We should avoid the term “fluid overload”

Vincent, Jean‐Louis; Pinsky, Michael R.

doi:10.1186/s13054-018-2141-7

Cited by 32 publications

(23 citation statements)

References 6 publications

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“…An increase in total body fluid (typically both water and electrolytes) in excess of physiologic requirements. Some publications define it as a 10% or more increase in total body weight due to fluid administration which represents the threshold for an increased risk of adverse clinical effects such as pulmonary edema, peripheral edema or body cavity effusion ( 30 , 31 , 59 – 61 ). This non-specific term is loosely used and in some cases may be replaced by more specific concepts, such as volume overload , which refers to excess fluid in the intravascular fluid compartment, or overhydration , which describes excessive pure water gain in the body.…”

Section: Resultsmentioning

confidence: 99%

Terms, Definitions, Nomenclature, and Routes of Fluid Administration

Chow

2021

Front. Vet. Sci.

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Fluid therapy is administered to veterinary patients in order to improve hemodynamics, replace deficits, and maintain hydration. The gradual expansion of medical knowledge and research in this field has led to a proliferation of terms related to fluid products, fluid delivery and body fluid distribution. Consistency in the use of terminology enables precise and effective communication in clinical and research settings. This article provides an alphabetical glossary of important terms and common definitions in the human and veterinary literature. It also summarizes the common routes of fluid administration in small and large animal species.

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Section: Resultsmentioning

confidence: 99%

Terms, Definitions, Nomenclature, and Routes of Fluid Administration

Chow

2021

Front. Vet. Sci.

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“…Therefore, fluid non-responsiveness does not indicate hypervolemia. The term fluid overload is confusing and is not the appropriate term to indicate intravascular hypervolemia (Vincent & Pinsky, 2018).…”

Section: Hypervolemiamentioning

confidence: 99%

Perioperative Quality Initiative (POQI) consensus statement on fundamental concepts in perioperative fluid management: fluid responsiveness and venous capacitance

Martin

Kaufman²,

Marik

et al. 2020

Perioper Med

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Background: Optimal fluid therapy in the perioperative and critical care settings depends on understanding the underlying cardiovascular physiology and individualizing assessment of the dynamic patient state. Methods: The Perioperative Quality Initiative (POQI-5) consensus conference brought together an international team of multidisciplinary experts to survey and evaluate the literature on the physiology of volume responsiveness and perioperative fluid management. The group used a modified Delphi method to develop consensus statements applicable to the physiologically based management of intravenous fluid therapy in the perioperative setting. Discussion: We discussed the clinical and physiological evidence underlying fluid responsiveness and venous capacitance as relevant factors in fluid management and developed consensus statements with clinical implications for a broad group of clinicians involved in intravenous fluid therapy. Two key concepts emerged as follows: (1) The ultimate goal of fluid therapy and hemodynamic management is to support the conditions that enable normal cellular metabolic function in order to produce optimal patient outcomes, and (2) optimal fluid and hemodynamic management is dependent on an understanding of the relationship between pressure, volume, and flow in a dynamic system which is distensible with variable elastance and capacitance properties.

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“…However, avoiding hypervolemia is mandatory (especially in situations of capillary leak and global increased permeability syndrome), since excessive fluid administration usually leads to edema, increased inflammation and permeability and compromised tissue healing [ 6 – 9 ]. To avoid excessive fluid administration leading to edema and fluid overload, while maintaining an adequate mean arterial pressure (MAP), vasopressors may be required.…”

Section: Shock Is Not Always Hypovolemiamentioning

confidence: 99%

“…To avoid excessive fluid administration leading to edema and fluid overload, while maintaining an adequate mean arterial pressure (MAP), vasopressors may be required. It has to be noted that the term fluid overload has recently been questioned and hyperhydration or intravascular versus extravascular hypervolemia may be more adequate terms [ 9 ].…”

Section: Shock Is Not Always Hypovolemiamentioning

confidence: 99%