Critical Care Clinical Trial
Official title:
A Multi Center Observational Study on the Effects of Maintenance Fluids on Overall Fluid Balance in ICU Patients.
The amount of fluids characterized as non-resuscitation fluids given to ICU patients are
likely to be high and will probably have a substantial impact on the total amount of fluid
administered to ICU patients daily. It will most likely also influence on the total fluid
balance and the negative outcome of fluid overload.
The aim of our study is to investigate the amount of fluid given as maintenance fluids in the
ICU and the impact of this fluid on total fluid balance.
Fluid therapy is an important part in both prevention and treatment of shock and multiple
organ dysfunction in the ICU. However, the risks of giving patients too much fluids resulting
in fluid has been gaining increased focus during recent years. Numerous studies regarding the
amount of resuscitation fluid given to ICU patients have been performed, as well as
investigations regarding factors that trigger the decision to deliver a fluid challenge to
the patients. Likewise, multiple studies reveal that a more restrictive use of resuscitation
fluids often lead to a better outcome for our patients.
However, data regarding the amount of maintenance fluids and the effect of maintenance fluids
on fluid balance and consequently outcome remain sparse. One major difficulty is that there
is no universal definition of the term maintenance fluid. Some researchers include all fluids
that is not considered resuscitation fluids, i.e. fluids given to administer drugs, to keep
peripheral and central venous catheters functioning, administration of basal fluid needs and
nutrition, while others exclude fluids covering basal needs and nutrition from the
definition.
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