Four phases of intravenous fluid therapy: a conceptual model.
Identifieur interne : 002D29 ( Main/Exploration ); précédent : 002D28; suivant : 002D30Four phases of intravenous fluid therapy: a conceptual model.
Auteurs : E A Hoste [Belgique] ; K. Maitland [Royaume-Uni] ; C S Brudney [États-Unis] ; R. Mehta [États-Unis] ; J-L Vincent [Belgique] ; D. Yates [Royaume-Uni] ; J A Kellum [États-Unis] ; M G Mythen [Royaume-Uni] ; A D Shaw [États-Unis]Source :
- British journal of anaesthesia [ 1471-6771 ] ; 2014.
Descripteurs français
- KwdFr :
- MESH :
English descriptors
- KwdEn :
- MESH :
- methods : Fluid Therapy.
- standards : Fluid Therapy.
- therapy : Sepsis, Shock, Septic.
- Consensus, Endpoint Determination, Humans, Monitoring, Physiologic, Terminology as Topic.
Abstract
I.V. fluid therapy plays a fundamental role in the management of hospitalized patients. While the correct use of i.v. fluids can be lifesaving, recent literature demonstrates that fluid therapy is not without risks. Indeed, the use of certain types and volumes of fluid can increase the risk of harm, and even death, in some patient groups. Data from a recent audit show us that the inappropriate use of fluids may occur in up to 20% of patients receiving fluid therapy. The delegates of the 12th Acute Dialysis Quality Initiative (ADQI) Conference sought to obtain consensus on the use of i.v. fluids with the aim of producing guidance for their use. In this article, we review a recently proposed model for fluid therapy in severe sepsis and propose a framework by which it could be adopted for use in most situations where fluid management is required. Considering the dose-effect relationship and side-effects of fluids, fluid therapy should be regarded similar to other drug therapy with specific indications and tailored recommendations for the type and dose of fluid. By emphasizing the necessity to individualize fluid therapy, we hope to reduce the risk to our patients and improve their outcome.
DOI: 10.1093/bja/aeu300
PubMed: 25204700
Affiliations:
- Belgique, Royaume-Uni, États-Unis
- Angleterre, Californie, Caroline du Nord, Grand Londres, Pennsylvanie, Région de Bruxelles-Capitale, Tennessee
- Bruxelles, Londres
- University College de Londres
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Le document en format XML
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Yates</name><affiliation wicri:level="1"><nlm:affiliation>Department of Anaesthesia, York Teaching Hospital NHS Foundation Trust, York, UK.</nlm:affiliation><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea>Department of Anaesthesia, York Teaching Hospital NHS Foundation Trust, York</wicri:regionArea><wicri:noRegion>York</wicri:noRegion></affiliation></author><author><name sortKey="Kellum, J A" sort="Kellum, J A" uniqKey="Kellum J" first="J A" last="Kellum">J A Kellum</name><affiliation wicri:level="2"><nlm:affiliation>Center for Critical Care Nephrology, CRISMA Center, Department of Critical Care Medicine, University of Pittsburgh School of Medicine, Pittsburgh, PA, USA.</nlm:affiliation><country xml:lang="fr">États-Unis</country><wicri:regionArea>Center for Critical Care Nephrology, CRISMA Center, Department of Critical Care Medicine, University of Pittsburgh School of Medicine, Pittsburgh, PA</wicri:regionArea><placeName><region type="state">Pennsylvanie</region></placeName></affiliation></author><author><name sortKey="Mythen, M G" sort="Mythen, M G" uniqKey="Mythen M" first="M G" last="Mythen">M G Mythen</name><affiliation wicri:level="4"><nlm:affiliation>Department of Anaesthesia, University College London, London, UK.</nlm:affiliation><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea>Department of Anaesthesia, University College London, London</wicri:regionArea><placeName><settlement type="city">Londres</settlement><region type="country">Angleterre</region><region type="région" nuts="1">Grand Londres</region><settlement type="city">Londres</settlement></placeName><orgName type="university">University College de Londres</orgName></affiliation></author><author><name sortKey="Shaw, A D" sort="Shaw, A D" uniqKey="Shaw A" first="A D" last="Shaw">A D Shaw</name><affiliation wicri:level="2"><nlm:affiliation>Department of Anesthesiology, Vanderbilt University Medical Center, Nashville, TN, USA.