Fluid challenge in critically ill patients receiving haemodynamic monitoring : a systematic review and comparison of two decades

Simple item page
dc.article.number186
dc.contributor.authorMessina, Antonio
dc.contributor.authorCalabrò, Lorenzo
dc.contributor.authorPugliese, Luca
dc.contributor.authorLulja, Aulona
dc.contributor.authorSopuch, Alexandra
dc.contributor.authorRosalba, Daniela
dc.contributor.authorMorenghi, Emanuela
dc.contributor.authorHernández P., Glenn
dc.contributor.authorMonnet, Xavier
dc.contributor.authorCecconi, Maurizio
dc.date.accessioned2022-07-04T19:39:45Z
dc.date.available2022-07-04T19:39:45Z
dc.date.issued2022
dc.date.updated2022-06-26T00:03:48Z
dc.description.abstractIntroduction: Fluid challenges are widely adopted in critically ill patients to reverse haemodynamic instability. We reviewed the literature to appraise fluid challenge characteristics in intensive care unit (ICU) patients receiving haemodynamic monitoring and considered two decades: 2000–2010 and 2011–2021. Methods: We assessed research studies and collected data regarding study setting, patient population, fluid challenge characteristics, and monitoring. MEDLINE, Embase, and Cochrane search engines were used. A fluid challenge was defined as an infusion of a definite quantity of fluid (expressed as a volume in mL or ml/kg) in a fixed time (expressed in minutes), whose outcome was defined as a change in predefined haemodynamic variables above a predetermined threshold. Results: We included 124 studies, 32 (25.8%) published in 2000–2010 and 92 (74.2%) in 2011–2021, overall enrolling 6,086 patients, who presented sepsis/septic shock in 50.6% of cases. The fluid challenge usually consisted of 500 mL (76.6%) of crystalloids (56.6%) infused with a rate of 25 mL/min. Fluid responsiveness was usually defined by a cardiac output/index (CO/CI) increase ≥ 15% (70.9%). The infusion time was quicker (15 min vs 30 min), and crystalloids were more frequent in the 2011–2021 compared to the 2000–2010 period. Conclusions: In the literature, fluid challenges are usually performed by infusing 500 mL of crystalloids bolus in less than 20 min. A positive fluid challenge response, reported in 52% of ICU patients, is generally defined by a CO/CI increase ≥ 15%. Compared to the 2000–2010 decade, in 2011–2021 the infusion time of the fluid challenge was shorter, and crystalloids were more frequently used.
dc.format.extent15 páginas
dc.fuente.origenAutoarchivo
dc.identifier.citationCritical Care. 2022 Jun 21;26(1):186
dc.identifier.doi10.1186/s13054-022-04056-3
dc.identifier.urihttps://doi.org/10.1186/s13054-022-04056-3
dc.identifier.urihttps://repositorio.uc.cl/handle/11534/64372
dc.information.autorucEscuela de Medicina ; Hernández P., Glenn ; 0000-0002-3032-4087 ; 98874
dc.language.isoen
dc.nota.accesoContenido completo
dc.pagina.final15
dc.pagina.inicio1
dc.revistaCritical Care
dc.rightsacceso abierto
dc.rights.holderThe Author(s)
dc.subjectFluidses_ES
dc.subjectFluid challengees_ES
dc.subjectFluid boluses_ES
dc.subjectFluid responsivenesses_ES
dc.subjectCritically ill patientses_ES
dc.subject.ddc616.028
dc.subject.deweyMedicina y saludes_ES
dc.titleFluid challenge in critically ill patients receiving haemodynamic monitoring : a systematic review and comparison of two decadeses_ES
dc.typeartículo
dc.volumen26
sipa.codpersvinculados98874
Files
Original bundle
Now showing 1 - 1 of 1
Thumbnail Image
Name:
13054_2022_Article_4056.pdf
Size:
1.17 MB
Format:
Adobe Portable Document Format
Description:
Download
License bundle
Now showing 1 - 1 of 1
Thumbnail Image
Name:
license.txt
Size:
0 B
Format:
Item-specific license agreed upon to submission
Description:
Download
Collections
Artículos de revistas