危重症患者的液体反应性。

Fluid Responsiveness in the Critically Ill Patient.

机构信息

Department of Anesthesiology and Perioperative Medicine, University of Alabama at Birmingham, Birmingham, AL.

Department of Medicine, Division of Nephrology, University of Alabama at Birmingham, Birmingham, AL.

出版信息

Adv Chronic Kidney Dis. 2021 Jan;28(1):20-28. doi: 10.1053/j.ackd.2021.06.006.

DOI:10.1053/j.ackd.2021.06.006

PMID:34389133

Abstract

Accurate assessment of intravascular volume status in critically ill patients remains a very challenging task. Recent data have shown adverse outcomes in critically ill patients with either inadequate or overaggressive fluid therapy. Understanding the tools and techniques available for accurate volume assessment is imperative. This article discusses the concept of fluid responsiveness and reviews methods for assessing fluid responsiveness in critically ill patients.

摘要

准确评估危重症患者的血管内容量状态仍然是一项极具挑战性的任务。最近的数据显示，容量不足或过度治疗的危重症患者均有不良结局。因此，了解准确容量评估的工具和技术至关重要。本文讨论了液体反应性的概念，并回顾了评估危重症患者液体反应性的方法。