Use of the Fluid Challenge in Critically Ill Adult Patients: A Systematic Review

Anesthesia and Analgesia
Antonio MessinaPaolo Navalesi

Abstract

The fluid challenge (FC) aims at identifying patients in whom fluid administration improves hemodynamics. Although the FC has been extensively studied, the implementation and definition of improvement are not standardized. This systematic review of studies published between January 1, 1994 and December 31, 2014 characterizes these key components of the FC for critically ill adult patients, as described in the medical literature in the last 20 years. A literature search was performed using MEDLINE, Embase, and Cochrane. For each study, data were collected on study design, study size, study setting, patient population, and how the FC was administered. Eligibility criteria for FC were (1) the infusion of a definite quantity of fluid, (2) of a specific type, (3) in a fixed time period (expressed as either span or infusion rate), (4) with a defined hemodynamic variable as the target, and (5) for a predetermined threshold. One hundred fifty-seven full-text manuscripts were extracted from 870 potentially relevant studies. The inclusion criteria were met by 71 studies including 3617 patients. Sixty-six studies were from a single center and 45 were prospective observational in format. The most common amount infused was 500 cc, used by 5...Continue Reading

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Citations

Oct 10, 2018·Anesthesia and Analgesia·Antonio MessinaPaolo Navalesi
Dec 13, 2018·European Journal of Anaesthesiology·Romain BarthélémyBenjamin G Chousterman
Jun 3, 2018·Clinical Medicine : Journal of the Royal College of Physicians of London·Adam Seccombe, Elizabeth Sapey
Jan 30, 2019·Critical Care : the Official Journal of the Critical Care Forum·Antonio MessinaPaolo Navalesi
Aug 25, 2020·European Journal of Anaesthesiology·Antonio MessinaDidier Payen
Aug 21, 2021·Frontiers in Veterinary Science·Francisco José Teixeira-Neto, Alexander Valverde
Dec 17, 2020·Medicina intensiva·F SanfilippoM Astuto

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