Multidisciplinary expert panel report on fluid stewardship: perspectives and practice

Annals of Intensive Care

Review

Juan V. Llau¹  Marcia McDougall²  Robert G. Hahn³  Pietro Caironi⁴  Manu L. N. G. Malbrain⁵  Emily Ridley⁶  Luís Patrão⁷  Alan Timmins⁸ 

[1] Anaesthesiology and Post-Surgical Critical Care, University Hospital Doctor Peset, Valencia, Spain;Anaesthesiology, Department of Surgery, University of Valencia, Valencia, Spain;Anaesthetics and Intensive Care, Victoria Hospital, Kirkcaldy, Fife, Scotland;Anesthesia and Intensive Care, Karolinska Institute, Stockholm, Sweden;Department of Anesthesia and Critical Care, San Luigi Gonzaga Hospital, Orbassano, Turin, Italy;Department of Oncology, University of Turin, Turin, Italy;First Department Anaesthesiology and Intensive Therapy, Medical University Lublin, Lublin, Poland;International Fluid Academy, Lovenjoel, Belgium;Medical Data Management, Medaman, Geel, Belgium;Medical Management, AZ Oudenaarde Hospital, Oudenaarde, Belgium;Fluid Management lead, Department of Nursing, Victoria Hospital, Kirkcaldy, Fife, Scotland;Intensive Care Unit, Centro HospitalarTondela-Viseu, EPE, Viseu, Portugal;UpHill Health, Lisbon, Portugal;Pharmacy Department, Victoria Hospital, Kirkcaldy, Fife, Scotland;

关键词: Critical care;    Perioperative care;    Fluid stewardship;    Crystalloids;    Buffered solutions;    Fluid therapy;   

DOI  :  10.1186/s13613-023-01177-y

 received in 2022-11-06, accepted in 2023-08-24,  发布年份 2023

来源: Springer

【 摘 要 】

Although effective and appropriate fluid management is a critical aspect of quality care during hospitalization, the widespread adoption of consistent policies that ensure adequate fluid stewardship has been slow and heterogenous. Despite evidence-based guidelines on fluid management being available, clinical opinions continue to diverge on important aspects of care in this setting, and the consistency of guideline implementation is far from ideal. A multidisciplinary panel of leading practitioners and experts convened to discuss best practices for ongoing staff education, intravenous fluid therapy, new training technologies, and strategies to track the success of institutional fluid stewardship efforts. Fluid leads should be identified in every hospital to ensure consistency in fluid administration and monitoring. In this article, strategies to communicate the importance of effective fluid stewardship for the purposes of education, training, institutional support, and improvement of patient outcomes are reviewed and recommendations are summarized.Graphical Abstract

【 授权许可】

CC BY   
© La Société de Réanimation de Langue Francaise = The French Society of Intensive Care (SRLF) 2023

【 图 表 】

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