Assessment of hypovolaemia in the critically ill

被引：25
作者：
Van der Mullen, Jan [1 ]
Wise, Robert [2 ,3 ]
Vermeulen, Griet [1 ]
Moonen, Pieter-Jan [1 ]
Malbrain, Manu L. N. G. [1 ,4 ,5 ]
机构：
[1] Ziekenhuis Netwerk Antwerp, ZNA Stuivenberg, Dept Intens Care & High Care Burn Unit, Antwerp, Belgium
[2] Edendale Hosp, Head Clin Unit, Crit Care, Pietermaritzburg, South Africa
[3] Univ KwaZulu Natal, Sch Clin Med, Discipline Anaesthesiol & Crit Care, Durban, South Africa
[4] Univ Hosp Brussels UZB, Dept Intens Care, Jette, Belgium
[5] Free Univ Brussels VUB, Fac Med & Pharmacol, Brussels, Belgium
来源：
ANAESTHESIOLOGY INTENSIVE THERAPY | 2018年 / 50卷 / 02期
关键词：
fluids; therapy; resuscitation; hypovolaemia; monitoring; biomarkers; preload; hydration; underfilling; fluid responsiveness; passive leg raising;
D O I：
10.5603/AIT.a2017.0077
中图分类号：
R614 [麻醉学];
学科分类号：
100217 ;
摘要：
Assessment of the intravascular volume status of patients is one of the most challenging tasks for the intensive care clinician. It is also one of the most important skills in intensive care management as both hypervolaemia and hypovolaemia lead to increased morbidity and mortality. The assessment of hypovolaemic patients is aided by several clinical signs, laboratory investigations, and a multitude of haemodynamic monitoring systems. This review aims to outline the definitions, pathophysiology, and various assessment techniques (both old and new) employed by intensivists on the critically ill patient.
引用
收藏
页码：150 / 159
页数：10
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