Fluid assessment and management in the emergency department.
Identifieur interne : 002862 ( PubMed/Checkpoint ); précédent : 002861; suivant : 002863Fluid assessment and management in the emergency department.
Auteurs : Salvatore Di Somma [Italie] ; Chiara Serena Gori ; Tommaso Grandi ; Marcello Giuseppe Risicato ; Emiliano SalvatoriSource :
- Contributions to nephrology [ 1662-2782 ] ; 2010.
Descripteurs français
- KwdFr :
- MESH :
English descriptors
- KwdEn :
- MESH :
- diagnosis : Water-Electrolyte Imbalance.
- methods : Emergency Medical Services.
- therapy : Critical Illness, Water-Electrolyte Imbalance.
- Chronic Disease, Emergency Service, Hospital, Humans.
Abstract
Evaluation of hydration state or water homeostasis is an important component in the assessment and treatment of critically ill patients in the emergency department (ED). The main purpose of ED physicians is to immediately distinguish between normal hydrated, dehydrated and hyperhydrated states. Fluid depletion may result from renal losses and extrarenal losses (from the GI tract, respiratory system, skin, fever, sepsis, third space accumulations). Total body fluid increase can result from heart failure, kidney disease, liver disease, malignant lymphoedema or thyroid disease. In patients with fluid overload due to acute heart failure, diuretics should be given when there is evidence of systemic volume overload, in a dose up-titrated according to renal function, systolic blood pressure, and history of chronic diuretic use. The bioelectrical impedance vector analysis (BIVA) is a noninvasive technique to estimate body mass and water composition by bioelectrical impedance measurements, resistance and reactance. In patients with hyperhydration state due to heart failure, some authors showed that reactance is strongly related to BNP values and the NYHA functional classes. Other authors found a correlation between impedance and central venous pressure in critically ill patients. We have been analyzing the hydration state at admission to the ED, 24, 72 h after admission and at discharge, and found a significant and indirectly proportional correlation between BIVA hydration and the Caval index at the time of presentation to the ED and 24 and 72 h after hospital admission. Moreover, at admission we found an inverse relationship between BIVA hydration and reduced urine output that became directly proportional at 72 h. This confirms the good response to diuretic therapy with the shift of fluids from interstitial spaces.
DOI: 10.1159/000313734
PubMed: 20428007
Affiliations:
Links toward previous steps (curation, corpus...)
Links to Exploration step
pubmed:20428007Le document en format XML
<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Fluid assessment and management in the emergency department.</title><author><name sortKey="Di Somma, Salvatore" sort="Di Somma, Salvatore" uniqKey="Di Somma S" first="Salvatore" last="Di Somma">Salvatore Di Somma</name><affiliation wicri:level="3"><nlm:affiliation>Sant'Andrea Hospital, Second Faculty Medical School, La Sapienza University of Rome, Rome, Italy. salvatore.disomma@ospedalesantandrea.it</nlm:affiliation><country xml:lang="fr">Italie</country><wicri:regionArea>Sant'Andrea Hospital, Second Faculty Medical School, La Sapienza University of Rome, Rome</wicri:regionArea><placeName><settlement type="city">Rome</settlement><region nuts="2">Latium</region></placeName></affiliation></author><author><name sortKey="Gori, Chiara Serena" sort="Gori, Chiara Serena" uniqKey="Gori C" first="Chiara Serena" last="Gori">Chiara Serena Gori</name></author><author><name sortKey="Grandi, Tommaso" sort="Grandi, Tommaso" uniqKey="Grandi T" first="Tommaso" last="Grandi">Tommaso Grandi</name></author><author><name sortKey="Risicato, Marcello Giuseppe" sort="Risicato, Marcello Giuseppe" uniqKey="Risicato M" first="Marcello Giuseppe" last="Risicato">Marcello Giuseppe Risicato</name></author><author><name sortKey="Salvatori, Emiliano" sort="Salvatori, Emiliano" uniqKey="Salvatori E" first="Emiliano" last="Salvatori">Emiliano Salvatori</name></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="2010">2010</date><idno type="RBID">pubmed:20428007</idno><idno type="pmid">20428007</idno><idno type="doi">10.1159/000313734</idno><idno type="wicri:Area/PubMed/Corpus">002A92</idno><idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Corpus" wicri:corpus="PubMed">002A92</idno><idno type="wicri:Area/PubMed/Curation">002A92</idno><idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Curation">002A92</idno><idno type="wicri:Area/PubMed/Checkpoint">002A92</idno><idno type="wicri:explorRef" wicri:stream="Checkpoint" wicri:step="PubMed">002A92</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">Fluid assessment and management in the emergency department.