medigraphic.com
Colegio de Medicina Interna de México.

2022, Number 6

<< Back Next >>

Med Int Mex 2022; 38 (6)

Intravenous fluid therapy in the hospitalized clinical patient

Inzunza-Cervantes G, Duarte-Quintero JL, López-Chiquete MO, Blanco-Olivas JA, Jacobo-Ochoa S

Language: Spanish
References: 38
Page: 1233-1243
PDF size: 380.25 Kb.


ABSTRACT

Intravenous fluid therapy is one of the most common therapeutic prescriptions in hospitalized clinical patients with the aim of correcting or maintaining the water and electrolyte balance that guarantees adequate cardiac output, perfusion and tissue oxygenation to the different organs. During the last decades it has presented great and constant advances that make it necessary to review and analyze it frequently: in general, the four main indications for its administration are resuscitation, replacement, maintenance and fluid slippage. Prior to its administration, the indications, contraindications, volume, frequency and type of liquid to be administered must be known, analyzing above all the benefit-risk relationship and seeking to restore the enteral route as soon as possible. A non-systematic narrative review of the topic was carried out, searching for references in Elsevier, Pubmed, SciELO, Medline, Nature and New England Journal of Medicine published from 2010 to 2020 in English and Spanish. The progress obtained in intravenous fluid therapy is evident from its implementation in the replacement of water and electrolytes lost in diarrheal diseases to the concept of optimizing cardiac output, therapy guided by objectives and phases, becoming one of the most frequent indications in hospitalized clinical patients; its indication must be made in a conscientious way and according to the clinical situation of the patient, maintaining close monitoring through clinical measurements or the use of imaging studies, which allow determining their response, avoiding complications.


REFERENCES

  1. Latta T. The first use of intravenous saline for the treatmentof disease: Letter from Thomas Latta submitted to the CentralBoard of Health, London and published in The Lancet,1832. Preface by Jane Ferrie. Int J Epidemiol 2013; 42 (2):387-90. https://doi.org/10.1093/ije/dyt045.

  2. Moritz M, Ayus J. Maintenance intravenous fluids in acutelyill patients. N Engl J Med 2015; 373 (14): 1350-60. DOI:10.1056/NEJMra1412877.

  3. Aguilar FG. Manejo de fluidos intravenosos. Med crít 2018;32 (2): 100-7.

  4. Finfer S, Myburgh J, Bellomo R. Intravenous fluid therapy incritically ill adults. Nature Rev Nephrol 2018; 14 (9): 541-57.https://doi.org/10.1038/s41581-018-0044-0.

  5. Vincent JL. “Let’s give some fluid and see what happens” versusthe “Mini-fluid challenge”. Anesthesiology 2011; 115 (3):455-6. https://doi.org/10.1097/ALN.0b013e318229a521.

  6. Padhi S, Bullock I, Li L, Stroud M. Intravenous fluid therapyfor adults in hospital: summary of NICE guidance. BMJ2013; 347: f7073-f7073. doi: 10.1136/bmj.f7073.

  7. Kellum JA. Abnormal saline and the history of intravenousfluids. Nature Reviews Nephrology 2018; 14 (6): 358-60.https://doi.org/10.1038/s41581-018-0008-4.

  8. Myburgh JA, Mythen MG. Resuscitation fluids. N Engl J Med2013; 369 (13): 1243-51. doi: 10.1056/NEJMra1208627.

  9. Malbrain MLNG, Langer T, Annane D, Gattinoni L, Elbers P,Hahn RG, et al. Intravenous fluid therapy in the perioperativeand critical care setting: Executive summary of theInternational Fluid Academy (IFA). Ann Intens Care 2020;

  10. 10 (1). https://doi.org/10.1186/s13613-020-00679-3.10. Hoste E, Maitland K, Brudney C, Mehta R, Vincent J, YatesD, et al. Four phases of intravenous fluid therapy: Aconceptual model. Br J Anaesth 2014; 113 (5): 740-7. doi:10.1093/bja/aeu300.

  11. Leonardo-Pazarin CAAC. Terapia hídrica en el pacientehospitalizado. Med Hosp 2013; 1 (4): 82-86.

  12. Chaverri-Fernández J, Díaz-Madriz J. Generalidades sobrefluidoterapia y desórdenes electrolíticos, enfoque en lafarmacia hospitalaria: Primera Parte. Pharmaceutical CareLa Farmacoterapia 2012; 1 (2): 28-39.

  13. Bhave G, Neilson E. Body fluid dynamics: Back to the future.J Am Soc Nephrol 2011; 22 (12): 2166-81. doi: 10.1681/ASN.2011080865.

  14. Pérez-Calatayud A. Actualidades en resucitación hídrica.Anestesia México 2018; 30 (2): 10-1.

  15. Sánchez-Tamayo M, Sánchez-Martín ML, García-Real E,Garcés-Tamayo MC. Essential aspects during the resuscitationof intravascular volume in polytraumatized patients.Medwave 2020; 20 (03): e7879-e7879. doi: 10.5867/medwave.2020.03.7879.

  16. Carrillo-Esper R, et al. Glicocálix. Una estructura a consideraren el enfermo grave. Med. crít. (Col Mex Med Crít)2016; 30 (2): 130-6.

  17. Woodcock T, Woodcock T. Revised Starling equation andthe glycocalyx model of transvascular fluid exchange:An improved paradigm for prescribing intravenous fluidtherapy. Br J Anaesth 2012; 108 (3): 384-94. doi: 10.1093/bja/aer515.

