Principles of fluid management and stewardship in septic shock: it is time to consider the four D's and the four phases of fluid therapy

MLNG Malbrain, N Van Regenmortel, B Saugel… - Annals of intensive …, 2018 - Springer
In patients with septic shock, the administration of fluids during initial hemodynamic
resuscitation remains a major therapeutic challenge. We are faced with many open …

Targeted fluid minimization following initial resuscitation in septic shock: a pilot study

C Chen, MH Kollef - Chest, 2015 - Elsevier
BACKGROUND IV fluid represents a basic therapeutic intervention for septic shock.
Unfortunately, the optimal administration of IV fluid to maximize patient outcomes and …

Fluid management in sepsis

RM Brown, MW Semler - Journal of intensive care medicine, 2019 - journals.sagepub.com
Among critically ill adults, sepsis remains both common and lethal. In addition to antibiotics
and source control, fluid resuscitation is a fundamental sepsis therapy. The physiology of …

Fluid therapy in resuscitated sepsis: less is more

L Durairaj, GA Schmidt - Chest, 2008 - Elsevier
Fluid infusion may be lifesaving in patients with severe sepsis, especially in the earliest
phases of treatment. Following initial resuscitation, however, fluid boluses often fail to …

Liberal versus restrictive intravenous fluid therapy for early septic shock: rationale for a randomized trial

WH Self, MW Semler, R Bellomo, SM Brown… - Annals of emergency …, 2018 - Elsevier
Prompt intravenous fluid therapy is a fundamental treatment for patients with septic shock.
However, the optimal approach for administering intravenous fluid in septic shock …

Fluid resuscitation in septic shock: the effect of increasing fluid balance on mortality

F Sadaka, M Juarez, S Naydenov… - Journal of intensive …, 2014 - journals.sagepub.com
Purpose: To determine whether progressively increasing fluid balance after initial fluid
resuscitation for septic shock is associated with increased mortality. Methods: A …

[HTML][HTML] Fluid management in the critically ill

JL Vincent - Kidney international, 2019 - Elsevier
Fluid therapy, which is provided to restore and maintain tissue perfusion, is part of routine
management for almost all critically ill patients. However, because either too much or too …

Fluid therapy for critically ill adults with sepsis: a review

FG Zampieri, SM Bagshaw, MW Semler - Jama, 2023 - jamanetwork.com
Importance Approximately 20% to 30% of patients admitted to an intensive care unit have
sepsis. While fluid therapy typically begins in the emergency department, intravenous fluids …

[HTML][HTML] Fluid resuscitation in sepsis: the great 30 mL per kg hoax

PE Marik, L Byrne, F Van Haren - Journal of thoracic disease, 2020 - ncbi.nlm.nih.gov
Large volume fluid resuscitation is currently viewed as the cornerstone of the treatment of
septic shock. The surviving sepsis campaign (SSC) guidelines provide a strong …

Fluid balance issues in the critically ill patient

RL Mehta - Fluid Overload, 2010 - karger.com
In critically ill patients, fluid balance management is an integral part of the process of care. In
patients in shock or severe sepsis, aggressive initial fluid resuscitation has been shown to …