SCCM Resource Library-Pro/Con: Water, Water Everywhere: IV Fluids: Where's the Pendulum Now? (includes advanced cases)

Video Transcription

Video Summary

In this session at the SCCM Critical Care Congress, the topic of debate is the use of intravenous fluids. The session aims to discuss the risks and consequences of aggressive use of intravenous fluids, evaluate the objective of protocol suggestions, and describe intravenous fluid strategies that can be implemented at the bedside. The debate centers around the question of whether the current guideline of administering 30 mL per kilogram of crystalloid fluids for septic patients is appropriate. The first speaker, Dr. Shawn Townsend, argues in favor of the guideline and presents his qualifications and experience in the field. He emphasizes the importance of individualized care and explains that the guideline is a standard meant to improve the quality of care, but it can be deviated from if necessary. Dr. Manuel Malbrain, the second speaker, argues against the guideline, presenting evidence that suggests fluid over-respiration can lead to harm. He advocates for a more personalized approach to fluid therapy and the consideration of factors such as fluid overload and organ dysfunction. The final speaker, Dr. Roderick Fontenette, gives an introduction to the topic and presents a case study to guide the discussion. He highlights the need for an optimal fluid balance and the potential consequences of fluid overload. Overall, the session aims to provide insights into the ongoing debate surrounding IV fluid use and offer strategies for clinical implementation.

Asset Subtitle

Pharmacology, Sepsis, 2021

Asset Caption

The Society of Critical Care Medicine's Critical Care Congress features internationally renowned faculty and content sessions highlighting the most up-to-date, evidence-based developments in critical care medicine. This is a presentation from the 2021 Critical Care Congress held virtually from January 31-February 12, 2021.

Learning Objectives

Explain the risks and consequences of aggressive IV fluid use
Evaluate the objective of protocol suggestions and how application in clinical scenarios might vary
Describe IV fluid strategies that can be clinically implemented at the bedside

Pro: Guidelines Say 30 mL/kg
Sean R. Townsend

Con: Patients Are Drowning
Manu L. Malbrain

Case Presentations
Roderick Fontenette

Meta Tag

Content Type Presentation

Knowledge Area Pharmacology

Knowledge Area Sepsis

Knowledge Level Intermediate

Knowledge Level Advanced

Membership Level Select

Tag Crystalloids

Tag Fluids Resuscitation Management

Year 2021

Keywords

intravenous fluids

aggressive use

protocol suggestions

crystalloid fluids

septic patients

individualized care

fluid therapy

fluid overload

organ dysfunction

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