</nlm:affiliation><country xml:lang="fr">États-Unis</country><wicri:regionArea>Department of Anesthesiology, Vanderbilt University Medical Center, Nashville, TN</wicri:regionArea><placeName><region type="state">Tennessee</region></placeName></affiliation></author></analytic><series><title level="j">British journal of anaesthesia</title><idno type="eISSN">1471-6771</idno><imprint><date when="2014" type="published">2014</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Consensus</term><term>Endpoint Determination</term><term>Fluid Therapy (methods)</term><term>Fluid Therapy (standards)</term><term>Humans</term><term>Monitoring, Physiologic</term><term>Sepsis (therapy)</term><term>Shock, Septic (therapy)</term><term>Terminology as Topic</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Choc septique ()</term><term>Consensus</term><term>Détermination du point final</term><term>Humains</term><term>Monitorage physiologique</term><term>Sepsie ()</term><term>Terminologie comme sujet</term><term>Traitement par apport liquidien ()</term><term>Traitement par apport liquidien (normes)</term></keywords><keywords scheme="MESH" qualifier="methods" xml:lang="en"><term>Fluid Therapy</term></keywords><keywords scheme="MESH" qualifier="normes" xml:lang="fr"><term>Traitement par apport liquidien</term></keywords><keywords scheme="MESH" qualifier="standards" xml:lang="en"><term>Fluid Therapy</term></keywords><keywords scheme="MESH" qualifier="therapy" xml:lang="en"><term>Sepsis</term><term>Shock, Septic</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Consensus</term><term>Endpoint Determination</term><term>Humans</term><term>Monitoring, Physiologic</term><term>Terminology as Topic</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Choc septique</term><term>Consensus</term><term>Détermination du point final</term><term>Humains</term><term>Monitorage physiologique</term><term>Sepsie</term><term>Terminologie comme sujet</term><term>Traitement par apport liquidien</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">I.V. fluid therapy plays a fundamental role in the management of hospitalized patients. While the correct use of i.v. fluids can be lifesaving, recent literature demonstrates that fluid therapy is not without risks. Indeed, the use of certain types and volumes of fluid can increase the risk of harm, and even death, in some patient groups. Data from a recent audit show us that the inappropriate use of fluids may occur in up to 20% of patients receiving fluid therapy. The delegates of the 12th Acute Dialysis Quality Initiative (ADQI) Conference sought to obtain consensus on the use of i.v. fluids with the aim of producing guidance for their use. In this article, we review a recently proposed model for fluid therapy in severe sepsis and propose a framework by which it could be adopted for use in most situations where fluid management is required. Considering the dose-effect relationship and side-effects of fluids, fluid therapy should be regarded similar to other drug therapy with specific indications and tailored recommendations for the type and dose of fluid. By emphasizing the necessity to individualize fluid therapy, we hope to reduce the risk to our patients and improve their outcome.</div></front></TEI><affiliations><list><country><li>Belgique</li><li>Royaume-Uni</li><li>États-Unis</li></country><region><li>Angleterre</li><li>Californie</li><li>Caroline du Nord</li><li>Grand Londres</li><li>Pennsylvanie</li><li>Région de Bruxelles-Capitale</li><li>Tennessee</li></region><settlement><li>Bruxelles</li><li>Londres</li></settlement><orgName><li>University College de Londres</li></orgName></list><tree><country name="Belgique"><region name="Région de Bruxelles-Capitale"><name sortKey="Hoste, E A" sort="Hoste, E A" uniqKey="Hoste E" first="E A" last="Hoste">E A Hoste</name></region><name sortKey="Vincent, J L" sort="Vincent, J L" uniqKey="Vincent J" first="J-L" last="Vincent">J-L Vincent</name></country><country name="Royaume-Uni"><region name="Angleterre"><name sortKey="Maitland, K" sort="Maitland, K" uniqKey="Maitland K" first="K" last="Maitland">K. Maitland</name></region><name sortKey="Mythen, M G" sort="Mythen, M G" uniqKey="Mythen M" first="M G" last="Mythen">M G Mythen</name><name sortKey="Yates, D" sort="Yates, D" uniqKey="Yates D" first="D" last="Yates">D. Yates</name></country><country name="États-Unis"><region name="Caroline du Nord"><name sortKey="Brudney, C S" sort="Brudney, C S" uniqKey="Brudney C" first="C S" last="Brudney">C S Brudney</name></region><name sortKey="Kellum, J A" sort="Kellum, J A" uniqKey="Kellum J" first="J A" last="Kellum">J A Kellum</name><name sortKey="Mehta, R" sort="Mehta, R" uniqKey="Mehta R" first="R" last="Mehta">R. Mehta</name><name sortKey="Shaw, A D" sort="Shaw, A D" uniqKey="Shaw A" first="A D" last="Shaw">A D Shaw</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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