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How to avoid fluid overload

Ogbu, Ogbonna C.a,b; Murphy, David J.a,b,c; Martin, Greg S.a,b,c

Current Opinion in Critical Care: August 2015 - Volume 21 - Issue 4 - p 315–321
doi: 10.1097/MCC.0000000000000211
INTRAVENOUS FLUIDS: Edited by Bertrand Guidet

Purpose of review This review highlights the recent evidence describing the outcomes associated with fluid overload in critically ill patients and provides an overview of fluid management strategies aimed at preventing fluid overload during the resuscitation of patients with shock.

Recent findings Fluid overload is a common complication of fluid resuscitation and is associated with increased hospital costs, morbidity and mortality.

Summary Fluid management goals differ during the resuscitation, optimization, stabilization and evacuation phases of fluid resuscitation. To prevent fluid overload, strategies that reduce excessive fluid infusions and emphasize the removal of accumulated fluids should be implemented.

aDivision of Pulmonary, Allergy, Critical Care and Sleep Medicine, Department of Medicine, Emory University

bGrady Health System

cEmory Critical Care Center, Emory Healthcare, Atlanta, Georgia, USA

Correspondence to Greg S. Martin, MD, MSc, 49 Jesse Hill Jr Drive SE, Atlanta, GA 30303, USA. E-mail:

Copyright © 2015 YEAR Wolters Kluwer Health, Inc. All rights reserved.