</title><author><name sortKey="Di Somma, Salvatore" sort="Di Somma, Salvatore" uniqKey="Di Somma S" first="Salvatore" last="Di Somma">Salvatore Di Somma</name><affiliation wicri:level="3"><nlm:affiliation>Sant'Andrea Hospital, Second Faculty Medical School, La Sapienza University of Rome, Rome, Italy. salvatore.disomma@ospedalesantandrea.it</nlm:affiliation><country xml:lang="fr">Italie</country><wicri:regionArea>Sant'Andrea Hospital, Second Faculty Medical School, La Sapienza University of Rome, Rome</wicri:regionArea><placeName><settlement type="city">Rome</settlement><region nuts="2">Latium</region></placeName></affiliation></author><author><name sortKey="Gori, Chiara Serena" sort="Gori, Chiara Serena" uniqKey="Gori C" first="Chiara Serena" last="Gori">Chiara Serena Gori</name></author><author><name sortKey="Grandi, Tommaso" sort="Grandi, Tommaso" uniqKey="Grandi T" first="Tommaso" last="Grandi">Tommaso Grandi</name></author><author><name sortKey="Risicato, Marcello Giuseppe" sort="Risicato, Marcello Giuseppe" uniqKey="Risicato M" first="Marcello Giuseppe" last="Risicato">Marcello Giuseppe Risicato</name></author><author><name sortKey="Salvatori, Emiliano" sort="Salvatori, Emiliano" uniqKey="Salvatori E" first="Emiliano" last="Salvatori">Emiliano Salvatori</name></author></analytic><series><title level="j">Contributions to nephrology</title><idno type="eISSN">1662-2782</idno><imprint><date when="2010" type="published">2010</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Chronic Disease</term><term>Critical Illness (therapy)</term><term>Emergency Medical Services (methods)</term><term>Emergency Service, Hospital</term><term>Humans</term><term>Water-Electrolyte Imbalance (diagnosis)</term><term>Water-Electrolyte Imbalance (therapy)</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Humains</term><term>Maladie chronique</term><term>Maladie grave ()</term><term>Service hospitalier d'urgences</term><term>Services des urgences médicales ()</term><term>Troubles de l'équilibre hydroélectrolytique ()</term><term>Troubles de l'équilibre hydroélectrolytique (diagnostic)</term></keywords><keywords scheme="MESH" qualifier="diagnosis" xml:lang="en"><term>Water-Electrolyte Imbalance</term></keywords><keywords scheme="MESH" qualifier="diagnostic" xml:lang="fr"><term>Troubles de l'équilibre hydroélectrolytique</term></keywords><keywords scheme="MESH" qualifier="methods" xml:lang="en"><term>Emergency Medical Services</term></keywords><keywords scheme="MESH" qualifier="therapy" xml:lang="en"><term>Critical Illness</term><term>Water-Electrolyte Imbalance</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Chronic Disease</term><term>Emergency Service, Hospital</term><term>Humans</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Humains</term><term>Maladie chronique</term><term>Maladie grave</term><term>Service hospitalier d'urgences</term><term>Services des urgences médicales</term><term>Troubles de l'équilibre hydroélectrolytique</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Evaluation of hydration state or water homeostasis is an important component in the assessment and treatment of critically ill patients in the emergency department (ED). The main purpose of ED physicians is to immediately distinguish between normal hydrated, dehydrated and hyperhydrated states. Fluid depletion may result from renal losses and extrarenal losses (from the GI tract, respiratory system, skin, fever, sepsis, third space accumulations). Total body fluid increase can result from heart failure, kidney disease, liver