2017
DOI: 10.5935/0103-507x.20170045
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Fluid overload in children undergoing mechanical ventilation

Abstract: Patients admitted to an intensive care unit are prone to cumulated fluid overload and receive intravenous volumes through the aggressive resuscitation recommended for septic shock treatment, as well as other fluid sources related to medications and nutritional support. The liberal liquid supply strategy has been associated with higher morbidity and mortality. Although there are few prospective pediatric studies, new strategies are being proposed. This non-systematic review discusses the pathophysiology of flui… Show more

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Cited by 15 publications
(9 citation statements)
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References 51 publications
(94 reference statements)
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“…Fluid overload is associated with worse outcomes in severe CAP, particularly in those undergoing mechanical ventilation. [121][122][123] Hyponatraemia is common secondary to high antidiuretic hormone secretion and is related to the severity of infection, [124][125][126][127][128] but is less likely with isotonic intravenous manintenance fluids. 129] Generally, children should be fed enterally; if this is not possible, then intravenous isotonic fluids should be administered at <80% of maintenance, with monitoring of sodium levels.…”
Section: Fluids and Electrolytesmentioning
confidence: 99%
“…Fluid overload is associated with worse outcomes in severe CAP, particularly in those undergoing mechanical ventilation. [121][122][123] Hyponatraemia is common secondary to high antidiuretic hormone secretion and is related to the severity of infection, [124][125][126][127][128] but is less likely with isotonic intravenous manintenance fluids. 129] Generally, children should be fed enterally; if this is not possible, then intravenous isotonic fluids should be administered at <80% of maintenance, with monitoring of sodium levels.…”
Section: Fluids and Electrolytesmentioning
confidence: 99%
“…Consider use during the influenza season in children at high risk for severe influenza, who present soon after symptom onset. [8,[24][25][26][27][28][29][30][31][32][33][34][35][36]…”
Section: Adjunctive Therapies Antiviral Treatmentmentioning
confidence: 99%
“…Fluid overload is associated with worse outcomes in severe CAP, particularly in those undergoing mechanical ventilation. [26][27][28] Hyponatraemia is common secondary to high antidiuretic hormone secretion and is related to the severity of infection, [29][30][31][32][33] but is less likely with isotonic intravenous manintenance fluids. [34] Generally, children should be fed enterally; if this is not possible, then intravenous isotonic fluids should be administered at <80% of maintenance, with monitoring of sodium levels.…”
Section: Fluids and Electrolytesmentioning
confidence: 99%
“…Imbalance between intravascular and extravascular fluid or component like natrium will facilitate intravascular fluid to the interstitial so that edema, ascites, pleural effusion may occur. Some studies use FO percentage (FO%) as a tool to estimate the amount of fluid retention [9,10]. The fluids are measured in liters while the body weight measured in kilogram.…”
Section: Pathophysiology and Measuring Fluid Overloadmentioning
confidence: 99%