Multidisciplinary expert panel report on fluid stewardship: perspectives and practice

Author:

Malbrain Manu L. N. G.ORCID,Caironi PietroORCID,Hahn Robert G.,Llau Juan V.,McDougall MarciaORCID,Patrão Luís,Ridley Emily,Timmins Alan

Abstract

AbstractAlthough effective and appropriate fluid management is a critical aspect of quality care during hospitalization, the widespread adoption of consistent policies that ensure adequate fluid stewardship has been slow and heterogenous. Despite evidence-based guidelines on fluid management being available, clinical opinions continue to diverge on important aspects of care in this setting, and the consistency of guideline implementation is far from ideal. A multidisciplinary panel of leading practitioners and experts convened to discuss best practices for ongoing staff education, intravenous fluid therapy, new training technologies, and strategies to track the success of institutional fluid stewardship efforts. Fluid leads should be identified in every hospital to ensure consistency in fluid administration and monitoring. In this article, strategies to communicate the importance of effective fluid stewardship for the purposes of education, training, institutional support, and improvement of patient outcomes are reviewed and recommendations are summarized. Graphical Abstract

Funder

Baxter Healthcare Corporation

Publisher

Springer Science and Business Media LLC

Subject

Critical Care and Intensive Care Medicine

Reference51 articles.

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