  18. Aboal J. Reposición de volumen: ¿cristaloides o coloides?Rev Esp Cardiol 2015; 15 (D): 15-9.

  19. Myburgh J. Fluid resuscitation in acute medicine: What isthe current situation? J Intern Med 2015; 277 (1): 58-68.doi: 10.1111/joim.12326.

  20. Moya L, Calderon J. Soluciones cristaloides y coloides. RevAct Clín 2013; 40: 2119-23.

  21. Vignon P, Evrard B, Asfar P, Busana M, Calfee C, CoppolaS, et al. Fluid administration and monitoring in ARDS:which management? Intensive Care Medicine 2020; 46:(12): 2252-2264. doi: 10.1007/s00134-020-06310-0.

  22. 22.22. Ogbu O, Murphy D, Martin G. How to avoid fluid overload.Curr Opin Crit Care 2015; 21 (4): 315-21. doi: 10.1097/MCC.0000000000000211.

  23. Carrillo-Esper R, Díaz Ponce-Medrano J, Aguilar-Montiel M,Rendón-Jaramillo L, Sánchez-Jurado J, Roldán-Rodríguez E,et al. Efectos de la sobrecarga hídrica y electrolítica en elperioperatorio. Rev Mex Anestesiología 2017; 40 (1): 47-53.

  24. Lombi F, Young P, Trimarchi H. Des-resucitación en la sobrecargade fluidos asociada a la lesión renal aguda. Medicina(Buenos Aires) 2020; 80 (2): 150-6.

  25. Licker M, Triponez F, Ellenberger C, Karenovics W. Less fluidsand a more physiological approach. Turk J AnaesthesiolReanim 2016; 44 (5): 230-2. doi: 10.5152/TJAR.2016.007.

  26. Monnet X, Teboul J. Prediction of fluid responsiveness inspontaneously breathing patients. Ann Transl Med 2020;8 (12): 790. doi: 10.21037/atm-2020-hdm-18.

  27. Silversides J, Perner A, Malbrain M. Liberal versus restrictivefluid therapy in critically ill patients. Intensive CareMedicine 2019; 45 (10): 1440-2. doi: 10.1007/s00134-019-05713-y.

  28. Marik P. Fluid responsiveness and the six guiding principlesof fluid resuscitation. Crit Care Med 2016; 44 (10): 1920-2.doi: 10.1097/CCM.0000000000001483.

  29. Monnet X, Marik P, Teboul J. Prediction of fluid responsiveness:an update. Ann Intensive Care 2016; 6 (1): 1-11.doi: 10.1186/s13613-016-0216-7.

  30. Sabatier C, Monge I, Maynar J, Ochagavia A. Valoración dela precarga y la respuesta cardiovascular al aporte de volumen.Medicina Intensiva 2012; 36 (1): 45-55. doi:10.1016/j.medin.2011.04.005.

  31. Aya H, Ster I, Fletcher N, Grounds R, Rhodes A, CecconiM. Pharmacodynamic analysis of a fluid challenge.Crit Care Med 2016; 44 (5): 880-91. doi: 10.1097/CCM.0000000000001517.

  32. Aya H, Rhodes A, Chis Ster I, Fletcher N, Grounds RM,Cecconi M. Hemodynamic effect of different doses offluids for a fluid challenge: A quasi-randomized controlledstudy. Crit Care Med 2017; 45 (2): e161-8. doi: 10.1097/CCM.0000000000002067.

  33. Joosten A, Delaporte A, Van der Linden P, Rinehart J, HipszerB. Immediate haemodynamic impact response to a minifluidchallenge is independent of fluid type: A post-hocanalysis of a randomised double blinded controlled trial.Anaesth Crit Care Pain Med 2019; 38 (6): 669-70. doi:10.1016/j.accpm.2018.10.017.

  34. Gan H, Cannesson M, Chandler J, Ansermino J. Predictingfluid responsiveness in children: A systematic review.Anesth Analg 2013; 117 (6): 1380-92. doi: 10.1213/ANE.0b013e3182a9557e.

  35. Muller L, Toumi M, Bousquet P, Riu-Poulenc B, LouartG, Candela D, et al. An increase in aortic blood flowafter an infusion of 100 ml colloid over 1 minute canpredict fluid responsiveness: The mini-fluid challengestudy. Anesthesiology 2011; 115 (3): 541-7. doi: 10.1097/ALN.0b013e318229a500.

  36. Claure-Del Granado R, Mehta RL. Fluid overload in theICU: evaluation and management. BMC Nephrology 2016;17 (1): 109. https://doi.org/10.1186/s12882-016-0323-6.

  37. Rusu D, Siriopol I, Grigoras I, Blaj M, Ciumanghel A, SiriopolD, et al. Lung ultrasound guided fluid management protocolfor the critically ill patient: Study protocol for a multi-centrerandomized controlled trial. Trials 2019; 20 (1): 1-9. https://doi.org/10.1186/s13063-019-3345-0.

  38. Mohamed M, Malewicz N, Zehry H, Monim Hussain D,Barouh J, Cançado AV, et al. Fluid administration in emergencyroom limited by lung ultrasound in patients withsepsis: Protocol for a prospective phase ii multicenterrandomized controlled trial. JMIR Res Protoc 2020; 9 (8):1-12. doi: 10.2196/15997.




2020     |     www.medigraphic.com