Fluids in the ICU: which is the right one?

Author:

Mayerhöfer Timo1,Shaw Andrew D2,Wiedermann Christian J34,Joannidis Michael1ORCID

Affiliation:

1. Division of Intensive Care and Emergency Medicine, Department of Internal Medicine, Medical University Innsbruck , Innsbruck, Austria

2. Department of Intensive Care and Resuscitation, Cleveland Clinic , Cleveland, OH, USA

3. Institute of General Practice and Public Health, Claudiana-College of Health Care Professions , Lorenz Böhler Street 13, Bolzano, BZ, Italy

4. Department of Public Health, Medical Decision Making and HTA, University of Health Sciences, Medical Informatics and Technology , Eduard Wallnöfer Place 1, 6060, Hall, Austria

Abstract

ABSTRACT The administration of fluids is one of the most common interventions in the intensive care unit. The effects and side effects of intravenous fluids depend on the amount administered and their specific composition. Intravenous fluid solutions are either considered crystalloids (for example 0.9% saline, lactated Ringer's solution) or colloids (artificial colloids such as gelatins, and albumin). This narrative review summarizes the physiological principles of fluid therapy and reviews the most important studies on crystalloids, artificial colloids and albumin in the context of critically ill patients.

Publisher

Oxford University Press (OUP)

Subject

Transplantation,Nephrology

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