SCCM Resource Library-Finding Fluid Stewardship In the ICU

Video Transcription

Video Summary

The speaker discusses the concept of fluid stewardship in the ICU and focuses on maintenance fluids. The ROSE model is introduced, which looks at different phases of fluid administration: rescue, optimization, stabilization, and evacuation. The speaker emphasizes the need for individualizing and being intentional with fluid administration to patients. Maintenance fluids are defined as fluids given to meet daily needs of patients for fluids, electrolytes, and sugar. The guidelines for maintenance fluids are typically based on old dietary reference values and oral intake. The speaker highlights the lack of evidence to guide the practice of maintenance IV fluids and discusses the issue of fluid creep or hidden fluids that are not always captured in patient records. The importance of fluid stewardship in the ICU is emphasized, and the speaker provides recommendations for incorporating it into practice, such as considering the indication for maintenance fluids, setting therapeutic goals, and accounting for hidden fluids. The talk concludes with a call for further research on maintenance fluids.

Asset Subtitle

Pharmacology, 2023

Asset Caption

Type: two-hour concurrent | Treatments on Autopilot (SessionID 1119558)

Meta Tag

Content Type Presentation

Knowledge Area Pharmacology

Membership Level Professional

Membership Level Select

Tag Fluids Resuscitation Management

Year 2023

Keywords

fluid stewardship

ICU

maintenance fluids

ROSE model

individualizing fluid administration

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