disease, malignant lymphoedema or thyroid disease. In patients with fluid overload due to acute heart failure, diuretics should be given when there is evidence of systemic volume overload, in a dose up-titrated according to renal function, systolic blood pressure, and history of chronic diuretic use. The bioelectrical impedance vector analysis (BIVA) is a noninvasive technique to estimate body mass and water composition by bioelectrical impedance measurements, resistance and reactance. In patients with hyperhydration state due to heart failure, some authors showed that reactance is strongly related to BNP values and the NYHA functional classes. Other authors found a correlation between impedance and central venous pressure in critically ill patients. We have been analyzing the hydration state at admission to the ED, 24, 72 h after admission and at discharge, and found a significant and indirectly proportional correlation between BIVA hydration and the Caval index at the time of presentation to the ED and 24 and 72 h after hospital admission. Moreover, at admission we found an inverse relationship between BIVA hydration and reduced urine output that became directly proportional at 72 h. This confirms the good response to diuretic therapy with the shift of fluids from interstitial spaces.</div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">20428007</PMID><DateCreated><Year>2010</Year><Month>04</Month><Day>29</Day></DateCreated><DateCompleted><Year>2010</Year><Month>08</Month><Day>13</Day></DateCompleted><DateRevised><Year>2010</Year><Month>04</Month><Day>29</Day></DateRevised><Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Electronic">1662-2782</ISSN><JournalIssue CitedMedium="Internet"><Volume>164</Volume><PubDate><Year>2010</Year></PubDate></JournalIssue><Title>Contributions to nephrology</Title><ISOAbbreviation>Contrib Nephrol</ISOAbbreviation></Journal><ArticleTitle>Fluid assessment and management in the emergency department.</ArticleTitle><Pagination><MedlinePgn>227-36</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.1159/000313734</ELocationID><Abstract><AbstractText>Evaluation of hydration state or water homeostasis is an important component in the assessment and treatment of critically ill patients in the emergency department (ED). The main purpose of ED physicians is to immediately distinguish between normal hydrated, dehydrated and hyperhydrated states. Fluid depletion may result from renal losses and extrarenal losses (from the GI tract, respiratory system, skin, fever, sepsis, third space accumulations). Total body fluid increase can result from heart failure, kidney disease, liver disease, malignant lymphoedema or thyroid disease. In patients with fluid overload due to acute heart failure, diuretics should be given when there is evidence of systemic volume overload, in a dose up-titrated according to renal function, systolic blood pressure, and history of chronic diuretic use. The bioelectrical impedance vector analysis (BIVA) is a noninvasive technique to estimate body mass and water composition by bioelectrical impedance measurements, resistance and reactance. In patients with hyperhydration state due to heart failure, some authors showed that reactance is strongly related to BNP values and the NYHA functional classes. Other authors found a correlation between impedance and central venous pressure in critically ill patients. We have been analyzing the hydration state at admission to the ED, 24, 72 h after admission and at discharge, and found a significant and indirectly proportional correlation between BIVA hydration and the Caval index at the time of presentation to the ED and 24 and 72 h after hospital admission. Moreover, at admission we found an inverse relationship between BIVA hydration and reduced urine output that became directly proportional at 72 h. This confirms the good response to diuretic therapy with the shift of fluids from interstitial spaces.</AbstractText><CopyrightInformation>Copyright (c) 64\C S. Karger AG, Basel.