Departamento de Medicina Intensiva, Facultad de Medicina, Pontificia Universidad Católica de Chile, Chile.
Anesthesia & Surgery Critical Care Service, Hospital Universitario Puerta del Mar, Cádiz, Spain.
J Crit Care. 2022 Oct;71:154070. doi: 10.1016/j.jcrc.2022.154070. Epub 2022 Jun 2.
Fluid resuscitation is a core component of emergency and critical care medicine. While the focus of clinicians has largely been on detecting patients who would respond to fluid therapy, relatively little work has been done on assessing patients' tolerance to this therapy. In this article we seek to review the concept of fluid tolerance, propose a working definition, and introduce relevant clinical signals by which physicians can assess fluid tolerance, hopefully becoming a starting point for further research.
液体复苏是急诊和危重病医学的核心组成部分。虽然临床医生的重点主要在于发现对液体治疗有反应的患者，但对评估患者对这种治疗的耐受性相对较少。本文旨在回顾液体耐受性的概念，提出一个实用的定义，并介绍相关的临床信号，希望为进一步的研究提供一个起点。
