal: Critical care clinics 2024;40(2):291-307

PMID: 38432697

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Abstract

Fluid management in acute respiratory failure is an area of uncertainty requiring a delicate balance of resuscitation and fluid removal to manage hypoperfusion and avoidance of hypoxemia. Overall, a restrictive fluid strategy (minimizing fluid administration) and careful attention to overall fluid balance may be beneficial after initial resuscitation and does not have major side effects. Further studies are needed to improve our understanding of patients who will benefit from a restrictive or liberal fluid management strategy.

Address: Division of Pulmonary, Allergy and Critical Care Medicine, Oregon Health & Science University, 3181 Southwest Sam Jackson Park Road, Mailing Code UHN67, Portland, OR 97239, USA. Electronic address: [email protected].; Department of Allergy, Pulmonary, and Critical Care Medicine, Vanderbilt University Medical Center, T-1215 Medical Center North, 1161 21st Avenue South, Nashville, TN 37232, USA.; Division of Pulmonary, Allergy and Critical Care Medicine, Oregon Health & Science University, 3181 Southwest Sam Jackson Park Road, Mailing Code UHN67, Portland, OR 97239, USA.

DOI: 10.1016/j.ccc.2024.01.004

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MeSH Terms: Humans, Respiratory Distress Syndrome, Resuscitation, Water-Electrolyte Balance, Respiratory Insufficiency