Fluid optimization strategies in critical care patients

Abstract

Introduction Fluid optimization is an important feature in haemodynamic resuscitation. Despite recent advances, fluid management in clinical practice remains sometimes highly empirical. Well-defined endpoints of resuscitation, not only global but also focused on the microcirculatory level, as well as the correct timing for fluids administration, always according to any of the available parameters to asses fluid-responsiveness, are the essential points in order to optimize resuscitation with fluids avoiding deleterious effects. The aim of this paper is to discuss fluid optimization strategies in critical care patients. Conclusion Fluid management is a key feature in the haemodynamic resuscitation of critically ill patients and its optimization is important for a patient’s outcome.