</CopyrightInformation></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Di Somma</LastName><ForeName>Salvatore</ForeName><Initials>S</Initials><AffiliationInfo><Affiliation>Sant'Andrea Hospital, Second Faculty Medical School, La Sapienza University of Rome, Rome, Italy. salvatore.disomma@ospedalesantandrea.it</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Gori</LastName><ForeName>Chiara Serena</ForeName><Initials>CS</Initials></Author><Author ValidYN="Y"><LastName>Grandi</LastName><ForeName>Tommaso</ForeName><Initials>T</Initials></Author><Author ValidYN="Y"><LastName>Risicato</LastName><ForeName>Marcello Giuseppe</ForeName><Initials>MG</Initials></Author><Author ValidYN="Y"><LastName>Salvatori</LastName><ForeName>Emiliano</ForeName><Initials>E</Initials></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType><PublicationType UI="D016454">Review</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2010</Year><Month>04</Month><Day>20</Day></ArticleDate></Article><MedlineJournalInfo><Country>Switzerland</Country><MedlineTA>Contrib Nephrol</MedlineTA><NlmUniqueID>7513582</NlmUniqueID><ISSNLinking>0302-5144</ISSNLinking></MedlineJournalInfo><CitationSubset>IM</CitationSubset><MeshHeadingList><MeshHeading><DescriptorName UI="D002908" MajorTopicYN="N">Chronic Disease</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D016638" MajorTopicYN="N">Critical Illness</DescriptorName><QualifierName UI="Q000628" MajorTopicYN="Y">therapy</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D004632" MajorTopicYN="N">Emergency Medical Services</DescriptorName><QualifierName UI="Q000379" MajorTopicYN="Y">methods</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D004636" MajorTopicYN="Y">Emergency Service, Hospital</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D014883" MajorTopicYN="N">Water-Electrolyte Imbalance</DescriptorName><QualifierName UI="Q000175" MajorTopicYN="Y">diagnosis</QualifierName><QualifierName UI="Q000628" MajorTopicYN="Y">therapy</QualifierName></MeshHeading></MeshHeadingList><NumberOfReferences>29</NumberOfReferences></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="entrez"><Year>2010</Year><Month>4</Month><Day>30</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2010</Year><Month>4</Month><Day>30</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2010</Year><Month>8</Month><Day>14</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">20428007</ArticleId><ArticleId IdType="pii">000313734</ArticleId><ArticleId IdType="doi">10.1159/000313734</ArticleId></ArticleIdList></PubmedData></pubmed><affiliations><list><country><li>Italie</li></country><region><li>Latium</li></region><settlement><li>Rome</li></settlement></list><tree><noCountry><name sortKey="Gori, Chiara Serena" sort="Gori, Chiara Serena" uniqKey="Gori C" first="Chiara Serena" last="Gori">Chiara Serena Gori</name><name sortKey="Grandi, Tommaso" sort="Grandi, Tommaso" uniqKey="Grandi T" first="Tommaso" last="Grandi">Tommaso Grandi</name><name sortKey="Risicato, Marcello Giuseppe" sort="Risicato, Marcello Giuseppe" uniqKey="Risicato M" first="Marcello Giuseppe" last="Risicato">Marcello Giuseppe Risicato</name><name sortKey="Salvatori, Emiliano" sort="Salvatori, Emiliano" uniqKey="Salvatori E" first="Emiliano" last="Salvatori">Emiliano Salvatori</name></noCountry><country name="Italie"><region name="Latium"><name sortKey="Di Somma, Salvatore" sort="Di Somma, Salvatore" uniqKey="Di Somma S" first="Salvatore" last="Di Somma">Salvatore Di Somma</name></region></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
EXPLOR_STEP=$WICRI_ROOT/Wicri/Sante/explor/LymphedemaV1/Data/PubMed/Checkpoint
HfdSelect -h $EXPLOR_STEP/biblio.hfd -nk 002862 | SxmlIndent | more
Ou
HfdSelect -h $EXPLOR_AREA/Data/PubMed/Checkpoint/biblio.hfd -nk 002862 | SxmlIndent | more
Pour mettre un lien sur cette page dans le réseau Wicri
{{Explor lien
|wiki= Wicri/Sante
|area= LymphedemaV1
|flux= PubMed
|étape= Checkpoint
|type= RBID
|clé= pubmed:20428007
|texte= Fluid assessment and management in the emergency department.
}}
Pour générer des pages wiki
HfdIndexSelect -h $EXPLOR_AREA/Data/PubMed/Checkpoint/RBID.i -Sk "pubmed:20428007" \
| HfdSelect -Kh $EXPLOR_AREA/Data/PubMed/Checkpoint/biblio.hfd \
| NlmPubMed2Wicri -a LymphedemaV1
| This area was generated with Dilib version V0.6.31. |  |