Risks and Benefits of Fluid Administration as Assessed by Ultrasound.

Millington, Scott J; Wiskar, Katie; Hobbs, Hailey; Koenig, Seth · Chest · 2021

review · Level V

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Abstract

For patients in shock, decisions regarding administering or withholding IV fluids are both difficult and important. Although a strategy of relatively liberal fluid administration has traditionally been popular, recent trial results suggest that moving to a more fluid-restrictive approach may be prudent. The goal of this article was to outline how whole-body point-of-care ultrasound can help clarify both the possible benefits and the potential risks of fluid administration, aiding in the risk/benefit calculations that should always accompany fluid-related decisions.

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