Fluid Management: Pharmacologic and Renal Replacement Therapies

被引：4

作者：

Wald, Eric L. ^{[1
,2
]}

Finer, Gal ^{[3
]}

McBride, Mary E. ^{[1
,2
]}

Nguyenvu Nguyen ^{[1
,2
]}

Costello, John M. ^{[1
,2
]}

Epting, Conrad L. ^{[1
,2
,4
]}

机构：

[1] Northwestern Univ, Dept Pediat, Feinberg Sch Med, Div Crit Care,Ann & Robert H Lurie Childrens Hosp, Chicago, IL 60611 USA

[2] Northwestern Univ, Dept Pediat, Feinberg Sch Med, Div Cardiol,Ann & Robert H Lurie Childrens Hosp C, Chicago, IL 60611 USA

[3] Northwestern Univ, Dept Pediat, Div Kidney Dis, Feinberg Sch Med,Ann & Robert H Lurie Childrens H, Chicago, IL 60611 USA

[4] Northwestern Univ, Dept Pathol, Feinberg Sch Med, Chicago, IL 60611 USA

来源：

PEDIATRIC CRITICAL CARE MEDICINE | 2016年 / 17卷 / 08期

关键词：

acute kidney injury; dialysis; diuretics; fluid management; pediatrics; ACUTE KIDNEY INJURY; LOW-DOSE DOPAMINE; FAILURE PATHOPHYSIOLOGIC CONSEQUENCES; INTRAVENOUS MAINTENANCE FLUIDS; DECOMPENSATED HEART-FAILURE; PEDIATRIC CARDIAC-SURGERY; CRITICALLY-ILL PATIENTS; CARDIOPULMONARY BYPASS; PERITONEAL-DIALYSIS; LOOP DIURETICS;

D O I：

10.1097/PCC.0000000000000781

中图分类号：

R4 [临床医学];

学科分类号：

1002 ; 100602 ;

摘要：

Objectives: Focusing on critically ill children with cardiac disease, we will review common causes of fluid perturbations, clinical recognition, and strategies to minimize and treat fluid-related complications. Data Source: MEDLINE and PubMed. Conclusions: Meticulous fluid management is vital in critically ill children with cardiac disease. Fluid therapy is important to maintain adequate blood volume and perfusion pressure in order to support cardiac output, tissue perfusion, and oxygen delivery. However, fluid overload and acute kidney injury are common and are associated with increased morbidity and mortality. Understanding the etiologies for disturbances in volume status and the pathophysiology surrounding those conditions is crucial for providing optimal care.

引用

页码：S257 / S265

页数：9

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